Publication: Delayed care-seeking and its underlying factors among patients with tuberculosis in Yangon, Myanmar
Issued Date
2020-06-30
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19722680
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2-s2.0-85088351413
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of infection in developing countries. Vol.14, No.6 (2020), 631-641
Suggested Citation
May Chan Oo, Kyaw Zarni Tun, Kyaw Ko Ko, Pyae Linn Aung Delayed care-seeking and its underlying factors among patients with tuberculosis in Yangon, Myanmar. Journal of infection in developing countries. Vol.14, No.6 (2020), 631-641. doi:10.3855/jidc.12663 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/57961
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Title
Delayed care-seeking and its underlying factors among patients with tuberculosis in Yangon, Myanmar
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Abstract
Copyright (c) 2020 May Chan Oo, Kyaw Zarni Tun, Kyaw Ko Ko, Pyae Linn Aung. 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 < 0.05). Multiple logistic regression analysis found that 4 variables exhibited significant associations: low levels of education, occupation as government staff member, possessing information about TB, and having a family member or close friend contract TB (p < 0.05). 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.