Geographic mobility and time to seeking care among people with TB in Limpopo, South Africa.
Geographic mobility and time to seeking care among people with TB in Limpopo, South Africa.
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南非林波波结核病患者的地理流动性和寻求治疗的时间。
DOI：
10.5588/ijtld.21.0038
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发表时间：
2021-09-01
期刊：
影响因子：
--
通讯作者：
Hanrahan CF
中科院分区：
文献类型：
--
作者：
Petersen MR;Nonyane BAS;Lebina L;Mmolawa L;Siwelana T;Martinson N;Dowdy DW;Hanrahan CF
人口流动会导致传染病的传播。南非境内劳动力移民历史悠久，结核病负担较高。林波波省 Vhembe 区和 Waterberg 区新诊断出的结核病患者回答了有关过去一年地理流动情况的调查问卷。参与者被分为“高度流动性”（过去一年在主要住所以外的住所居住超过 30 晚，或者在访谈时距离主要住所 ≥ 250 公里）或“流动性较低”。我们探讨了社会人口特征与高流动性之间的关联，以及流动性与就诊时间之间的关联。在 717 名参与者中，185 名（25.7%）被归类为“高度流动”。与高流动性相关的因素包括与林波波省以外的人居住、艾滋病毒呈阳性（仅限男性）和当前吸烟（仅限男性）。流动性较高的个体与流动性较低的个体具有相似的就医行为（调整后的时间比 0.9，95% CI 0.6-1.2，P = 0.304） 林波波省流动性较高的结核病患者更有可能与省外的人一起生活、吸烟和感染艾滋病毒。这些患者与行动不便的人一样，在寻求治疗方面也有类似的延迟。
Human mobility contributes to the spread of infectious diseases. South Africa has a long history of internal labor migration and a high burden of TB. People newly diagnosed with TB in the Vhembe and Waterberg Districts of Limpopo answered a questionnaire regarding geographic movement over the past year. Participants were classified as ‘highly mobile’ (spending more than 30 nights at a residence other than their primary residence in the past year, or being ≥250 km from their primary residence at the time of the interview) or ‘less mobile’. We explored associations between sociodemographic characteristics and high mobility, and between mobility and time to presentation at a clinic. Of the 717 participants included, 185 (25.7%) were classified as ‘highly mobile’. Factors associated with high mobility included living with someone outside of Limpopo Province, HIV-positive status (men only), and current smoking (men only). Highly mobile individuals had similar care-seeking behavior as less mobile individuals (adjusted time ratio 0.9, 95% CI 0.6–1.2, P = 0.304) Highly mobile people with TB in Limpopo Province were more likely to live with people from outside the province, smoke, and have HIV. These patients had similar delays in seeking care as less mobile individuals.
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