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Ramadan and Culturally Competent Care: Strengthening Tuberculosis Protections for Recently Resettled Muslim Refugees.
Stockbridge, Erica L; Kabani, Faizan A; Gallups, Jeremy S; Miller, Thaddeus L.
Afiliación
  • Stockbridge EL; Department of Health Behavior and Health Systems, School of Public Health (Drs Stockbridge and Miller and Mr Gallups) and Institute for Patient Safety (Dr Stockbridge), University of North Texas Health Science Center, Fort Worth, Texas; Department of Advanced Health Analytics and Solutions, Magellan Health, Inc, Scottsdale, Arizona (Dr Stockbridge); and Caruth School of Dental Hygiene, College of Dentistry, Texas A&M University, Dallas, Texas (Dr Kabani).
J Public Health Manag Pract ; 26(5): E13-E16, 2020.
Article en En | MEDLINE | ID: mdl-32732732
To improve latent tuberculosis infection treatment completion rates, Tarrant County Public Health began providing after-dusk home delivery of a 12-dose latent tuberculosis infection regimen of weekly rifapentine plus isoniazid administered via directly observed preventive therapy during Ramadan, a month of prayer and daytime fasting observed by Muslims. In unadjusted difference-in-difference logistic regression analyses (n = 148), Muslim patients had lower treatment completion rates than non-Muslim patients during Ramadan prior to program implementation (68.8% vs 95.4%), whereas rates were comparable postimplementation (95.7% vs 96.4%; difference-in-difference P = .011). Similar results were found after adjusting for age and gender (pre: 71.4% vs 94.8%; post: 95.5% vs 96.3%; P = .032). These findings provide evidence of the need for and effectiveness of programmatic innovations tailored to the varying cultural norms of the widely diverse populations served by public health authorities and suggest that culturally competent clinical care may advance population health goals.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Refugiados / Tuberculosis Latente / Asistencia Sanitaria Culturalmente Competente Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: J Public Health Manag Pract Asunto de la revista: SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Refugiados / Tuberculosis Latente / Asistencia Sanitaria Culturalmente Competente Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: J Public Health Manag Pract Asunto de la revista: SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos