Predictors on Delay of Initial Health-Seeking in New Pulmonary Tuberculosis Cases among Migrants Population in East China

Li, Xinxu; Jiang, Shaobo; Li, Xue; Mei, Jian; Zhong, Qian; Xu, Weiguo; Li, Jun; Li, Weibin; Liu, Xiaoqiu; Zhang, Hui; Wang, Lixia

doi:10.1371/journal.pone.0031995

Cited by 28 publications

(26 citation statements)

References 13 publications

(28 reference statements)

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“…Different scholars use various methods to classify delay as acceptable or not. Some use certain number days as the acceptable [7,22,23] while others use central tendency as cut-off point [6,24]. Similar to previous study conducted in Afar regional state in Ethiopia, we have used the median as cut-off point.…”

Section: Discussionmentioning

confidence: 99%

Treatment Delay among Smear Positive Pulmonary Tuberculosis Patients in South Ethiopia: A Cross-Sectional Study

Zeleke¹

2014

SJPH

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Abstract:Background: Most tuberculosis (TB) patients were not visiting heath facility but transmit disease to healthy individuals in the community for longer time in Ethiopia. This study was aimed at estimating duration of delay for initiation of anti-TB treatment by smear positive pulmonary TB in south Ethiopia and assesses its determinants of patient related factors associated with unacceptable delay for medication of TB. Methods: a cross-sectional study design was used to recruit 218 consecutive smear positive pulmonary TB patients visiting there hospitals in Gamo Goffa Zone. A structured questionnaire was used to collect information on socio demographic, economic, behavioral factors and co morbidity with HIV from the study units. The median delay was used as cut-off point to dichotomize acceptable delay from unacceptable one. Pearson chi square and logistic regressions were used to assess association between patient factors and longer delay before treatment. Results: The median delay for initiation of anti-TB medication by smear positive pulmonary TB patients was 35 days. Fifteen of the study participants were HIV positive and equal number of TB patients involved had previous history of TB. Socio-demographic factors significantly associated with longer delay for treatment of TB in Univariate analysis were place of residence, level of education and marital status while economic factors associated were monthly income, whether the house is owned or rented and ceiling status of the house. However, after controlling the effect of confounding variables only place of residence and monthly income remained statistically significant. TB patients from rural area were 2.82 times at increased risk to delay for longer days than those living in the town (p-value= 0.021). Similarly, patients having monthly income of 450 or less Ethiopian birr were 4.96 times more likely to delay for longer time than those who had no regular monthly income (p-value=0.003). Conclusion: Smear positive pulmonary TB patients delay for more days before taking anti-TB medications which renders them noninfectious after a few weeks of treatment began. They were transmitting the disease in the community making prevention and control more difficult. Those living in the rural area and earn least amount of money per month transmit the disease for longer time. Civil servants who earn the least salary per month had significant increment in the salary recently that might prevent their delay. However, access to diagnosis and treatment of TB for people living in the rural area should be improved so as to help the walk towards the millennium development goal targets.

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Section: Discussionmentioning

confidence: 99%

Treatment Delay among Smear Positive Pulmonary Tuberculosis Patients in South Ethiopia: A Cross-Sectional Study

Zeleke¹

2014

SJPH

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“…The difference in sputum disposal in terms of attitudes toward waste management was statistically significant (p < 0.05): 72.2% of the patients who considered waste management necessary correctly disposed of sputum, 63.6% of the patients who considered it unnecessary did so, and 61.9% of the patients with no feelings prevent its spread. Supervision has been shown to improve sputum disposal by providing patients with the information necessary to understand the importance of sputum disposal (14)(15)(16)(17)(18).…”

Section: General Information On Tb Control In Chinamentioning

confidence: 99%

A cross-sectional study of sputum handling by and supervision of patients with pulmonary tuberculosis treated at home in China

Мэй¹

2012

Biosci Trends

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“…The distribution of pulmonary TB patients based on the gender classification in this study was 32 males (52.5%) and 29 women (47.5%). The other study of Li et al [8], recruited 206 men (63.8%) and 117 women (36.2%). However, Pasipanodya et al [9] obtained the ratio between men and women 69%: 31%.…”

Section: Results and Analysismentioning

confidence: 99%

Reliability and Validaty of St George Respiratory Questionnaire (SGRQ) into Indonesian Version

Adnan¹,

Perwitasari²

2014

IJPHS

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Tuberculosis (TB) is one of the diseases as the highest contributor to the disease burden in Indonesia. Tuberculosis can affect the patients' quality of life, such as psychological, physical, and social functioning. St. George's Respiratory Questionnaire (SGRQ) is a special instrument which was widely used to measure the patients' quality of life with respiratory disease. The objective of this study was to understand the reliability and to validate the Indonesian version of the SGRQ as instrument to collect data. A descriptive cross section design with 61 subjects was conducted at the Pulmonary Clinics and Primary Health Centers in the region of Yogyakarta within 3 months. The validation process included the known group validity, convergent and discriminant validity and factor analysis. All of the domains met the reliability criteria (Cronbach-α was ≥ 0.7). There were 14 items question numbers which did not meet the criteria for convergent validity and 9 items which did not meet the criteria for discriminant validity. Known group validity analysis on gender showed that of the three domains of SGRQ, the activity domain gave statistically significant result. The factor analysis showed the result of Kaiser Meyer Olkin analysis (KMO) was less than 0.5. With a few modifications, the Indonesian version of SGRQ is valid and reliable for measuring quality of life in tuberculosis patients.

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Predictors on Delay of Initial Health-Seeking in New Pulmonary Tuberculosis Cases among Migrants Population in East China

Cited by 28 publications

References 13 publications

Treatment Delay among Smear Positive Pulmonary Tuberculosis Patients in South Ethiopia: A Cross-Sectional Study

Treatment Delay among Smear Positive Pulmonary Tuberculosis Patients in South Ethiopia: A Cross-Sectional Study

A cross-sectional study of sputum handling by and supervision of patients with pulmonary tuberculosis treated at home in China

Reliability and Validaty of St George Respiratory Questionnaire (SGRQ) into Indonesian Version

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