Factors associated with delay of patients with cough to tuberculosis treatment centres in selected DOTS in South-West Nigeria

Q3 Medicine

Indian Journal of Tuberculosis Pub Date : 2025-01-01 DOI:10.1016/j.ijtb.2023.08.009

Olatunde Olayanju , Idemudia Otaigbe , Kolawole Sodeinde , Olumide Abiodun , Akindele Adebiyi

{"title":"Factors associated with delay of patients with cough to tuberculosis treatment centres in selected DOTS in South-West Nigeria","authors":"Olatunde Olayanju , Idemudia Otaigbe , Kolawole Sodeinde , Olumide Abiodun , Akindele Adebiyi","doi":"10.1016/j.ijtb.2023.08.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The recent gain in the fight against Tuberculosis is potentially being threatened by the delays in the diagnosis and treatment of infected patients. These patients continue to make contacts with other people in the community and spread the disease without knowing. Thus, there is a need to identify the factors associated with these delays and the possibility of mitigating them.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study conducted in Ibadan, Nigeria. Three primary health care centres with high burden of tuberculosis were selected for this study. Patients with newly diagnosed tuberculosis was recruited, delays for presentation at the health centres were evaluated and associated factors were determined using their clinical records and a standard questionnaire.</div></div><div><h3>Results</h3><div>A total of 135 patients met the criteria for this study, and 68 (50.4%) of them were males. Two levels of delays were identified: delay between symptoms onset and presentation in health centres and delays between diagnosis and treatment commencement. Factors associated with these delays were: socio-economic status (p = 0.006), type of area of residence (p = 0.015), current smoking status (p = 0.016) and seeking treatment elsewhere before the current ailment (p = 0.037).</div></div><div><h3>Conclusions</h3><div>This study showed that socio-economic factors, area of residence, cigarette smoking and previous presentation at other health facilities were factors associated with delays at DOTS centres.</div></div>","PeriodicalId":39346,"journal":{"name":"Indian Journal of Tuberculosis","volume":"72 1","pages":"Pages 25-31"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Tuberculosis","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0019570723001567","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The recent gain in the fight against Tuberculosis is potentially being threatened by the delays in the diagnosis and treatment of infected patients. These patients continue to make contacts with other people in the community and spread the disease without knowing. Thus, there is a need to identify the factors associated with these delays and the possibility of mitigating them.

Methods

This was a cross-sectional study conducted in Ibadan, Nigeria. Three primary health care centres with high burden of tuberculosis were selected for this study. Patients with newly diagnosed tuberculosis was recruited, delays for presentation at the health centres were evaluated and associated factors were determined using their clinical records and a standard questionnaire.

Results

A total of 135 patients met the criteria for this study, and 68 (50.4%) of them were males. Two levels of delays were identified: delay between symptoms onset and presentation in health centres and delays between diagnosis and treatment commencement. Factors associated with these delays were: socio-economic status (p = 0.006), type of area of residence (p = 0.015), current smoking status (p = 0.016) and seeking treatment elsewhere before the current ailment (p = 0.037).

Conclusions

This study showed that socio-economic factors, area of residence, cigarette smoking and previous presentation at other health facilities were factors associated with delays at DOTS centres.

查看原文本刊更多论文

尼日利亚西南部选定DOTS中咳嗽患者延迟到结核病治疗中心的相关因素

背景：最近在防治结核病方面取得的进展可能受到感染患者诊断和治疗延误的威胁。这些患者继续与社区中的其他人接触，并在不知情的情况下传播疾病。因此，有必要确定与这些延误有关的因素以及减轻这些延误的可能性。方法：这是一项在尼日利亚伊巴丹进行的横断面研究。本研究选择了三个结核病高负担的初级卫生保健中心。招募了新诊断的结核病患者，评估了在保健中心就诊的延误情况，并利用他们的临床记录和标准问卷确定了相关因素。结果：135例患者符合本研究标准，其中男性68例（50.4%）。确定了两种程度的延误：出现症状和到保健中心就诊之间的延误以及诊断和开始治疗之间的延误。与这些延迟相关的因素是：社会经济状况（p = 0.006）、居住地区类型（p = 0.015）、目前吸烟状况（p = 0.016）和在当前疾病之前在其他地方寻求治疗（p = 0.037）。结论：这项研究表明，社会经济因素、居住地区、吸烟和以前在其他卫生设施就诊是直接督导下短程化疗中心延误的相关因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Indian Journal of Tuberculosis Medicine-Infectious Diseases

CiteScore

2.80

自引率

0.00%

发文量

103

期刊介绍： Indian Journal of Tuberculosis (IJTB) is an international peer-reviewed journal devoted to the specialty of tuberculosis and lung diseases and is published quarterly. IJTB publishes research on clinical, epidemiological, public health and social aspects of tuberculosis. The journal accepts original research articles, viewpoints, review articles, success stories, interesting case series and case reports on patients suffering from pulmonary, extra-pulmonary tuberculosis as well as other respiratory diseases, Radiology Forum, Short Communications, Book Reviews, abstracts, letters to the editor, editorials on topics of current interest etc. The articles published in IJTB are a key source of information on research in tuberculosis. The journal is indexed in Medline