Analysis of care-seeking and diagnosis delay among pulmonary tuberculosis patients in Beijing, China

• DOI: 10.3389/fpubh.2024.1369541
• Publication Date: 2024-04-16T04:28:21Z
• Authors: Lijie Zhang; Xiaoge Ma; Hanqing Gao; Cheng Bao; Yue Wu; Sihui Wu; Menghan Liu; Yuhong Liu; Liang Li
• Keywords: Interquartile range

Background Tuberculosis (TB) remains a significant public health challenge in China. Early detection and diagnosis of TB cases are crucial to interrupt disease transmission prevent its progression. This study aims describe the delay seeking care among patients with pulmonary tuberculosis (PTB) identify influencing factors two counties Beijing. Methods A retrospective analysis was carried out investigate care-seeking Basic information PTB from January 1 December 31, 2021, extracted Information Management System China (TBIMS), all enrolled were interviewed via telephone using standard questionnaire. Statistical description performed median interquartile range (IQR). Chi-square test multivariate logistic regression model used analyze factors. Results 537 enrolled. The duration 11 (IQR: 5–26) days 8 0–18) days, 41.71 35.20% experiencing delays (>14 days). found that being asymptomatic (OR = 2.791, 95%CI: 1.710–4.555) before medical not attending work during treatment 2.990, 1.419–6.298) identified as risk for delay. Patients who tracked 2.632, 1.062–6.521) diagnosed at control prevention institutions 1.843, 1.061–3.202) had higher odds diagnostic delays. 44.69% presented total (>28 days), 25 13–39) days. showed healthy examination 0.136, 0.043–0.425) protective factor Conclusion Public interventions necessary improve efficiency Medical services should focus on target population access further reduce patients.