Table 3.
Factors associated with unsuccessful tuberculosis treatment outcome. Antioquia, Colombia, 2014 to 2016
| Variables | Successful treatment, N = 4,523, n (%) |
Unsuccessful treatment, N = 1,633, n (%) |
RR (95% CI) | Adjusted RR (95% CI) |
|---|---|---|---|---|
| Age in years | ||||
| < 15 | 900 (80.8) | 214 (19.2) | 1 | 1 |
| 15–54 | 2,930 (73.2) | 1,073 (26.8) | 1.4 (1.2–1.6) | 1.2 (1–1.3) |
| ≥ 55 | 520 (70.8) | 214 (29.2) | 1.5 (1.3–1.8) | 1.7 (1.4–2) |
| Male sex | 2,673 (69.4) | 1,181 (30.6) | 1.6 (1.4–1.7) | 1.3 (1.2–1.4) |
| Ethnicity | ||||
| Indigenous | 47 (78.3) | 13 (21.7) | 1 | |
| Afro-Colombian | 102 (77.9) | 29 (22.1) | 1 (0.6–1.8) | |
| Other | 4,374 (73.3) | 1,591 (26.7) | 1.2 (0.8–2) | |
| Living area | ||||
| Urban | 3,379 (72.7) | 1,271 (27.3) | 1 | 1 |
| Rural | 192 (79) | 51 (21) | 0.8 (0.6–1) | 0.8 (0.6–1.1) |
| Scattered rural | 170 (78.7) | 46 (21.3) | 0.8 (0.6–1) | 0.7 (0.5–0.9) |
| Health insurance | ||||
| Contributive | 2,411 (87.2) | 354 (12.8) | 1 | 1 |
| Subsidized | 1,877 (64.1) | 1,049 (35.9) | 2.8 (2.5–3.1) | 2.4 (2.1–2.8) |
| Poor without health insurance | 235 (50.5) | 230 (49.5) | 3.9 (3.4–4.4) | 2.5 (2.1–3) |
| Healthcare worker | 83 (90.2) | 9 (9.8) | 0.4 (0.2–0.7) | |
| Homeless individuals | 196 (35.8) | 352 (64.2) | 2.8 (2.6–3) | 1.5 (1.3–1.7) |
| Prisoners | 68 (81.9) | 15 (18.1) | 0.7 (0.4–1.1) | |
| Disease form | ||||
| Pulmonary | 3,657 (72) | 1,423 (28) | 1 | 1 |
| Extrapulmonary | 866 (80.5) | 210 (19.5) | 0.5 (0.4–0.6) | 0.8 (0.7–1) |
| HIV | 486 (58.6) | 344 (41.4) | 1.8 (1.7–2) | 1.5 (1.4–1.7) |
| Diabetes | 101 (83.5) | 20 (16.5) | 0.6 (0.4–0.9) | |
| Chronic obstructive pulmonary disease | 35 (81.4) | 8 (18.6) | 0.7 (0.4–1.3) | |
| Drug disorder | 122 (55.2) | 99 (44.8) | 1.7 (1.9–2) | |
| Chronic kidney disease | 23 (67.6) | 11 (32.4) | 1.2 (0.7–2) | |
| Other immunodeficiency disorders | 30 (73.2) | 11 (26.8) | 1 (0.3–1.7) | |
| Previously treated patient | 384 (45.8) | 454 (54.2) | 2.5 (2.3–2.7) | 1.7 (1.5–1.9) |
| Hospital diagnosis | 1,771 (67) | 872 (33) | 1.6 (1.5–1.8) | 1.4 (1.3–1.6) |
| Year of notification | ||||
| 2014 | 1,765 (74.9) | 591 (25.1) | 1 | 1 |
| 2015 | 1,345 (72.8) | 502 (27.2) | 1.1 (0.9–1.2) | 1.01 (0.89–1.14) |
| 2016 | 1,413 (72.4) | 540 (27.6) | 1.1 (0.9–1.2) | 1.06 (0.94–1.2) |
RR = relative risk.