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Gender differences in delays in diagnosis and treatment of tuberculosis

Bibliographic Data

ID11490367
AuthorsFazlul Karim (0000-0002-6369-7410, BRAC, corresponding author), Md Ashraful Islam (0000-0002-8763-1002, BRAC), Rajiv Chowdhury (0000-0003-4881-5690, BRAC), A Chowdhury (0000-0003-1491-0825), Ella Johansson (0000-0003-2351-5173, Karolinska Institutet), Vinod Diwan (0000-0002-5831-2037, Karolinska Institutet), V K Diwan
Year2007
Volume22
Issue5
Pages329-334
Publication date2007-07-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy and Planning (JOURNAL)
Journal identifiersISSN: 0268-1080 • E-ISSN: 1460-2237
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czm026
PMID17698889
OpenAlexW2157866211
LanguageEN
Citations received21

OBJECTIVE: To assess the gender variations in delay from symptom onset to help seeking, diagnosis and treatment of tuberculosis (TB) using DOTS at community level, in 10 subdistricts of Bangladesh with 2.5 million people under a non-governmental organization's (Building Resources Across Communities, or BRAC) DOTS programme for TB control. DESIGN: A cross-sectional survey of 1000 newly diagnosed pulmonary TB patients (500 women and 500 men). FINDINGS: Women, in comparison with men, had significantly longer mean and median delays in total delay (63.2 and 61.0 days vs. 60.3 and 53 days, respectively), total diagnostic delay (61.2, 60.0 vs. 58.5, 52.0 days), patient's delay (51.9, 50.0 vs. 48.7, 42.0 days) and treatment delay (2.0, 1.0 vs. 1.9, 1.0 day). Patient's mean and median delays were longer than the health system delay. However, patient gender showed strong association with total delay, total diagnostic delay and patient's delay. Older age of women was significantly associated with longer patient and treatment delay categories, respectively. CONCLUSION: Compared with men, women experienced longer delays at various stages of the clinical process of help seeking for TB. This warrants appropriate measures to improve the situation.

Cross-sectional study · Tuberculosis · Demography · Diverse Scientific Research Studies · Healthcare Facilities Design and Sustainability · Medicine · Tuberculosis Research and Epidemiology · Pediatrics

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Unique citing works21
Citations per year1,17
Citation span2008 - 2025 (18)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 20
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