Pulmonary tuberculosis among migrants in Shandong, China: factors associated with treatment delay.
Pulmonary tuberculosis among migrants in Shandong, China: factors associated with treatment delay.
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中国山东省流动人口肺结核：治疗延迟的相关因素
DOI：
10.1136/bmjopen-2014-005805
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发表时间：
2014-12-22
期刊：
影响因子：
2.9
通讯作者：
Xu L
中科院分区：
文献类型：
--
作者：
Zhou C;Chu J;Geng H;Wang X;Xu L
A timely initiation of treatment is crucial to better control tuberculosis (TB). The aim of this study is to describe treatment delay among migrant patients with TB and to identify factors associated with treatment delay, so as to provide evidence for strategy development and improvement of TB control among migrants in China. A cross-sectional study was conducted in Shandong province of China. A total of 314 confirmed smear positive migrant patients with pulmonary TB were included. Univariate logistic regression was used to analyse the association of variables with treatment delay among migrant patients with TB. A multilogistic regression model was developed to further assess the effect of variables on treatment delay. Of 314 migrant patients with TB, 65.6% experienced treatment delay (>1 day). Household income level, diagnosis symptom severity, understanding of whether TB is curable or not and knowledge about the free TB treatment policy are factors significantly associated with treatment delay. Economic status and knowledge about TB are key barriers to accessing TB treatment. An integrated policy of carrying out TB-related health education and publicising the free TB treatment policy among migrants is needed. Health insurance schemes for migrants should be modified to make them transferrable and pro-poor.
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