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Predictors of delayed care seeking for tuberculosis in southern India: an observational study

BACKGROUND: Reducing delay to accessing care is necessary to reduce the Tuberculosis (TB) burden in high incidence countries such as India. This study aimed to identify factors associated with delays in seeking care for TB in Southern India. METHODS: We analyzed data from newly diagnosed, smear-posi...

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Autores principales: Van Ness, Sarah E., Chandra, Ankit, Sarkar, Sonali, Pleskunas, Jane, Ellner, Jerrold J., Roy, Gautam, Lakshminarayanan, Subitha, Sahu, Swaroop, Horsburgh, C. Robert, Jenkins, Helen E., Hochberg, Natasha S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557420/
https://www.ncbi.nlm.nih.gov/pubmed/28806911
http://dx.doi.org/10.1186/s12879-017-2629-9
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author Van Ness, Sarah E.
Chandra, Ankit
Sarkar, Sonali
Pleskunas, Jane
Ellner, Jerrold J.
Roy, Gautam
Lakshminarayanan, Subitha
Sahu, Swaroop
Horsburgh, C. Robert
Jenkins, Helen E.
Hochberg, Natasha S.
author_facet Van Ness, Sarah E.
Chandra, Ankit
Sarkar, Sonali
Pleskunas, Jane
Ellner, Jerrold J.
Roy, Gautam
Lakshminarayanan, Subitha
Sahu, Swaroop
Horsburgh, C. Robert
Jenkins, Helen E.
Hochberg, Natasha S.
author_sort Van Ness, Sarah E.
collection PubMed
description BACKGROUND: Reducing delay to accessing care is necessary to reduce the Tuberculosis (TB) burden in high incidence countries such as India. This study aimed to identify factors associated with delays in seeking care for TB in Southern India. METHODS: We analyzed data from newly diagnosed, smear-positive, culture-confirmed, pulmonary TB patients in the Regional Prospective Observational Research for TB (RePORT) cohort in Puducherry and Tamil Nadu, India. Data were collected on demographic characteristics, symptom duration, and TB knowledge, among other factors. Delay was defined as cough ≥4 weeks before treatment initiation. Risky alcohol use was defined by the AUDIT-C score which incorporates information about regular alcohol use and binge drinking. TB knowledge was assessed by knowing transmission mode or potential curability. RESULTS: Of 501 TB patients, 369 (73.7%) subjects delayed seeking care. In multivariable analysis, risky alcohol use was significantly associated with delay (aOR 2.20, 95% CI: 1.31, 3.68). Delay was less likely in lower versus higher income groups (<3000 versus >10,000 rupees/month, aOR 0.31, 95% CI: 0.12, 0.78). TB knowledge was not significantly associated with delay. CONCLUSIONS: Local TB programs should consider that risky alcohol users may delay seeking care for TB. Further studies will be needed to determine why patients with higher income delay in seeking care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12879-017-2629-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-55574202017-08-16 Predictors of delayed care seeking for tuberculosis in southern India: an observational study Van Ness, Sarah E. Chandra, Ankit Sarkar, Sonali Pleskunas, Jane Ellner, Jerrold J. Roy, Gautam Lakshminarayanan, Subitha Sahu, Swaroop Horsburgh, C. Robert Jenkins, Helen E. Hochberg, Natasha S. BMC Infect Dis Research Article BACKGROUND: Reducing delay to accessing care is necessary to reduce the Tuberculosis (TB) burden in high incidence countries such as India. This study aimed to identify factors associated with delays in seeking care for TB in Southern India. METHODS: We analyzed data from newly diagnosed, smear-positive, culture-confirmed, pulmonary TB patients in the Regional Prospective Observational Research for TB (RePORT) cohort in Puducherry and Tamil Nadu, India. Data were collected on demographic characteristics, symptom duration, and TB knowledge, among other factors. Delay was defined as cough ≥4 weeks before treatment initiation. Risky alcohol use was defined by the AUDIT-C score which incorporates information about regular alcohol use and binge drinking. TB knowledge was assessed by knowing transmission mode or potential curability. RESULTS: Of 501 TB patients, 369 (73.7%) subjects delayed seeking care. In multivariable analysis, risky alcohol use was significantly associated with delay (aOR 2.20, 95% CI: 1.31, 3.68). Delay was less likely in lower versus higher income groups (<3000 versus >10,000 rupees/month, aOR 0.31, 95% CI: 0.12, 0.78). TB knowledge was not significantly associated with delay. CONCLUSIONS: Local TB programs should consider that risky alcohol users may delay seeking care for TB. Further studies will be needed to determine why patients with higher income delay in seeking care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12879-017-2629-9) contains supplementary material, which is available to authorized users. BioMed Central 2017-08-15 /pmc/articles/PMC5557420/ /pubmed/28806911 http://dx.doi.org/10.1186/s12879-017-2629-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Van Ness, Sarah E.
Chandra, Ankit
Sarkar, Sonali
Pleskunas, Jane
Ellner, Jerrold J.
Roy, Gautam
Lakshminarayanan, Subitha
Sahu, Swaroop
Horsburgh, C. Robert
Jenkins, Helen E.
Hochberg, Natasha S.
Predictors of delayed care seeking for tuberculosis in southern India: an observational study
title Predictors of delayed care seeking for tuberculosis in southern India: an observational study
title_full Predictors of delayed care seeking for tuberculosis in southern India: an observational study
title_fullStr Predictors of delayed care seeking for tuberculosis in southern India: an observational study
title_full_unstemmed Predictors of delayed care seeking for tuberculosis in southern India: an observational study
title_short Predictors of delayed care seeking for tuberculosis in southern India: an observational study
title_sort predictors of delayed care seeking for tuberculosis in southern india: an observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557420/
https://www.ncbi.nlm.nih.gov/pubmed/28806911
http://dx.doi.org/10.1186/s12879-017-2629-9
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