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Table 4 Health care team and system related factors, cases and controls with TB, stratified by patient category, South Africa, 2002

From: Patient- and provider-level risk factors associated with default from tuberculosis treatment, South Africa, 2002: a case-control study

   New TB Patient (N = 926) Re-treatment TB Patient (N = 236) Combined
   Cases (160) Controls (766) OR(95% CI) Cases (71) Controls (165) OR(95% CI) OR*(95% CI) AOR† (95% CI)
Factor n/N % n/N %   n/N % n/N %    
Clinic hours convenient No 32/147 22 60/747 8 3.2 (1.9-5.2) 12/64 19 8/160 5 4.4 (1.5-13) 3.2 (2.1-5.0) 3.4 (2.2-5.2)
  Yes 115/147 78 687/747 92   52/64 81 152/160 95    
Time spent waiting at clinic ≤ 1 hour 15/146 10 74/709 10 1.0 (0.5-1.8) 9/66 14 13/154 8 1.7 (0.6-4.6) 1.1 (0.7-1.9) 1.1 (0.7-1.9)
  > 1 hour 131/146 90 635/709 90   57/66 86 141/154 92    
Did HCW treat you with respect? No 11/158 7 19/761 3 2.9 (1.2-6.6) 10/71 14 3/165 2 8.9 (2.1-51) 4.1 (2.1-8.0) 4.1 (2.2-7.8)
  Yes 147/158 93 742/761 97   61/71 86 162/165 98    
HCW attitude Poor 17/160 11 30/763 4 2.9 (1.5-5.6) 12/71 17 5/164 3 6.5 (2.0-24) 3.6 (2.1-6.3) 3.7 (2.2-6.2)
  Good 143/160 89 733/763 96   59/71 83 159/164 97    
Missed treatment due to HCW attitude Yes 15/155 10 19/763 25 4.2 (1.9-8.9) 9/69 13 1/162 1 24.2(3.1-1064) 5.4 (2.8-11) 5.8 (3.0-11)
  No 140/155 90 744/763 75   60/69 87 161/162 99    
Trusted HCW No 9/156 6 14/749 2 3.2 (1.2-8.1) 5/66 8 4/163 25 3.3 (0.7-17) 3.3 (1.5-7.2) 3.2 (1.6-6.7)
  Yes 147/156 94 735/749 98   61/66 92 159/163 75    
Told why TB treatment must be taken ≥ 6 months No 73/152 48 225/746 30 2.1 (1.5-3.1) 31/70 44 47/162 29 1.9 (1.0-3.6) 2.0 (1.5-2.8) 2.1 (1.5-3.1)
  Yes 79/152 52 521/746 70   39/70 56 115/162 71    
Given counsel or information on TB treatment No 53/155 34 163/756 22 1.9 (1.3-2.8) 27/69 39 40/164 24 2.0 (1.0-3.8) 1.9 (1.4-2.7) 1.9 (1.4-2.6)
  Yes 102/155 26 593/756 78   42/69 61 124/164 76    
Received enough education about TB at beginning of treatment No 17/98 17 44/592 7 2.6 (1.3-4.9) 10/39 26 3/121 2 13.6 (3.1-80) 3.5 (2.0-5.9) 3.6 (2.1-6.2)
  Yes 81/98 83 548/592 93   29/39 74 118/121 88    
Took pills without direct supervision (DOT) Yes 77/148 52 400/741 54 0.9 (0.6-1.3) 32/70 46 55/160 34 1.6 (0.8-3.0) 1.0 (0.7-1.3) 1.1 (0.8-1.4)
  No 71/148 48 341/741 46   38/70 54 105/160 66    
Agreed that if food was provided by clinic, adherence to treatment would have been better Yes 114/139 82 553/688 80 1.1 (0.6-1.9) 63/68 93 114/151 76 4.1 (1.4-14) 1.5 (1.0-2.4) 1.5 (1.0-2.3)
  No 25/139 18 135/688 20   5/68 7 37/151 24    
  1. *Combined bivariate odds ratio
  2. † Odds ratio adjusted by patient category