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Open AccessArticle

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

by Yeqing Tong 1,2,†, Xuhua Guan 1,†, Shuangyi Hou 1,†, Li Cai 3,4,†, Yadong Huang 1,†, Lei Wang 1, Faxian Zhan 1, Yuqin Shi 5,* and Jiafa Liu 1,*
1
Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
2
School of Public Health, Huazhong University of Science and Technology, Wuhan 430071, China
3
Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
4
School of Health Sciences, Wuhan University, Wuhan 430071, China
5
School of Public Health, Wuhan University of Science and Technology, Wuhan 430081, China
*
Authors to whom correspondence should be addressed.
These authors have equally contributed to this work.
Int. J. Environ. Res. Public Health 2018, 15(9), 1998; https://doi.org/10.3390/ijerph15091998
Received: 14 August 2018 / Revised: 7 September 2018 / Accepted: 10 September 2018 / Published: 13 September 2018
(This article belongs to the Special Issue Poverty, Inequality and Public Health in China)
Background 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 Mycobacterium tuberculosis 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. Objectives 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. Methods 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. Results 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. Conclusions 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. View Full-Text
Keywords: tuberculosis; health care-seeking delay; risk factors tuberculosis; health care-seeking delay; risk factors
MDPI and ACS Style

Tong, Y.; Guan, X.; Hou, S.; Cai, L.; Huang, Y.; Wang, L.; Zhan, F.; Shi, Y.; Liu, J. Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China. Int. J. Environ. Res. Public Health 2018, 15, 1998.

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