IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i9p1998-d169586.html
   My bibliography  Save this article

Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China

Author

Listed:
  • Yeqing Tong

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
    School of Public Health, Huazhong University of Science and Technology, Wuhan 430071, China
    These authors have equally contributed to this work.)

  • Xuhua Guan

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
    These authors have equally contributed to this work.)

  • Shuangyi Hou

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
    These authors have equally contributed to this work.)

  • Li Cai

    (Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
    School of Health Sciences, Wuhan University, Wuhan 430071, China
    These authors have equally contributed to this work.)

  • Yadong Huang

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China
    These authors have equally contributed to this work.)

  • Lei Wang

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China)

  • Faxian Zhan

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China)

  • Yuqin Shi

    (School of Public Health, Wuhan University of Science and Technology, Wuhan 430081, China)

  • Jiafa Liu

    (Institute of Infectious Diseases, Hubei Center for Disease Control and Prevention, Wuhan 430079, China)

Abstract

Background The prevalence of tuberculosis (TB) in low and middle-income countries is a significant public health and social concern. TB is a common infectious disease caused by the Mycobacterium tuberculosis infection, which has a widespread infection rate. Health care-seeking delay maybe one of the most important neglected risk factors for the spread of TB. Objectives The aim of this study was to understand the situation of health care-seeking delay among rural tuberculosis patients in Hubei Province, and explore its risk factors. Methods A total of 1408 rural tuberculosis patients were surveyed using a standard structured questionnaire in three cities of Hubei Province during the past two years. Results For the 1408cases of pulmonary tuberculosis, 39.70% of them were health care-seeking delayed. Logistic regressions indicate that the Han nationality, farming careers, the over 45 min walk to the township’s hospital, and awareness of the national TB free treatment policy, were significantly associated with higher odds of a delay in care seeking. Conclusions The prevalence of health care-seeking delay among tuberculosis patients was high in rural areas. It is essential to take comprehensive targeted interventions to reduce care-seeking delay.

Suggested Citation

  • Yeqing Tong & Xuhua Guan & Shuangyi Hou & Li Cai & Yadong Huang & Lei Wang & Faxian Zhan & Yuqin Shi & Jiafa Liu, 2018. "Determinants of Health Care-Seeking Delay among Tuberculosis Patients in Rural Area of Central China," IJERPH, MDPI, vol. 15(9), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1998-:d:169586
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/9/1998/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/9/1998/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Xinxu Li & Shiwen Jiang & Xue Li & Jian Mei & Qiu Zhong & Weiguo Xu & Jun Li & Weibin Li & Xiaoqiu Liu & Hui Zhang & Lixia Wang, 2012. "Predictors on Delay of Initial Health-Seeking in New Pulmonary Tuberculosis Cases among Migrants Population in East China," PLOS ONE, Public Library of Science, vol. 7(2), pages 1-6, February.
    2. Zhang, Tuohong & Liu, Xiaoyun & Bromley, Helen & Tang, Shenglan, 2007. "Perceptions of tuberculosis and health seeking behaviour in rural Inner Mongolia, China," Health Policy, Elsevier, vol. 81(2-3), pages 155-165, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bayu Begashaw & Fasil Tessema & Hailay Abrha Gesesew, 2016. "Health Care Seeking Behavior in Southwest Ethiopia," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-13, September.
    2. Sangsang Qiu & Hongqiu Pan & Simin Zhang & Xianzhen Peng & Xianzhi Zheng & Guisheng Xu & Min Wang & Jianming Wang & Hui Lu, 2015. "Is Tuberculosis Treatment Really Free in China? A Study Comparing Two Areas with Different Management Models," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-13, May.
    3. Jing Cai & Xianhua Wang & Aiguo Ma & Qiuzhen Wang & Xiuxia Han & Yong Li, 2015. "Factors Associated with Patient and Provider Delays for Tuberculosis Diagnosis and Treatment in Asia: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-22, March.
    4. Wei, Xiaolin & Li, Renzhong & Zou, Guanyang & Walley, John & Newell, James & Liu, Zhimin, 2010. "Evaluating the policy of setting up microscopy centres at township hospitals in Shandong China: Experience from patients and providers," Health Policy, Elsevier, vol. 95(2-3), pages 113-121, May.
    5. Wei, Xiaolin & Walley, John & Zhao, Jin & Yao, Hongyan & Liu, Jianjun & Newell, James, 2009. "Why financial incentives did not reach the poor tuberculosis patients? A qualitative study of a Fidelis funded project in Shanxi, China," Health Policy, Elsevier, vol. 90(2-3), pages 206-213, May.
    6. Sumedh Bele & Wei Jiang & Hui Lu & Hua You & Hong Fan & Lifang Huang & Qungang Wang & Hongbing Shen & Jianming Wang, 2014. "Population Aging and Migrant Workers: Bottlenecks in Tuberculosis Control in Rural China," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-7, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1998-:d:169586. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.