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Patients’ perceptions regarding multidrug-resistant tuberculosis and barriers to seeking care in a priority city in Brazil during COVID-19 pandemic: A qualitative study

Author

Listed:
  • Felipe Lima dos Santos
  • Ludmilla Leidianne Limirio Souza
  • Alexandre Tadashi Inomata Bruce
  • Juliane de Almeida Crispim
  • Luiz Henrique Arroyo
  • Antônio Carlos Vieira Ramos
  • Thaís Zamboni Berra
  • Yan Mathias Alves
  • Alessandro Rolim Scholze
  • Fernanda Bruzadelli Paulino da Costa
  • José Francisco Martoreli Júnior
  • Ana Carolina Scarpel Moncaio
  • Ione Carvalho Pinto
  • Ricardo Alexandre Arcêncio

Abstract

This study aimed to analyze the discourses of patients who were diagnosed with multidrug-resistant tuberculosis, the perception of why they acquired this health condition and barriers to seeking care in a priority city in Brazil during the COVID-19 pandemic. This was an exploratory qualitative study, which used the theoretical-methodological framework of the Discourse Analysis of French matrix, guided by the Consolidated Criteria for Reporting Qualitative Research. The study was conducted in Ribeirão Preto, São Paulo, Brazil. Seven participants were interviewed who were undergoing treatment at the time of the interview. The analysis of the participants’ discourses allowed the emergence of four discursive blocks: (1) impact of the social determinants in the development of multidrug-resistant tuberculosis, (2) barriers to seeking care and difficulties accessing health services, (3) perceptions of the side effects and their impact on multidrug-resistant tuberculosis treatment, and (4) tuberculosis and COVID-19: a necessary dialogue. Through discursive formations, these revealed the determinants of multidrug-resistant tuberculosis. Considering the complexity involved in the dynamics of multidrug-resistant tuberculosis, advancing in terms of equity in health, that is, in reducing unjust differences, is a challenge for public policies, especially at the current moment in Brazil, which is of accentuated economic, political and social crisis. The importance of psychosocial stressors and the lack of social support should also be highlighted as intermediary determinants of health. The study has also shown the situation of COVID-19, which consists of an important barrier for patients seeking care. Many patients reported fear, insecurity and worry with regard to returning to medical appointments, which might contribute to the worsening of tuberculosis in the scenario under study.

Suggested Citation

  • Felipe Lima dos Santos & Ludmilla Leidianne Limirio Souza & Alexandre Tadashi Inomata Bruce & Juliane de Almeida Crispim & Luiz Henrique Arroyo & Antônio Carlos Vieira Ramos & Thaís Zamboni Berra & Ya, 2021. "Patients’ perceptions regarding multidrug-resistant tuberculosis and barriers to seeking care in a priority city in Brazil during COVID-19 pandemic: A qualitative study," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-19, April.
    • Handle: RePEc:plo:pone00:0249822
    DOI: 10.1371/journal.pone.0249822
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    Cited by:

    1. Georgina Pujolar & Aida Oliver-Anglès & Ingrid Vargas & María-Luisa Vázquez, 2022. "Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review," IJERPH, MDPI, vol. 19(3), pages 1-31, February.
    2. Ojo, Mayowa M. & Peter, Olumuyiwa James & Goufo, Emile Franc Doungmo & Nisar, Kottakkaran Sooppy, 2023. "A mathematical model for the co-dynamics of COVID-19 and tuberculosis," Mathematics and Computers in Simulation (MATCOM), Elsevier, vol. 207(C), pages 499-520.

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