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FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA

Delay in Tuberculosis (TB) management is a public health concern that leads to unfavourable treatment outcomes. The delays could come from the patients or the health care facilities. This study aimed to determine TB management in terms of delays in diagnosis and treatment initiation among...

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Main Authors: Md Mizanur, Rahman, Andrew, Kiyu, Ahmad Hafiz, Mohamad
Format: Article
Language:English
Published: Malaysian Public Health Physician's Association 2022
Subjects:
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/38624/3/FACTORS%20ASSOCIATED%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/38624/
http://mjphm.org/index.php/mjphm
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spelling my.unimas.ir.386242022-06-13T01:02:21Z http://ir.unimas.my/id/eprint/38624/ FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA Md Mizanur, Rahman Andrew, Kiyu Ahmad Hafiz, Mohamad R Medicine (General) Delay in Tuberculosis (TB) management is a public health concern that leads to unfavourable treatment outcomes. The delays could come from the patients or the health care facilities. This study aimed to determine TB management in terms of delays in diagnosis and treatment initiation among TB patients in Sarawak, Malaysia. Thiscross-sectional study was conducted among adult TB patients through face-to-face interviews using adapted and validated questionnaires. Seven hundred twenty-four patients were selected using a systematic random sampling method from 17 TB clinics in Sarawak. Data entry and analysis were done by IBM SPSS Version 22.0. The median duration of patient, diagnostic and treatment delay was 1080 days, 61 days, and two days, respectively. The multivariate binary logistic regression analysis revealed that the university level of education (p<.05) and visiting healthcare facilities four times and above (p<.001) appeared to be statistically significantly associated with patient delay. In diagnostic delay, female, moderate family stigma (p<.01), multiple visits to a healthcare facility (p<.001) were found to be significant factors. However, age 50-59 years, ethnicity, primary and secondary level of education (p<.01), TB knowledge (p<.05), number of symptoms, the action was taken (p<.001), been advised (p<.01), and investigations during the first visit (p<.05) were significantly associated with treatment delay. Though the study did not depict the national scenarios of overall delays in TB management, the factors identified in this study would be policy options to reduce thedelays in the initiation of future TB management. Malaysian Public Health Physician's Association 2022-06-09 Article PeerReviewed text en http://ir.unimas.my/id/eprint/38624/3/FACTORS%20ASSOCIATED%20-%20Copy.pdf Md Mizanur, Rahman and Andrew, Kiyu and Ahmad Hafiz, Mohamad (2022) FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA. Malaysian Journal of Public Health Medicine, 22 (1). pp. 164-172. ISSN 2590-3829 http://mjphm.org/index.php/mjphm
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Md Mizanur, Rahman
Andrew, Kiyu
Ahmad Hafiz, Mohamad
FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA
description Delay in Tuberculosis (TB) management is a public health concern that leads to unfavourable treatment outcomes. The delays could come from the patients or the health care facilities. This study aimed to determine TB management in terms of delays in diagnosis and treatment initiation among TB patients in Sarawak, Malaysia. Thiscross-sectional study was conducted among adult TB patients through face-to-face interviews using adapted and validated questionnaires. Seven hundred twenty-four patients were selected using a systematic random sampling method from 17 TB clinics in Sarawak. Data entry and analysis were done by IBM SPSS Version 22.0. The median duration of patient, diagnostic and treatment delay was 1080 days, 61 days, and two days, respectively. The multivariate binary logistic regression analysis revealed that the university level of education (p<.05) and visiting healthcare facilities four times and above (p<.001) appeared to be statistically significantly associated with patient delay. In diagnostic delay, female, moderate family stigma (p<.01), multiple visits to a healthcare facility (p<.001) were found to be significant factors. However, age 50-59 years, ethnicity, primary and secondary level of education (p<.01), TB knowledge (p<.05), number of symptoms, the action was taken (p<.001), been advised (p<.01), and investigations during the first visit (p<.05) were significantly associated with treatment delay. Though the study did not depict the national scenarios of overall delays in TB management, the factors identified in this study would be policy options to reduce thedelays in the initiation of future TB management.
format Article
author Md Mizanur, Rahman
Andrew, Kiyu
Ahmad Hafiz, Mohamad
author_facet Md Mizanur, Rahman
Andrew, Kiyu
Ahmad Hafiz, Mohamad
author_sort Md Mizanur, Rahman
title FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA
title_short FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA
title_full FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA
title_fullStr FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA
title_full_unstemmed FACTORS ASSOCIATED WITH DELAY IN TUBERCULOSIS MANAGEMENT IN SARAWAK, MALAYSIA
title_sort factors associated with delay in tuberculosis management in sarawak, malaysia
publisher Malaysian Public Health Physician's Association
publishDate 2022
url http://ir.unimas.my/id/eprint/38624/3/FACTORS%20ASSOCIATED%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/38624/
http://mjphm.org/index.php/mjphm
_version_ 1735573587043024896
score 13.211869

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