Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Health seeking behaviour and diagnosis for pulmonary tuberculosis in an HIV-epidemic mountainous area of Thailand
Autore:
Ngamvithayapong, J; Yanai, H; Winkvist, A; Diwan, V;
Indirizzi:
JATA, RIT, TB HIV Res Project, Chiang Rai 57000, Thailand JATA Chiang Rai Thailand 57000 V Res Project, Chiang Rai 57000, Thailand Karolinska Inst, Div Int Hlth, Stockholm, Sweden Karolinska Inst Stockholm Sweden Inst, Div Int Hlth, Stockholm, Sweden Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden Umea Univ Umea Sweden mea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden Nordic Sch Publ Hlth, Gothenburg, Sweden Nordic Sch Publ Hlth GothenburgSweden ch Publ Hlth, Gothenburg, Sweden
Titolo Testata:
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
fascicolo: 11, volume: 5, anno: 2001,
pagine: 1013 - 1020
SICI:
1027-3719(200111)5:11<1013:HSBADF>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
RURAL SOUTH-AFRICA; PREVENTIVE THERAPY; CARE SYSTEM; CHIANG-RAI; DELAY; INDIVIDUALS; INFECTION; INCREASE; PATIENT; ADULTS;
Keywords:
health seeking behaviour; TB and HIV; delay; hill tribe minorities; Thailand;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Ngamvithayapong, J JATA, RIT, TB HIV Res Project, 1050 Satarn Payabarn Rd,Chiang Rai 57000, Thailand JATA 1050 Satarn Payabarn Rd Chiang Rai Thailand 57000
Citazione:
J. Ngamvithayapong et al., "Health seeking behaviour and diagnosis for pulmonary tuberculosis in an HIV-epidemic mountainous area of Thailand", INT J TUBE, 5(11), 2001, pp. 1013-1020

Abstract

SETTING: Chiang Rai Hospital, Chiang Rai Province, the epicentre of the human immunodeficiency virus (HIV) in Thailand. OBJECTIVE: To describe the health seeking behaviour among tuberculosis (TB) patients, to measure patient and provider delays and to analyse factors determining these delays. DESIGN: All patients aged over 15 years with new smear-positive pulmonary TB detected in Chiang Rai Hospital (n = 557) were interviewed using a structured questionnaire. RESULTS: The median patient delays for HIV-positive and HIV-negative patients and those whose HIV status was unknown were 10, 15 and 15 days respectively, while provider delays were respectively 7, 7.5 and 10 days. HIV-positive patients suffered more symptoms and had a shorter patient's delay. Riskfactors of long patient delay (> 21 days) included being HIV-negative, having no health insurance, hill tribe ethnicity, no previous visits to the hospital, and borrowing money for hospital visits. Multivariate logistic analysis suggested that being married or widowed and being HIV-positive led to the shortest patient delay. Provider delay was significantly longer in female patients than male patients. CONCLUSION: Although patient and provider delays were favourably short, certain specific groups require further attention. Hill tribe people should be targeted to improve accessibility to TB treatment. Active case-finding services for people known to be HIV-positive should be encouraged. The reasons for the longer provider delay in female patients require further investigation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 14:00:44