Abstract:
OBJECTIVE: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. DESIGN: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. RESULTS: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. CONCLUSIONS: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.
journal_name
BMJ Openjournal_title
BMJ openauthors
Zhou C,Chu J,Geng H,Wang X,Xu Ldoi
10.1136/bmjopen-2014-005805subject
Has Abstractpub_date
2014-12-22 00:00:00pages
e005805issue
12issn
2044-6055pii
bmjopen-2014-005805journal_volume
4pub_type
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