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

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 infection, which has a widespread infection rate. Health care-seeking delay maybe one of the most important neglected risk factors...

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Bibliographic Details
Published in:International journal of environmental research and public health 2018-09, Vol.15 (9), p.1998
Main Authors: Tong, Yeqing, Guan, Xuhua, Hou, Shuangyi, Cai, Li, Huang, Yadong, Wang, Lei, Zhan, Faxian, Shi, Yuqin, Liu, Jiafa
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
Agricultural economics
AIDS
Behavior
China
Cities
Delay
Disease control
Disease prevention
Female
Health care
Health Knowledge, Attitudes, Practice
Hospitals
Humans
Infections
Infectious diseases
Male
Medical diagnosis
Middle Aged
Patients
Public health
Questionnaires
Risk analysis
Risk factors
Rural areas
Rural Population - statistics & numerical data
Sociodemographics
Statistical analysis
Studies
Surveys and Questionnaires
Systematic review
Time-to-Treatment - statistics & numerical data
Tuberculosis
Tuberculosis, Pulmonary - drug therapy
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Summary: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 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. 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. 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. 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. 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.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph15091998