TY - JOUR
T1 - Ramadan and culturally competent care
T2 - Strengthening tuberculosis protections for recently resettled Muslim refugees
AU - Stockbridge, Erica L.
AU - Kabani, Faizan A.
AU - Gallups, Jeremy S.
AU - Miller, Thaddeus L.
N1 - Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - 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.
AB - 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.
KW - Ramadan
KW - cultural competence
KW - latent tuberculosis infection
KW - medication adherence
KW - treatment completion
UR - http://www.scopus.com/inward/record.url?scp=85088884225&partnerID=8YFLogxK
U2 - 10.1097/PHH.0000000000000893
DO - 10.1097/PHH.0000000000000893
M3 - Article
C2 - 32732732
AN - SCOPUS:85088884225
SN - 1078-4659
VL - 26
SP - E13-E16
JO - Journal of Public Health Management and Practice
JF - Journal of Public Health Management and Practice
IS - 5
ER -