Impact of Housing Provision Package on Treatment Outcome Among Homeless Tuberculosis Patients in South Korea

Hyunwoo Kim, Hongjo Choi, Sarah Yu, An Yeol Lee, Hye Ok Kim, Joon Sung Joh, Eun Young Heo, Kyung Hyun Oh, Hee Jin Kim, Haejoo Chung

Research output: Contribution to journalArticle

Abstract

The objective of this study was to assess the effect of a housing provision package on treatment outcomes among homeless South Korean tuberculosis (TB) patients. We conducted a prospective, single-arm, community-based study with historical controls as follows: community-based intervention group (COM), who were provided housing, nutrition, and case management, and received directly observed therapy services; a first historical control that was treated as usual (TAU); and a second historical control that comprised homeless TB patients residing in long-term TB-care facility (FAC). A multivariable logistic regression model was constructed to identify predictors associated with treatment success among homeless TB patients. Treatment was successful in 86.0%, 58.3%, and 96.1% of patients in the COM, TAU, and FAC groups, respectively. Interventions, including those found in the COM and FAC groups, were the only predictors of treatment success. Therefore, we determined that housing provision package positively influenced the treatment outcomes of homeless TB patients.

Original languageEnglish
Pages (from-to)603-611
Number of pages9
JournalAsia-Pacific Journal of Public Health
Volume31
Issue number7
DOIs
Publication statusPublished - 2019 Oct 1

Keywords

  • hard-to-reach
  • homeless
  • social protection
  • tuberculosis
  • vulnerable populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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