Senkoro M, Hinderaker S G, Mfinanga S G, Range N, Kamara D V, Egwaga S, van Leth F
National Institute for Medical Research, Muhimbili Medical Research Center, Dar es Salaam, Tanzania; Centre for International Health, University of Bergen, Bergen, Norway.
Centre for International Health, University of Bergen, Bergen, Norway.
Int J Tuberc Lung Dis. 2015 Jun;19(6):640-6. doi: 10.5588/ijtld.14.0499.
The study was conducted within a nation-wide population-based tuberculosis (TB) prevalence survey in the adult population in Tanzania.
To assess the health care-seeking behaviour of coughers presumed to have TB.
A survey in which participants were screened for TB using a symptom questionnaire and chest X-ray (CXR). Those with cough of ⩾ 2 weeks and/or who were coughing blood were interviewed about their health care-seeking behaviour and socio-demographic and clinical factors.
Of 3388 people with presumptive TB, 31.0% (1051/3388) had sought treatment for their symptoms. Of these, about 42% (445/1051) sought care at sites with TB diagnostic capacity, where sputum examination was performed in 37.1% (165/445) and CXR in 28.1% (125/445). In sites with limited TB diagnostic capacity, fewer than 1% were referred for sputum examination or CXR. Individuals with additional symptoms were more likely to seek treatment. Knowledge about TB was significantly associated with care seeking at sites with TB diagnostic capacity.
A third of the persons with cough symptoms consistent with TB had sought health care. About 42% sought care in sites with TB diagnostic capacity, but most did not undergo TB diagnostic procedures, precluding a timely diagnosis.
该研究在坦桑尼亚全国范围内针对成年人开展的基于人群的结核病患病率调查中进行。
评估疑似患有结核病的咳嗽患者的就医行为。
一项调查，通过症状问卷和胸部X光（CXR）对参与者进行结核病筛查。对咳嗽持续≥2周和/或咯血的患者就其就医行为以及社会人口统计学和临床因素进行访谈。
在3388名疑似结核病患者中，31.0%（1051/3388）因症状寻求过治疗。其中，约42%（445/1051）在具备结核病诊断能力的机构就医，在这些机构中，37.1%（165/445）进行了痰检，28.1%（125/445）进行了胸部X光检查。在结核病诊断能力有限的机构中，不到1%的患者被转诊进行痰检或胸部X光检查。有其他症状的个体更有可能寻求治疗。对结核病的了解与在具备结核病诊断能力的机构就医显著相关。
三分之一有与结核病相符咳嗽症状的人寻求了医疗保健。约42%在具备结核病诊断能力的机构就医，但大多数未接受结核病诊断程序，无法及时确诊。
