Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia
Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia
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DOI：
10.1046/j.1365-3156.2001.00709.x
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发表时间：
2001-04-01
影响因子：
3.3
通讯作者：
Godfrey-Faussett, P
中科院分区：
文献类型：
--
作者：
Needham, DM;Foster, SD;Godfrey-Faussett, P
对赞比亚卢萨卡中央胸科诊所登记患有肺结核的 202 名成年人进行了有关就医行为的深入访谈。中位（平均）诊断延迟为 8.6 (9) 周，与以下因素显着相关：女性、教育程度较低、就医次数超过 6 次、结核病门诊诊断以及去看私人医生或传统治疗师。更有效的结核病控制干预措施需要新的方法来接触妇女和受教育程度较低的人群。公共结核病护理的权力下放以及与私营部门卫生服务提供者的更好整合也可能减少诊断延误。
In-depth interviews regarding health seeking behaviour were conducted with 202 adults registered with pulmonary tuberculosis at the centralized Chest Clinic in Lusaka, Zambia. The median (mean) diagnostic delay was 8.6 (9) weeks, and was significantly associated with the following factors: female sex, lower education, more than six instances of health-seeking encounters, outpatient diagnosis of tuberculosis, and visiting a private doctor or traditional healer. More effective tuberculosis control interventions require novel methods of accessing women and less educated people. Decentralization of public tuberculosis care and improved integration with private sector health providers may also reduce diagnostic delay.