Detection delay of pulmonary tuberculosis patients among migrants in China: a cross-sectional study
Abstract:OBJECTIVES: 1) To explore the characteristics of patient and diagnostic delays among migrant tuberculosis (TB) patients in Shandong, China; and 2) to identify factors associated with patient and diagnostic delays, for the development and improvement of TB control strategy among migrants in China.
DESIGN: A cross-sectional study was conducted in 12 counties of Shandong Province using a semi-structured questionnaire. A total of 314 smear-positive pulmonary migrant TB patients registered with the county TB dispensary of the sampling sites from 1 August 2007 to 31 July 2008 were selected.
RESULTS: Among 314 migrant TB patients, the median patient delay was 10 days, and the median diagnostic delay was 8 days. A quarter of the participants had a patient delay of >22 days and a diagnostic delay of >16 days. Factors affecting detection delay included financial conditions, health insurance status, working time, patient age, severity of initial symptoms, geographic access to TB-related care and the health facilities first visited.
CONCLUSIONS: Interventions such as expansion of the free service package and education about TB diagnosis among community health personnel are urgently required for early case detection among migrants.
Document Type: Research Article
Affiliations: 1: Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan, Shandong, China 2: Shandong Centre for Disease Control and Prevention, Jinan, Shandong, China 3: Tuberculosis Control Center of Shandong Province, Jinan, Shandong, China
Publication date: December 1, 2012
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
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