Delayed care-seeking and its underlying factors among patients with tuberculosis in Yangon, Myanmar

  • May Chan Oo Public Health Office, Faculty of Public Health, Mahidol University, Bangkok, Thailand
  • Kyaw Zarni Tun Public Health Office, Faculty of Public Health, Mahidol University, Bangkok, Thailand
  • Kyaw Ko Ko Public Health Office, Faculty of Public Health, Mahidol University, Bangkok, Thailand
  • Pyae Linn Aung Public Health Office, Faculty of Public Health, Mahidol University, Bangkok, Thailand
Keywords: Tuberculosis, patients, delayed, care-seeking, underlying factors, Myanmar

Abstract

Introduction: Tuberculosis (TB) remains a major public health problem in Myanmar. Early care-seeking behaviors play a significant role in reducing TB transmission and speeding recovery. This study was conducted to estimate the proportion of patients with TB who delayed care-seeking and to identify underlying factors.

Methodology: The study population included patients with TB treated in a TB diagnostic center in April 2015. A total of 346 patients were chosen as eligible respondents. The data were collected using structured questionnaires and face-to-face interviews. In addition to descriptive statistics, chi-squared test and multiple logistic regression were performed to show any associations.

Results: The study revealed that 66.8% of patients delayed care-seeking, and the average duration of delay was 21 days. Using the chi-squared test, factors such as education, occupation, family income, knowledge of TB, possessing information about TB, having a family member or close friend contract TB, travel distance, and cost causing a burden were significantly associated with delayed care-seeking (p < 0.05). Multiple logistic regression analysis found that 4 variables exhibited significant associations: low levels of education, occupation as government staff member, possessing information about TB, and having a family member or close friend contract TB (p < 0.05).

Conclusion: The results from this study provide useful comprehensive information addressing underlying factors associated with delayed care-seeking behaviors. These can be used to advance health education interventions regarding TB and strengthen early diagnosis of TB within community settings.

Author Biography

Pyae Linn Aung, Public Health Office, Faculty of Public Health, Mahidol University, Bangkok, Thailand

Myanmar Health Network Organization, Yangon, Myanmar

Published
2020-06-30
How to Cite
1.
Oo MC, Tun KZ, Ko KK, Aung PL (2020) Delayed care-seeking and its underlying factors among patients with tuberculosis in Yangon, Myanmar. J Infect Dev Ctries 14:631-641. doi: 10.3855/jidc.12663
Section
Original Articles