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Geographic mobility and time to seeking care among people with TB in Limpopo, South Africa

SETTING: Human mobility contributes to the spread of infectious diseases. South Africa has a long history of internal labor migration and a high burden of TB.METHODS: People newly diagnosed with TB in the Vhembe and Waterberg Districts of Limpopo answered a questionnaire regarding geographic movemen...

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Published in:The international journal of tuberculosis and lung disease 2021-09, Vol.25 (9), p.708-715
Main Authors: Petersen, M. R., Nonyane, B. A. S., Lebina, L., Mmolawa, L., Siwelana, T., Martinson, N., Dowdy, D. W., Hanrahan, C. F.
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container_issue 9
container_start_page 708
container_title The international journal of tuberculosis and lung disease
container_volume 25
creator Petersen, M. R.
Nonyane, B. A. S.
Lebina, L.
Mmolawa, L.
Siwelana, T.
Martinson, N.
Dowdy, D. W.
Hanrahan, C. F.
description SETTING: Human mobility contributes to the spread of infectious diseases. South Africa has a long history of internal labor migration and a high burden of TB.METHODS: People newly diagnosed with TB in the Vhembe and Waterberg Districts of Limpopo answered a questionnaire regarding geographic movement over the past year. Participants were classified as 'highly mobile' (spending more than 30 nights at a residence other than their primary residence in the past year, or being ≥250 km from their primary residence at the time of the interview) or 'less mobile'. We explored associations between sociodemographic characteristics and high mobility, and between mobility and time to presentation at a clinic.RESULTS: Of the 717 participants included, 185 (25.7%) were classified as 'highly mobile'. Factors associated with high mobility included living with someone outside of Limpopo Province, HIV-positive status (men only), and current smoking (men only). Highly mobile individuals had similar care-seeking behavior as less mobile individuals (adjusted time ratio 0.9, 95% CI 0.6-1.2, P = 0.304)CONCLUSION: Highly mobile people with TB in Limpopo Province were more likely to live with people from outside the province, smoke, and have HIV. These patients had similar delays in seeking care as less mobile individuals.
doi_str_mv 10.5588/ijtld.21.0038
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R. ; Nonyane, B. A. S. ; Lebina, L. ; Mmolawa, L. ; Siwelana, T. ; Martinson, N. ; Dowdy, D. W. ; Hanrahan, C. F.</creator><creatorcontrib>Petersen, M. R. ; Nonyane, B. A. S. ; Lebina, L. ; Mmolawa, L. ; Siwelana, T. ; Martinson, N. ; Dowdy, D. W. ; Hanrahan, C. F.</creatorcontrib><description>SETTING: Human mobility contributes to the spread of infectious diseases. South Africa has a long history of internal labor migration and a high burden of TB.METHODS: People newly diagnosed with TB in the Vhembe and Waterberg Districts of Limpopo answered a questionnaire regarding geographic movement over the past year. Participants were classified as 'highly mobile' (spending more than 30 nights at a residence other than their primary residence in the past year, or being ≥250 km from their primary residence at the time of the interview) or 'less mobile'. We explored associations between sociodemographic characteristics and high mobility, and between mobility and time to presentation at a clinic.RESULTS: Of the 717 participants included, 185 (25.7%) were classified as 'highly mobile'. Factors associated with high mobility included living with someone outside of Limpopo Province, HIV-positive status (men only), and current smoking (men only). Highly mobile individuals had similar care-seeking behavior as less mobile individuals (adjusted time ratio 0.9, 95% CI 0.6-1.2, P = 0.304)CONCLUSION: Highly mobile people with TB in Limpopo Province were more likely to live with people from outside the province, smoke, and have HIV. 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Participants were classified as 'highly mobile' (spending more than 30 nights at a residence other than their primary residence in the past year, or being ≥250 km from their primary residence at the time of the interview) or 'less mobile'. We explored associations between sociodemographic characteristics and high mobility, and between mobility and time to presentation at a clinic.RESULTS: Of the 717 participants included, 185 (25.7%) were classified as 'highly mobile'. Factors associated with high mobility included living with someone outside of Limpopo Province, HIV-positive status (men only), and current smoking (men only). Highly mobile individuals had similar care-seeking behavior as less mobile individuals (adjusted time ratio 0.9, 95% CI 0.6-1.2, P = 0.304)CONCLUSION: Highly mobile people with TB in Limpopo Province were more likely to live with people from outside the province, smoke, and have HIV. 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subjects Ambulatory Care Facilities
Care-Seeking
Geographic Mobility
HIV
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Infectious diseases
Mobility
South Africa
South Africa - epidemiology
Tuberculosis
Tuberculosis - epidemiology
title Geographic mobility and time to seeking care among people with TB in Limpopo, South Africa
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