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Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China

Background The prevalence of tuberculosis (TB) in low and middle-income countries is a significant public health and social concern. TB is a common infectious disease caused by the Mycobacterium tuberculosis infection, which has a widespread infection rate. Health care-seeking delay maybe one of the...

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Autores principales: Tong, Yeqing, Guan, Xuhua, Hou, Shuangyi, Cai, Li, Huang, Yadong, Wang, Lei, Zhan, Faxian, Shi, Yuqin, Liu, Jiafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164791/
https://www.ncbi.nlm.nih.gov/pubmed/30217043
http://dx.doi.org/10.3390/ijerph15091998
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author Tong, Yeqing
Guan, Xuhua
Hou, Shuangyi
Cai, Li
Huang, Yadong
Wang, Lei
Zhan, Faxian
Shi, Yuqin
Liu, Jiafa
author_facet Tong, Yeqing
Guan, Xuhua
Hou, Shuangyi
Cai, Li
Huang, Yadong
Wang, Lei
Zhan, Faxian
Shi, Yuqin
Liu, Jiafa
author_sort Tong, Yeqing
collection PubMed
description Background The prevalence of tuberculosis (TB) in low and middle-income countries is a significant public health and social concern. TB is a common infectious disease caused by the Mycobacterium tuberculosis infection, which has a widespread infection rate. Health care-seeking delay maybe one of the most important neglected risk factors for the spread of TB. Objectives The aim of this study was to understand the situation of health care-seeking delay among rural tuberculosis patients in Hubei Province, and explore its risk factors. Methods A total of 1408 rural tuberculosis patients were surveyed using a standard structured questionnaire in three cities of Hubei Province during the past two years. Results For the 1408cases of pulmonary tuberculosis, 39.70% of them were health care-seeking delayed. Logistic regressions indicate that the Han nationality, farming careers, the over 45 min walk to the township’s hospital, and awareness of the national TB free treatment policy, were significantly associated with higher odds of a delay in care seeking. Conclusions The prevalence of health care-seeking delay among tuberculosis patients was high in rural areas. It is essential to take comprehensive targeted interventions to reduce care-seeking delay.
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spelling pubmed-61647912018-10-12 Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China Tong, Yeqing Guan, Xuhua Hou, Shuangyi Cai, Li Huang, Yadong Wang, Lei Zhan, Faxian Shi, Yuqin Liu, Jiafa Int J Environ Res Public Health Article Background The prevalence of tuberculosis (TB) in low and middle-income countries is a significant public health and social concern. TB is a common infectious disease caused by the Mycobacterium tuberculosis infection, which has a widespread infection rate. Health care-seeking delay maybe one of the most important neglected risk factors for the spread of TB. Objectives The aim of this study was to understand the situation of health care-seeking delay among rural tuberculosis patients in Hubei Province, and explore its risk factors. Methods A total of 1408 rural tuberculosis patients were surveyed using a standard structured questionnaire in three cities of Hubei Province during the past two years. Results For the 1408cases of pulmonary tuberculosis, 39.70% of them were health care-seeking delayed. Logistic regressions indicate that the Han nationality, farming careers, the over 45 min walk to the township’s hospital, and awareness of the national TB free treatment policy, were significantly associated with higher odds of a delay in care seeking. Conclusions The prevalence of health care-seeking delay among tuberculosis patients was high in rural areas. It is essential to take comprehensive targeted interventions to reduce care-seeking delay. MDPI 2018-09-13 2018-09 /pmc/articles/PMC6164791/ /pubmed/30217043 http://dx.doi.org/10.3390/ijerph15091998 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tong, Yeqing
Guan, Xuhua
Hou, Shuangyi
Cai, Li
Huang, Yadong
Wang, Lei
Zhan, Faxian
Shi, Yuqin
Liu, Jiafa
Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China
title Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China
title_full Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China
title_fullStr Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China
title_full_unstemmed Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China
title_short Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China
title_sort determinants of health care-seeking delay among tuberculosis patients in rural area of central china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164791/
https://www.ncbi.nlm.nih.gov/pubmed/30217043
http://dx.doi.org/10.3390/ijerph15091998
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