影响赞比亚城市地区结核病患者诊断延误的社会经济、性别及卫生服务因素

Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia.

作者信息

Needham D M, Foster S D, Tomlinson G, Godfrey-Faussett P

机构信息

Internal Medicine Residency Program, University of Toronto, Toronto, Canada.

出版信息

Trop Med Int Health. 2001 Apr;6(4):256-9. doi: 10.1046/j.1365-3156.2001.00709.x.

DOI:10.1046/j.1365-3156.2001.00709.x

PMID:11348515

Abstract

In-depth interviews regarding health seeking behaviour were conducted with 202 adults registered with pulmonary tuberculosis at the centralized Chest Clinic in Lusaka, Zambia. The median (mean) diagnostic delay was 8.6 (9) weeks, and was significantly associated with the following factors: female sex, lower education, more than six instances of health-seeking encounters, outpatient diagnosis of tuberculosis, and visiting a private doctor or traditional healer. More effective tuberculosis control interventions require novel methods of accessing women and less educated people. Decentralization of public tuberculosis care and improved integration with private sector health providers may also reduce diagnostic delay.

摘要

在赞比亚卢萨卡的中央胸科诊所，对202名登记患有肺结核的成年人进行了关于就医行为的深入访谈。诊断延迟的中位数（均值）为8.6（9）周，且与以下因素显著相关：女性、受教育程度较低、就医次数超过6次、门诊诊断为肺结核以及就诊于私人医生或传统治疗师。更有效的结核病控制干预措施需要采用新方法来覆盖女性和受教育程度较低的人群。公共结核病护理的去中心化以及与私营部门医疗服务提供者更好地整合，也可能减少诊断延迟。