Healthcare seeking behaviour and delay in diagnosis of leprosy in a low endemic area of China

Lepr Rev. 2009 Dec;80(4):416-23.

Abstract

Delay in diagnosis of leprosy can increase the risk of nerve function impairments and promote the transmission of the infection in a community. In order to understand the factors associated with the delays in diagnosis of leprosy, a questionnaire-based interview was conducted to collect information on the delays among 88 newly diagnosed leprosy patients. The results showed that delay was common and associated with the high rate of disability in the study population. The total mean delay was 50.18 months (median 36 months). The mean patient delay was 24-4 months (median 9.5 months) and the mean health service delay was 257 months (median 12 months). Patients with leprosy reported a variety of symptoms/signs at an early stage of the disease, particularly numbness and tingling. Ignorance of the illness was reported to be the main reason for the patient's delay. Health seeking actions ranged from 1 to 50 with a mean of 7.2 after becoming aware of the first symptom/sign. The effectiveness of early diagnosis of leprosy through health promotion in the population needs to be validated and continuous training on leprosy among healthcare providers is needed.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health*
  • China / epidemiology
  • Delayed Diagnosis*
  • Female
  • Health Behavior
  • Health Services / statistics & numerical data*
  • Humans
  • Interviews as Topic
  • Leprosy / complications
  • Leprosy / diagnosis*
  • Leprosy / epidemiology
  • Leprosy / therapy
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Time Factors
  • Young Adult