Delayed care-seeking and its underlying factors among patients with tuberculosis in Yangon, Myanmar
Oo MC, Tun KZ, Ko KK, Aung PL
Journal of infection in developing countries · 2020-06
Abstract
Introduction Tuberculosis (TB) remains a major public health problem in Myanmar. Early care-seeking behaviors play a significant role in reducing TB transmission and speeding recovery. This study was conducted to estimate the proportion of patients with TB who delayed care-seeking and to identify underlying factors. Methodology The study population included patients with TB treated in a TB diagnostic center in April 2015. A total of 346 patients were chosen as eligible respondents. The data were collected using structured questionnaires and face-to-face interviews. In addition to descriptive statistics, chi-squared test and multiple logistic regression were performed to show any associations. Results The study revealed that 66.8% of patients delayed care-seeking, and the average duration of delay was 21 days. Using the chi-squared test, factors such as education, occupation, family income, knowledge of TB, possessing information about TB, having a family member or close friend contract TB, travel distance, and cost causing a burden were significantly associated with delayed care-seeking (p Conclusion The results from this study provide useful comprehensive information addressing underlying factors associated with delayed care-seeking behaviors. These can be used to advance health education interventions regarding TB and strengthen early diagnosis of TB within community settings.
MeSH terms
- Humans
- Tuberculosis
- Tuberculosis, Pulmonary
- Regression Analysis
- Cross-Sectional Studies
- Adolescent
- Adult
- Middle Aged
- Patient Acceptance of Health Care
- Myanmar
- Female
- Male
- Young Adult
- Delayed Diagnosis
- Surveys and Questionnaires