Delay in seeking initial care for tuberculosis diagnosis

Authors

  • Anneliese Domingues Wysocki Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Maria Amélia Zanon Ponce Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Beatriz Estuque Scatolin Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Rubia Laine de Paula Andrade Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto
  • Silvia Helena Figueiredo Vendramini Faculdade de Medicina de São José do Rio Preto
  • Antonio Ruffino Netto Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto
  • Tereza Cristina Scatena Villa Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.1590/S0080-62342013000200024

Keywords:

Tuberculosis, Delayed diagnosis, Health Services Accessibility, Patient acceptance of health care

Abstract

Descriptive study, which aimed to analyze the time between the perception of TB symptoms onset and the first search for health services, according to TB patient characteristics in São José do Rio Preto - SP. 97 TB patients in treatment were interviewed with a structured instrument. The delay was identified by the median time between the perception of TB symptom's onset and the patients demand for care (>; 15 days). To identify the variables related to delay the prevalence ratio were calculated. There was a delay seeking care among: male patients, aged 18 to 29 and 50 to 59 years, lower education and higher family income, pulmonary cases without HIV co-infection, presenting milder symptoms, users of alcoholic beverages and tobacco, those who did not perform preventive health control, and who sought health services closer to home. The recognition of users' profiles in the search for care is paramount for defining strategies that favor the use of services in a timely manner.

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Published

2013-04-01

Issue

Section

Original Article

How to Cite

Wysocki, A. D., Ponce, M. A. Z., Scatolin, B. E., Andrade, R. L. de P., Vendramini, S. H. F., Netto, A. R., & Villa, T. C. S. (2013). Delay in seeking initial care for tuberculosis diagnosis. Revista Da Escola De Enfermagem Da USP, 47(2), 440-447. https://doi.org/10.1590/S0080-62342013000200024