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Factors affecting delays in tuberculosis diagnosis in rural China: a case study in four counties in Shandong Province

Cheng, G., Tolhurst, Rachel, Li, R. Z., Meng, Q. Y. and Tang, Shenglan (2005) 'Factors affecting delays in tuberculosis diagnosis in rural China: a case study in four counties in Shandong Province'. Transactions of the Royal Society of Tropical Medicine and Hygiene, Vol 99, Issue 5, pp. 355-362.

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Abstract

Improving case detection is an urgent and serious challenge for tuberculosis (TB) control in China. We investigated the extent to which TB patients delayed seeking TB care and health services delayed reaching a diagnosis, and socioeconomic factors associated with the delays. Standard questionnaires were administered to 190 new smear-positive TB patients who had completed treatment at TB dispensaries in four counties of Shandong Province in 2001. Multivariate analysis using Cox Regression showed that old age, tack of education and distance from home to a township health centre were significantly associated with delay in seeking care from service providers. In examining the delay between first contact with a service provider and diagnosis, we found that women experienced Longer delays than men, and that the higher the Level. of facility patients first visited, the Less time was needed to achieve a diagnosis. These two factors were statistically significant in multivariate Cox Regression analysis. We concluded that the elderly, the less educated, women, and those living far from health facilities face the Longest delays in reaching TB services and achieving diagnosis. (c) 2004 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: tuberculosis health-seeking behaviour poverty gender china care-system delays health-care pulmonary tuberculosis seeking behavior patient gender vietnam women consequences difference
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WF Respiratory System > Tuberculosis > WF 220 Diagnosis. Prognosis
WF Respiratory System > Tuberculosis > WF 300 Pulmonary tuberculosis
Digital Object Identifer (DOI): https://doi.org/10.1016/j.trstmh.2004.07.005
Depositing User: Martin Chapman
Date Deposited: 27 Sep 2011 14:16
Last Modified: 02 Mar 2018 12:05
URI: https://archive.lstmed.ac.uk/id/eprint/1965

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