Sickrole Compliance and Sickrole Deviance among Tuberculosis Patients on Treatment in Kanyama, a Zambian Shanty Compound ()
ABSTRACT
Background: Kanyama
compound has had a DOTS community based programme since 2012 where TB supporters
in the community have been fostering the DOTS programme. Prior to this study,
research had not been done using Parsonian sickrole behaviour concept to determine the pattern of deviance especially the sickrole
behavioural responses on the part of people who were on TB treatment. Methods: This
was an exploratory study and the study sample was drawn from a large mixed
methods study (quan + QUAL) comprising of 457 men and women ≥15 years. Enrolees
were disproportionately sampled using systematic sampling from a population of
1126 men and women who were on multi drug therapy over a two-year period.
Categorical and numeric data from the tool was cleaned and analyzed by using
SPSS version 21 (Inc., Chicago, USA). Statistical analysis was done using
Pearson’s Chi square test and ANOVA. A p value of <0.05 was considered to be significant. Results: 18.5% of the
enrolees honoured medical appointments when due whereas 81.5% did not. There
was a significant association p <
0.05 with case type and marital status. 39.6% of the enrolees honoured the
medical regimen by taking the prescribed drugs, 33.3% failed to honour and
27.1% were not sure. There was a significant association p < 0.05 between case type and marital status. Conclusions:
Strengthening DOTS programs at community level through volunteers to enhance
patient adherence to TB treatment and giving personalised attention to men and
women who may be at risk of developing secondary tuberculosis, or risk for drug
resistance and even dying is recommended. There is evidence to laud the great
effort being expended by volunteer community based tuberculosis supporters in
ensuring that what DOTS stands for is met.
Share and Cite:
Mwanza, J. (2016) Sickrole Compliance and Sickrole Deviance among Tuberculosis Patients on Treatment in Kanyama, a Zambian Shanty Compound.
Advances in Applied Sociology,
6, 1-11. doi:
10.4236/aasoci.2016.61001.