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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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Published in: | International journal of environmental research and public health 2018-09, Vol.15 (9), p.1998 |
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container_issue | 9 |
container_start_page | 1998 |
container_title | International journal of environmental research and public health |
container_volume | 15 |
creator | Tong, Yeqing Guan, Xuhua Hou, Shuangyi Cai, Li Huang, Yadong Wang, Lei Zhan, Faxian Shi, Yuqin Liu, Jiafa |
description | 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. |
doi_str_mv | 10.3390/ijerph15091998 |
format | article |
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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph15091998</identifier><identifier>PMID: 30217043</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>International journal of environmental research and public health, 2018-09, Vol.15 (9), p.1998</ispartof><rights>2018. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-47199c8641dae1467fda19a05ac42417a7c9cb3ba25a4801d254db3828117a123</citedby><cites>FETCH-LOGICAL-c418t-47199c8641dae1467fda19a05ac42417a7c9cb3ba25a4801d254db3828117a123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2123866251/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2123866251?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30217043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tong, Yeqing</creatorcontrib><creatorcontrib>Guan, Xuhua</creatorcontrib><creatorcontrib>Hou, Shuangyi</creatorcontrib><creatorcontrib>Cai, Li</creatorcontrib><creatorcontrib>Huang, Yadong</creatorcontrib><creatorcontrib>Wang, Lei</creatorcontrib><creatorcontrib>Zhan, Faxian</creatorcontrib><creatorcontrib>Shi, Yuqin</creatorcontrib><creatorcontrib>Liu, Jiafa</creatorcontrib><title>Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Agricultural economics</subject><subject>AIDS</subject><subject>Behavior</subject><subject>China</subject><subject>Cities</subject><subject>Delay</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Female</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Rural Population - statistics & numerical data</subject><subject>Sociodemographics</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Systematic review</subject><subject>Time-to-Treatment - statistics & numerical data</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Pulmonary - drug therapy</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkc1v1DAQxS0Eoh9w5YgiceGS4rEdJ74gVSmlSJVAUM7WxJnteknixU6Q-t_jaEvVcvJ45s1P8_QYewP8TErDP_gdxf0WKm7AmOYZOwateak0h-eP6iN2ktKOc9kobV6yI8kF1FzJY9Zf0Exx9BNOcyrCprgiHOZt0WKk8gfRLz_dFhc04F2BY8j1zdJRdMsQkk_FN5w9rYt-Kr4vEYfiPBKumDa313-7zehX7MUGh0Sv799T9vPy0017VV5__fylPb8unYJmLlWdPbhGK-iRQOl60yMY5BU6JRTUWDvjOtmhqFA1HHpRqb6TjWggD0HIU_bxwN0v3Ui9O9xg99GPGO9sQG-fTia_tbfhj9WgVW0gA97fA2L4vVCa7eiTo2HAicKSrABe8UqIxmTpu_-ku7DEKdvLKiEbrUW1As8OKhdDSpE2D8cAt2uA9mmAeeHtYwsP8n-Jyb-Hy5dj</recordid><startdate>20180913</startdate><enddate>20180913</enddate><creator>Tong, Yeqing</creator><creator>Guan, Xuhua</creator><creator>Hou, Shuangyi</creator><creator>Cai, Li</creator><creator>Huang, Yadong</creator><creator>Wang, Lei</creator><creator>Zhan, Faxian</creator><creator>Shi, Yuqin</creator><creator>Liu, Jiafa</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180913</creationdate><title>Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China</title><author>Tong, Yeqing ; 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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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>30217043</pmid><doi>10.3390/ijerph15091998</doi><oa>free_for_read</oa></addata></record> |
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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 |
title | Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China |
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