The Relationship between Age, Education Level, and Occupation with Adherence to Anti-Tuberculosis Medication among Pulmonary Tuberculosis Patients at Puruk Cahu Regional General Hospital, Murung Raya Regency Hubungan Usia, Pendidikan, dan Pekerjaan dengan Tingkat Kepatuhan Minum Obat Anti-Tuberkulosis pada Pasien Tuberkulosis Paru di RSUD Puruk Cahu Kabupaten Murung Raya
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Abstract
Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, with a high burden of disease. Successful TB treatment largely depends on patients’ adherence to Anti-Tuberculosis Drug (ATD) therapy. Poor medication adherence may lead to treatment failure, disease relapse, and an increased risk of drug resistance. Sociodemographic factors such as age, educational level, and occupation have been assumed to influence patients’ adherence during the treatment period. This study aimed to determine the relationship between age, education, and occupation and medication adherence among pulmonary tuberculosis patients at Puruk Cahu Regional General Hospital, Murung Raya Regency. This study employed an analytical observational design with a cross-sectional approach. A total of 79 pulmonary TB patients undergoing treatment were selected using purposive sampling. Data were collected through interviews and the Morisky Medication Adherence Scale-8 (MMAS-8) questionnaire. Univariate and bivariate analyses were performed using the Chi-Square test and Fisher’s Exact Test.. The results showed that most respondents were in the productive age group and had a low level of medication adherence. Statistical analysis indicated that there was no significant association between age (p = 0.394), educational level (p = 0.288), and occupation (p = 0.714) and adherence to Anti-Tuberculosis Drug therapy among pulmonary TB patients. In conclusion, age, education, and occupation were not significantly associated with medication adherence in pulmonary tuberculosis patients. Other factors such as patient motivation, family support, and health education may play a more important role in improving treatment adherence.
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