[Delay in tuberculosis diagnosis in adults in a city of São Paulo State, Brazil, in 2009: a cross-sectional study]

Epidemiol Serv Saude. 2016 Jul-Sep;25(3):553-562. doi: 10.5123/S1679-49742016000300011.
[Article in Portuguese]

Abstract

Objective: to evaluate patient and health service characteristics associated with tuberculosis (TB) diagnosis delay.

Methods: this was a cross-sectional study conducted in São José do Rio Preto-SP in 2009; the 'entry point' and 'access to diagnosis' dimensions of the Primary Care Assessment Tool (PCAT) were selected to analyze patient and HS delay.

Results: 99 TB patients were included in the study; the median time related to patient and HS delay was 15 days; delay in seeking services was lower among smokers (PR= 0.71; 95%CI 0.54;0.94) and alcohol users (PR=0.75; 95%CI 0.57;0.99); TB diagnosis delay was related to not being able to get a medical appointment on the same day (PR=1.63; 95%CI 1.22;2.18), TB not being suspected (PR=2.07; 95%CI 1.18;3.62) and seeking care in health services four times or more (PR=2.34; 95%CI 1.55;3.53).

Conclusion: delay in seeking care was lower among smokers and alcohol users; shortcomings in access to diagnosis characterized health services delay.

MeSH terms

  • Adult
  • Aged
  • Alcohol Drinking / epidemiology
  • Brazil / epidemiology
  • Cities / epidemiology
  • Cross-Sectional Studies
  • Delayed Diagnosis*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Smoking / epidemiology
  • Time Factors
  • Tuberculosis, Pulmonary / diagnosis*
  • Young Adult