{"id":"https://openalex.org/W7223707640","doi":"https://doi.org/10.1093/eurpub/ckag169.018","title":"Prospective study of predictors of treatment failure among drug-sensitive TB patients in Armenia","display_name":"Prospective study of predictors of treatment failure among drug-sensitive TB patients in Armenia","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223707640","doi":"https://doi.org/10.1093/eurpub/ckag169.018"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckag169.018","doi":"https://doi.org/10.1093/eurpub/ckag169.018","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.018","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.018/72462826/ckag169.018.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.018/72462826/ckag169.018.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039420213","display_name":"Anahit Demirchyan","orcid":"https://orcid.org/0000-0002-3039-1466","observed_orcids":["https://orcid.org/0000-0002-3039-1466"]},"institutions":[{"id":"https://openalex.org/I187562900","display_name":"American University of Armenia","ror":"https://ror.org/04dngzj56","country_code":"AM","type":"education","lineage":["https://openalex.org/I187562900"]}],"countries":["AM"],"is_corresponding":false,"raw_author_name":"A Demirchyan","raw_affiliation_strings":["Turpanjian College of Health Sciences, American University of Armenia , Yerevan, Armenia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Turpanjian College of Health Sciences, American University of Armenia , Yerevan, Armenia","institution_ids":["https://openalex.org/I187562900"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159667128","display_name":"V Petrosyan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I187562900","display_name":"American University of Armenia","ror":"https://ror.org/04dngzj56","country_code":"AM","type":"education","lineage":["https://openalex.org/I187562900"]}],"countries":["AM"],"is_corresponding":false,"raw_author_name":"V Petrosyan","raw_affiliation_strings":["Turpanjian College of Health Sciences, American University of Armenia , Yerevan, Armenia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Turpanjian College of Health Sciences, American University of Armenia , Yerevan, Armenia","institution_ids":["https://openalex.org/I187562900"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026860573","display_name":"Lusine Musheghyan","orcid":"https://orcid.org/0000-0002-9127-2700","observed_orcids":["https://orcid.org/0000-0002-9127-2700"]},"institutions":[{"id":"https://openalex.org/I187562900","display_name":"American University of Armenia","ror":"https://ror.org/04dngzj56","country_code":"AM","type":"education","lineage":["https://openalex.org/I187562900"]}],"countries":["AM"],"is_corresponding":true,"raw_author_name":"L Musheghyan","raw_affiliation_strings":["Turpanjian College of Health Sciences, American University of Armenia , Yerevan, Armenia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Turpanjian College of Health Sciences, American University of Armenia , Yerevan, Armenia","institution_ids":["https://openalex.org/I187562900"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5026860573"],"corresponding_institution_ids":["https://openalex.org/I187562900"],"apc_list":{"value":2815,"currency":"EUR","value_usd":3181},"apc_paid":{"value":2815,"currency":"EUR","value_usd":3181},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.82514216,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"36","issue":"Supplement_5","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13586","display_name":"HIV, TB, and STIs Epidemiology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tuberculosis","display_name":"tuberculosis","score":0.7850000262260437},{"id":"https://openalex.org/keywords/drug-susceptible-tuberculosis","display_name":"drug-susceptible tuberculosis","score":0.8450000286102295},{"id":"https://openalex.org/keywords/treatment-failure","display_name":"treatment failure","score":0.9559999704360962},{"id":"https://openalex.org/keywords/predictors-of-treatment-failure","display_name":"predictors of treatment failure","score":0.921999990940094},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.925000011920929},{"id":"https://openalex.org/keywords/educational-attainment","display_name":"educational attainment","score":0.5569999814033508},{"id":"https://openalex.org/keywords/marital-status","display_name":"marital status","score":0.7590000033378601},{"id":"https://openalex.org/keywords/age","display_name":"age","score":0.6819999814033508},{"id":"https://openalex.org/keywords/psychological-counselling","display_name":"psychological counselling","score":0.8220000267028809}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9228000044822693},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6324999928474426},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.6290000081062317},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5633000135421753},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5597000122070312},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5551000237464905},{"id":"https://openalex.org/C2781413609","wikidata":"https://www.wikidata.org/wiki/Q7308373","display_name":"Regimen","level":2,"score":0.5185999870300293},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.44209998846054077},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4018999934196472},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3831999897956848},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.36340001225471497},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3384000062942505},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.32190001010894775},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.30640000104904175},{"id":"https://openalex.org/C3019056677","wikidata":"https://www.wikidata.org/wiki/Q1189184","display_name":"Tb treatment","level":3,"score":0.28519999980926514},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.26420000195503235},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.26089999079704285}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurpub/ckag169.018","doi":"https://doi.org/10.1093/eurpub/ckag169.018","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.018","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.018/72462826/ckag169.018.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13697515","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13697515/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13697515/pdf/ckag169.018.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Public Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckag169.018","doi":"https://doi.org/10.1093/eurpub/ckag169.018","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.018","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.018/72462826/ckag169.018.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223707640.pdf","grobid_xml":"https://content.openalex.org/works/W7223707640.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4392390438","https://openalex.org/W2766071755","https://openalex.org/W2761369899","https://openalex.org/W4205672172","https://openalex.org/W2990162616","https://openalex.org/W4406560939","https://openalex.org/W2032158190","https://openalex.org/W2527212882","https://openalex.org/W1822019062","https://openalex.org/W1840240018"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"In":[2],"2024,":[3],"tuberculosis":[4],"(TB)":[5],"caused":[6],"the":[7,18,25,98,163,169,231,256],"highest":[8],"number":[9],"of":[10,51,100,144,150,168,189,201,252,258,331],"deaths":[11],"from":[12,131],"a":[13],"single":[14],"infection":[15],"globally.":[16],"Despite":[17],"decline":[19],"in":[20,34,59,79,154,302],"TB":[21,41,57,78,101,133,266,291,296,317,332,348],"incidence":[22],"rates":[23,30],"over":[24],"past":[26],"decade,":[27],"treatment":[28,42,52,102,127,145,202,253,287,297,318,344],"failure":[29,43,53,182,203,254,298],"still":[31,300],"remain":[32],"substantial":[33],"Armenia.":[35,60,303],"Studies":[36],"exploring":[37],"factors":[38],"related":[39],"to":[40,89,141,265,271,281],"are":[44,314],"scarce.":[45],"This":[46],"study":[47,63],"prospectively":[48],"assessed":[49],"predictors":[50,143,200,251],"among":[54,289,346],"primary":[55,76],"drug-sensitive":[56,77,290,347],"patients":[58,73,152],"Methods":[61],"The":[62,109,165],"included":[64,204],"baseline":[65,155,170,232],"and":[66,84,104,122,157,177,196,228,262,276,310,320,329],"follow-up":[67],"interviews":[68,156],"conducted":[69],"with":[70,75,268,273,335],"all":[71],"adult":[72],"diagnosed":[74],"Armenia":[80],"between":[81],"April":[82],"2019":[83],"February":[85],"2021,":[86],"who":[87],"consented":[88],"participate.":[90],"Each":[91],"patient":[92],"was":[93,139,172,184,241],"interviewed":[94],"twice":[95],"\u2013":[96],"at":[97,162,230],"start":[99],"course":[103],"shortly":[105],"after":[106],"completing":[107],"it.":[108],"questionnaires":[110],"collected":[111],"information":[112],"on":[113,125],"patient\u2019s":[114],"TB-related":[115],"knowledge,":[116],"stigma,":[117],"social":[118],"support,":[119],"health,":[120],"depression,":[121],"socio-demographics.":[123],"Data":[124],"patients\u2019":[126],"outcomes":[128,288,345],"were":[129,160,179],"obtained":[130],"their":[132],"care":[134],"providers.":[135],"Logistic":[136],"regression":[137],"model":[138],"fitted":[140],"identify":[142],"failure.":[146],"Results":[147],"A":[148],"total":[149],"401":[151],"participated":[153],"285":[158],"(71.1%)":[159],"tracked":[161],"follow-up.":[164],"mean":[166],"age":[167,206],"sample":[171],"46.0":[173],"years":[174],"(SD":[175],"15.3)":[176],"75.3%":[178],"male.":[180],"Treatment":[181],"rate":[183],"14.3%":[185],"(n":[186],"=":[187,210,218,226,246],"57,":[188],"which":[190],"23":[191],"regimen":[192],"violations,":[193],"19":[194],"deaths,":[195],"15":[197],"failures).":[198],"Independent":[199],"older":[205],"(aOR":[207,215,223,233,243],"1.03,":[208],"p":[209,217,225,235,245],"0.008),":[211],"planning":[212,277,311],"migrant":[213,278,312],"work":[214,313],"2.45,":[216],"0.009),":[219],"incomplete":[220],"secondary":[221],"education":[222,275,309,330],"2.1,":[224],"0.011),":[227],"depression":[229],"1.78,":[234],"<":[236],"0.043),":[237],"while":[238],"being":[239,321],"married":[240,322],"protective":[242],"0.49,":[244],"0.017).":[247],"Conclusions":[248],"Identified":[249],"modifiable":[250],"indicate":[255],"importance":[257],"timely":[259],"psychological":[260,327],"counselling":[261,328],"financial":[263],"support":[264],"patients,":[267],"special":[269],"attention":[270],"those":[272],"lower":[274,308],"work.":[279],"Compliance":[280],"these":[282],"recommendations":[283],"can":[284,341],"significantly":[285],"improve":[286,343],"patients.":[292,349],"Key":[293],"messages":[294],"\u2022":[295,325],"is":[299,323],"common":[301],"Older":[304],"age,":[305],"depressive":[306],"symptoms,":[307],"predictive":[315],"for":[316,339],"failure,":[319],"protective.":[324],"Early":[326],"patents":[333],"combined":[334],"creating":[336],"economic":[337],"opportunities":[338],"them":[340],"substantially":[342]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-27T00:00:00"}
