ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2022
Geographic accessibility to health facilities predicts uptake of community-based tuberculosis screening in an urban setting.
Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A structured approach to promote equity in spatial accessibility to TB services during private sector engagement.IJTLD open · 2026Article
- Evolving profiles and treatment success predictors among tuberculosis patients in Uganda from 2019 to 2023: a registry based study.BMC infectious diseases · 2026Article
- A new method to estimate factors associated with tuberculosis transmission using whole genome sequencing and other additional metadata.Epidemiologic methods · 2026Article
- Adaptive bandit algorithms increase efficiency of mobile tuberculosis screening programs.Scientific reports · 2025Article
- Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study.International journal of community based nursing and midwifery · 2025Article
- Article
- Assessment of radiological capacity and disparities in TB diagnosis: a comparative study of Mozambique, South Africa and Spain.BMJ public health · 2024Article
- Impact of the private sector on spatial accessibility to chest radiography services in Lima, Peru.IJTLD open · 2024Article
- Tuberculosis testing patterns in South Africa to identify groups that would benefit from increased investigation.Scientific reports · 2023Article
- Integrating Molecular Diagnostics and GIS Mapping: A Multidisciplinary Approach to Understanding Tuberculosis Disease Dynamics in South Africa Using Xpert MTB/RIF.Diagnostics (Basel, Switzerland) · 2023Article
- Tuberculosis Disability Adjusted Life Years, Colombia 2010-2018.Tropical medicine and infectious disease · 2022Article
- Preventive Health Screening during the COVID-19 Pandemic: A Cross-Sectional Survey among 102,928 Internet Users in Poland.Journal of clinical medicine · 2022Article
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Authors and funding
11 authors.
Funding
Abstract
objectivesAnnually, more than 30% of individuals with tuberculosis (TB) remain undiagnosed. We aimed to assess whether geographic accessibility measures can identify neighborhoods that would benefit from TB screening services targeted toward closing the diagnosis gap.
methodsWe used data from a community-based mobile TB screening program in Carabayllo district, Lima, Peru. We constructed four accessibility measures from the geographic center of neighborhoods to health facilities. We used logistic regression to assess the association between these measures and screening uptake in one's residential neighborhood versus elsewhere, with quasi-information criterion values to assess the association.
resultsWe analyzed the screening locations for 25,000 Carabayllo residents from 49 neighborhoods. Pedestrian walk time was preferable to Euclidean distance or vehicular time in our models. For each additional 12 minutes walking time between the neighborhood and the health facility, the odds of residents using TB screening units located in their neighborhoods increased by 50% (95% CI: 26%-78%). Females had 9% (95% CI: 3%-16%) increased odds versus males of using a screening unit in their own neighborhood.
conclusionPlacing mobile TB screening units in neighborhoods with longer pedestrian time to access health facilities could benefit individuals who face more acute access barriers to health care.
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