Gender difference in delays to diagnosis and health care seeking behaviour in a rural area of Nepal.
Gender difference in delays to diagnosis and health care seeking behaviour in a rural area of Nepal.
复制标题
尼泊尔农村地区诊断延迟和寻求医疗保健行为的性别差异。
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
T. Mori
中科院分区：
文献类型：
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作者：
M. Yamasaki;K. Ozasa;N. Yamada;K. Osuga;A. Shimouchi;N. Ishikawa;Bam Ds;T. Mori
设置
在尼泊尔的一个农村地区采用短期直接观察疗法治疗结核病。1997年12月中旬至1999年6月中旬分配到DOTS的所有新患者都有资格参加这项研究。
目的
研究结核病诊断的延误情况，并比较男子和妇女的求医行为。
设计
对患者访谈的横截面分析。
结果
妇女被发现有一个显着更长的总延迟前诊断结核病（中位数为2.3个月的男性，3.3个月的女性）。当她们第一次拜访传统治疗师时，从第一次拜访保健提供者到诊断，妇女的延迟时间比男子长得多（男子中位数为1.5个月，妇女为3.0个月）。在诊断之前，更多的妇女（35%）比男子（18%）去看传统治疗师，而且更有可能从传统治疗师那里得到更复杂的符咒。如果男子知道有免费的结核病治疗，他们往往会首先去政府医疗机构就诊，但妇女则不然。
结论
妇女更有可能去拜访并相信传统治疗师;这可能导致结核病诊断前经历更长的拖延。
SETTING
Directly observed treatment for tuberculosis using a short-course regimen (DOTS) was introduced in a rural area of Nepal. All new patients assigned to DOTS from mid-December 1997 to mid-June 1999 were eligible for the study.
OBJECTIVE
To examine delays in tuberculosis (TB) diagnosis and compare health care seeking behaviour between men and women.
DESIGN
A cross-sectional analysis of patient interviews.
RESULTS
Women were found to have a significantly longer total delay before diagnosis of tuberculosis (median 2.3 months for men, 3.3 months for women). When they visited traditional healers first, women had a significantly longer delay than men from the first visit to health care providers to diagnosis (median 1.5 months for men, 3.0 months for women). More women (35%) visited traditional healers before diagnosis than men (18%), and were more likely to receive more complicated charms from traditional healers. Men tended to visit the government medical establishment first if they knew that free TB treatment was available, but women did not.
CONCLUSION
Women were more likely to visit and to believe in traditional healers; this might lead to the longer delays experienced before TB diagnosis.