泰国接受结核病治疗的艾滋病毒感染者的求医行为

Channawong Burapat, Wanitchaya Kittikraisak, Kevin P Cain, Theerawit Tasaneeyapan, Sriprapa Nateniyom, Somsak Akksilp, Wiroj Mankatittham, Chawin Sirinak, Wanchai Sattayawuthipong, Jay K Varma
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引用次数: 0

摘要

在亚洲,越来越多的患者到私营部门寻求结核病治疗;然而,很少有私营部门的做法遵循国际结核病管理指南。我们进行了一项研究,以测量2005-2006年期间泰国四个省756名艾滋病毒感染结核病患者在私营部门寻求结核病诊断的频率和预测因素。在登记的患者中,97人(13%)首先在私人诊所寻求治疗,83人(11%)在药房寻求治疗。在多变量分析中,与在私人医疗机构寻求治疗独立相关的唯一因素是结核病污名得分高。与在药房寻求治疗相关的独立因素包括不知道结核病可以治愈以及结核病治疗可以在家附近提供。患者报告说,在选择医疗服务提供者时最重要的因素是保密性(468;62%)。需要进一步的研究来评估教育社区关于政府卫生机构治疗结核病的保密性、可获得性和成功是否可以促进泰国艾滋病毒感染患者及时利用公共结核病治疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health-seeking behavior among HIV-infected patients treated for TB in Thailand.

In Asia, patients increasingly seek tuberculosis (TB) treatment in the private sector; however, few private sector practices follow international TB management guidelines. We conducted a study to measure the frequency and predictors of seeking TB diagnosis in the private sector among 756 HIV-infected TB patients in four Thai provinces during 2005-2006. Of enrolled patients, 97 (13%) first sought care at a private provider and 83 (11%) at a pharmacy. In multivariable analysis, the only factor independently associated with seeking care at a private provider was having a high TB stigma score. Factors independently associated with seeking care at a pharmacy included not knowing that TB can be cured and that TB care can be provided close to home. Patients reported that the most influential factor in choosing a provider was confidentiality (468; 62%). Further research is needed to evaluate whether educating the community about the confidentiality, availability, and success of curing TB at government health facilities can promote prompt utilization of public TB treatment services by HIV-infected patients in Thailand.

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