Evidence map›Paper›PMID 30953459›Full record

ArticleBMC infectious diseases2019

Health care seeking delay among pulmonary tuberculosis patients in North West zone of Tigrai region, North Ethiopia.

Haileselasie Berhane Alema, Sisay Asgedom Hailemariam, Kebede Haile Misgina, Meresa Gebremedhin Weldu, Yosef Sibhatu Gebregergis, Genet Kidane Mekonen, Kahsay Amare Gebremedhin

Abstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Haileselasie Berhane AlemaDepartment of Public Health, College of Health Science, Aksum University, P.O.Box: 298, Axum, Ethiopia. haileselasieb@yahoo.com.
Sisay Asgedom HailemariamAsgede Tsimbla Woreda Health Office, Tigrai, Ethiopia.
Kebede Haile MisginaDepartment of Public Health, College of Health Science, Aksum University, P.O.Box: 298, Axum, Ethiopia.
Meresa Gebremedhin WelduDepartment of Public Health, College of Health Science, Aksum University, P.O.Box: 298, Axum, Ethiopia.
Yosef Sibhatu GebregergisDepartment of Public Health, College of Health Science, Aksum University, P.O.Box: 298, Axum, Ethiopia.
Genet Kidane MekonenAksum University Comprehensive Specialized Hospital, Axum, Ethiopia.
Kahsay Amare GebremedhinCollege of medicine and health science, Adigrat University, Adigrat, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) is a major public health problem and it is among the top 10 causes of death worldwide. One of the challenges against attaining an effective TB control program is delay in seeking health care to diagnosis and treatment of TB patients. The aim of this study was to assess health care-seeking delay among pulmonary TB patients.

methodsAn institutional based cross-sectional study was conducted among new pulmonary tuberculosis (PTB) patients > 15 years of age who were enrolled in the intensive phase TB treatment from November 1, 2015 - January 30, 2016. Data were collected by an interviewer administered technique using a structured questionnaire. Health care seeking delay was categorized by using a median cutoff point of > 30 days as a prolonged health care seeking delay. Logistic regression analyses were employed to determine factors independently associated with the delays in health care seeking.

resultsA total of 422 PTB patients were included in this study. The median age of respondents was 37 years (interquartile range (IQR) =35-44). The median time of health care seeking delay was 30 days (IQR) = 21-60). Respondents occupation, knowledge about pulmonary tuberculosis, health facility visited first, seeking treatment from traditional or religious healers before visiting health facilities, reason for not seeking treatment early from health facilities, and reason for first consultation were found to be significantly associated with health care seeking delay.

conclusionThe study showed the magnitude of health care seeking delay among pulmonary tuberculosis patient was very long and the factors associated with health care seeking delay were: occupation, knowledge status, health facility visited first and seeking treatment from religious or traditional healer before health facilities. To overcome delay of health care seeking among tuberculosis patients, efforts should required availing tuberculosis diagnostic and treatment services at the primary health care level.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultCross-Sectional StudiesEthiopiaFemaleHealth FacilitiesHumansMaleMiddle AgedPatient Acceptance of Health CareReferral and ConsultationSocioeconomic FactorsSurveys and QuestionnairesTime-to-TreatmentTuberculosis, PulmonaryDelayHealth care seekingPulmonary tuberculosisTigrai

Identifiers

PMID30953459
PMCPMC6451246

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.