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埃塞俄比亚西北部莱阿马奇霍地区肺结核疑似患者的求医行为及相关因素:一项基于社区的研究

Health Seeking Behaviour and Associated Factors among Pulmonary Tuberculosis Suspects in Lay Armachiho District, Northwest Ethiopia: A Community-Based Study.

作者信息

Engeda Eshetu Haileselassie, Dachew Berihun Assefa, Kassa Woreta Hiwot, Mekonnen Kelkay Mengistu, Ashenafie Tesfaye Demeke

机构信息

Department of Nursing, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

出版信息

Tuberc Res Treat. 2016;2016:7892701. doi: 10.1155/2016/7892701. Epub 2016 Feb 28.

DOI:10.1155/2016/7892701
PMID:27022483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4789024/
Abstract

Studies in the northern part of Ethiopia showed high prevalence of undiagnosed cluster of tuberculosis cases within the community which demanded an investigation of the health care seeking behaviour of tuberculosis suspects. A community-based cross-sectional study was conducted in Lay Armachiho district, Northwest Ethiopia. Individuals who had cough for at least two weeks and aged greater than or equal to 15 years were included in the study. Data were collected by interview using pretested and structured questionnaire. Logistic regression was computed and adjusted odds ratio with 95% confidence interval was calculated. Out of the total population surveyed (29, 735), 663 (2.2%) individuals were found to be pulmonary tuberculosis suspects. Majority of the suspects reported that they had visited a modern health care facility. Those aged 15 to 34 and aged 35-54 had secondary educational level and above; those who were civil servants, those who were farmers, those who had previous history of tuberculosis treatment, and those who perceived that they were sick were more likely to visit a modern health care facility. The proportion of respondents who had taken traditional measures was found to be higher than some other districts. Improving the socioeconomic status of the community is recommended.

摘要

埃塞俄比亚北部的研究表明,社区内未被诊断出的肺结核病例群的患病率很高,这就需要对肺结核疑似患者的就医行为进行调查。在埃塞俄比亚西北部的莱阿马奇霍区开展了一项基于社区的横断面研究。研究纳入了咳嗽至少两周且年龄大于或等于15岁的个体。通过使用经过预测试的结构化问卷进行访谈来收集数据。计算逻辑回归并计算95%置信区间的调整比值比。在接受调查的总人口(29735人)中,发现663人(2.2%)为肺结核疑似患者。大多数疑似患者报告称他们去过现代医疗机构。年龄在15至34岁以及35至54岁且具有中等及以上教育水平的人;公务员、农民、有过肺结核治疗史的人以及自认为生病的人更有可能去现代医疗机构就诊。发现采取传统措施的受访者比例高于其他一些地区。建议提高社区的社会经济地位。

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