Patients' Delay in Seeking Health Care for Tuberculosis Diagnosis in East Gojjam Zone, Northwest Ethiopia

The American Journal of Tropical Medicine and Hygiene
Mihret AsresYemane Weldu

Abstract

AbstractPatients' delay in seeking diagnosis is a major problem in the management of tuberculosis (TB). Relative to the burden of TB, there is lack of data on the magnitude of delays in seeking care and why patients fail to seek early care at health facilities in Ethiopia. A facility-based cross-sectional study was conducted from April to July 2013 in East Gojjam Zone, Amhara, Ethiopia, to assess patients' delays and associated factors in TB patients. Using simple random sampling, 605 (327 male and 278 female) participants were recruited. Of the total, 323 (53.4%) TB patients were delayed in seeking health care (median = 45 days; mean = 78.5 days). The following independent variables were associated with patient delays: age ≥ 45 years (adjusted odds ratio [AOR] = 8.74, 95% confidence interval [CI] = 4.71-16.23, P < 0.001); working as a farmer (AOR = 4.18, 95% CI = 1.44-12.11, P = 0.009); prior visit to holy water sites, traditional healers, and/or private drug shops (AOR = 69.11, 95% CI =13.91-343.29, P < 0.001; AOR = 14.74, 95% CI = 1.43-152.31, P = 0.024; AOR = 2.10, 95% CI = 1.22-3.59, P = 0.007, respectively); poor knowledge about TB (AOR = 2.79, 95% CI = 1.74-4.92, P = 0.006), and extrapulmonary TB (AOR = 14.69, 95% CI = 8...Continue Reading

References

Jan 9, 2009·BMC Public Health·Abdi A GeleFekadu Abebe
Jan 1, 2010·Public Health Reviews·Ursula Schlipköter, Antoine Flahault

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Citations

Sep 5, 2019·The American Journal of Tropical Medicine and Hygiene·Andreza Oliveira-CortezPaulo Camargos
Sep 16, 2018·International Journal of Environmental Research and Public Health·Yeqing TongJiafa Liu
Jul 2, 2020·Risk Management and Healthcare Policy·Fentabil GetnetBerhanu Seyoum
May 10, 2020·Infectious Diseases of Poverty·Alvin Kuo Jing TeoSiyan Yi
Aug 5, 2020·The American Journal of Tropical Medicine and Hygiene·Mulusew Andualem AsemahagnSolomon Abebe Yimer
Oct 29, 2020·BMC Infectious Diseases·Muluneh AleneTadele Demilew Chekol
Apr 8, 2021·Scientific Reports·Debebe ShawenoPeter J Dodd

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