{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T02:24:41Z","timestamp":1777429481868,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2008,5,13]],"date-time":"2008-05-13T00:00:00Z","timestamp":1210636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2008,7]]},"abstract":"<jats:p>Medication noncompliance hinders effective tuberculosis control. This descriptive study investigates the factors contributing to medication noncompliance among new patients with smear-positive pulmonary tuberculosis on treatment at government health institutions in Colombo, Sri Lanka. In a cohort of patients aged \u226515 years (n = 326), 23% were found to be noncompliers (n = 74) on follow-up. The median age of noncompliers (50 years) was significantly higher than the compliers (45 years). In multivariate logistic regression analysis, factors associated with noncompliance are as follows: being a male, living alone or with extended family, experiencing side effects to medication, perceiving nonsusceptibility to adverse effects of illness, and perceiving no benefit in regular treatment. The participants of a focus group discussion on service factors opined that the reception at treatment facilities and the interaction with certain categories of staff were poor. Noncompliance is related to a multiplicity of factors involving patients and healthcare services.<\/jats:p>","DOI":"10.1177\/1010539508316974","type":"journal-article","created":{"date-parts":[[2011,6,28]],"date-time":"2011-06-28T15:37:49Z","timestamp":1309275469000},"page":"214-223","source":"Crossref","is-referenced-by-count":14,"title":["Factors Contributing to Medication Noncompliance of Newly Diagnosed Smear-Positive Pulmonary Tuberculosis Patients in the District of Colombo, Sri Lanka"],"prefix":"10.1177","volume":"20","author":[{"given":"Navaratnasingam","family":"Janakan","sequence":"first","affiliation":[{"name":"Department of Community Medicine and Epidemiology, Faculty\rof Medicine, University of Ottawa, Canada,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RdeA","family":"Seneviratne","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Faculty of Medicine,\rUniversity of Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,5,13]]},"reference":[{"key":"atypb1","first-page":"637","volume":"31","author":"John G.","year":"1997","journal-title":"J Rl Coll Physicians Lond"},{"key":"atypb2","first-page":"397","volume":"1","author":"Salomon N.","year":"1997","journal-title":"Int J Tuberc Lung Dis"},{"key":"atypb3","first-page":"225","volume":"18","author":"Round Table .","year":"1997","journal-title":"World Health Forum"},{"key":"atypb4","first-page":"10","volume":"2","author":"Mitchison DA","year":"1998","journal-title":"Int J Tuberc Lung Dis"},{"key":"atypb5","volume-title":"National Program for Tuberculosis Control and Chest Diseases. 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