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Predictors on Delay of Initial Health-Seeking in New Pulmonary Tuberculosis Cases among Migrants Population in East China

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Listed:
  • Xinxu Li
  • Shiwen Jiang
  • Xue Li
  • Jian Mei
  • Qiu Zhong
  • Weiguo Xu
  • Jun Li
  • Weibin Li
  • Xiaoqiu Liu
  • Hui Zhang
  • Lixia Wang

Abstract

Objectives: To determine the length of delay in initial health-seeking in new pulmonary tuberculosis (PTB) cases among migrant population in the eastern part of China, and factors associated with it. Methods: A cross-sectional study was conducted using a structured questionnaire in six counties in Shanghai, Guangdong and Jiangsu from May to October, 2008, to estimate the extent and factors responsible for delayed initial health-seeking of the new PTB cases. The interval between self-reported onset of TB symptoms and date of first attendance at any medical institution was determined. More than the median duration was defined as delayed health-seeking. Results: A total of 323 new migrant PTB patients participated in the study. Only 6.5% had medical insurance. The median and mean durations to initial health-seeking were respectively 10 and 31 days. There was no significant association between socio-demographic factors and delayed initial health-seeking. Average monthly working days >24 (AOR, 1.61; 95% CI, 1.03–2.51), and hemoptysis or bloody sputum (AOR, 0.48; 95% CI, 0.28–0.85) were significantly associated with delayed initial health-seeking. Conclusions: Interventions to improve health seeking behavior among the migrant population in China must focus on strengthening their labor, medical security and health education.

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0031995
    DOI: 10.1371/journal.pone.0031995
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    Cited by:

    1. 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.
    2. 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.

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