Evaluating The Impact of Self-Esteem, Commitment, and Responsibility on Tuberculosis Treatment Adherence in Parigi Moutong District Indonesia: A Cross-Sectional Study

Abstract

Background: Bacillus Mycobacterium tuberculosis causes tuberculosis, an infectious disease. Long-term adherence to tuberculosis treatment is a complex and changing phenomenon, and many factors influence how a person acts on treatment. Patients who are not adherent to treatment can develop multi-drug resistance, prolonged transmission, and poor treatment outcomes. This study evaluates the impact of self-esteem, commitment, and responsibility on tuberculosis treatment adherence. Method: The cross-sectional survey was conducted on tuberculosis patients undergoing intensive-phase treatment who had passed one month of treatment. The implementation will be carried out from February to April 2023. Data was collected using questionnaires that measured medication adherence, self-esteem, commitment, and responsibility—differences between groups using the Chi-square test. The degree of compliance is determined using a logistic regression analysis. Result: This study involved 165 tuberculosis patients, including those with high self-esteem for medication adherence (OR: 26,874, 95% CI: 2,139–337,603) and those with moderate self-esteem (OR: 2,803, 95% CI: 0.668–11,762). High commitment to medication adherence (OR: 31,223, 95% CI: 2,179–447,309); moderate commitment (OR: 36,434, 95% CI: 4,580–289,850). High responsibility for medication adherence (OR: 17,713.95%, CI: 1,505–208,406) and moderate responsibility (OR: 5,481.95%, CI: 1,385–21,700). Conclusion: Our findings show that patient adherence to tuberculosis treatment is closely related to the patient's self-esteem, commitment, and responsibility for carrying out treatment. Patients with high self-esteem, commitment, and accountability are more obedient in therapy than those with low self-esteem, commitment, and responsibility.