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Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China.

Publication ,  Journal Article
Wang, Y; Long, Q; Liu, Q; Tolhurst, R; Tang, S
Published in: Trop Med Int Health
July 2008

OBJECTIVES: To understand the health-seeking behaviour of rural-to-urban migrants with chronic cough in Chongqing city, and compare this with the permanent urban population taking into account the socioeconomic factors influencing delays in access to healthcare in urban China. METHODS: Patient survey in 23 health facilities from different levels of two urban districts in Chongqing: 1005 tuberculosis (TB) suspects (229 rural-to-urban migrants and 776 permanent urban residents) were interviewed about socioeconomic status and service-seeking behaviours. RESULTS: Migrants (67.7%) delayed treatment by more than 2 weeks, as did 54.0% of urban residents (P < 0.01). The reasons given by migrants for the delay in seeking care were lack of money and lack of perceived need for care. Female TB suspects, people without health insurance, those without sufficient knowledge of TB, without full-time employment and people with low incomes also experienced longer patient delay (P < 0.01). CONCLUSIONS: To be more effective, TB control efforts need to be better accessible to the economically and socially vulnerable.

Duke Scholars

Published In

Trop Med Int Health

DOI

EISSN

1365-3156

Publication Date

July 2008

Volume

13

Issue

7

Start / End Page

927 / 933

Location

England

Related Subject Headings

  • Tuberculosis, Pulmonary
  • Tropical Medicine
  • Transients and Migrants
  • Social Class
  • Patient Acceptance of Health Care
  • Middle Aged
  • Medically Uninsured
  • Male
  • Humans
  • Health Knowledge, Attitudes, Practice
 

Citation

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Wang, Y., Long, Q., Liu, Q., Tolhurst, R., & Tang, S. (2008). Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China. Trop Med Int Health, 13(7), 927–933. https://doi.org/10.1111/j.1365-3156.2008.02093.x
Wang, Yang, Qian Long, Qin Liu, Rachel Tolhurst, and Shenglan Tang. “Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China.Trop Med Int Health 13, no. 7 (July 2008): 927–33. https://doi.org/10.1111/j.1365-3156.2008.02093.x.
Wang Y, Long Q, Liu Q, Tolhurst R, Tang S. Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China. Trop Med Int Health. 2008 Jul;13(7):927–33.
Wang, Yang, et al. “Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China.Trop Med Int Health, vol. 13, no. 7, July 2008, pp. 927–33. Pubmed, doi:10.1111/j.1365-3156.2008.02093.x.
Wang Y, Long Q, Liu Q, Tolhurst R, Tang S. Treatment seeking for symptoms suggestive of TB: comparison between migrants and permanent urban residents in Chongqing, China. Trop Med Int Health. 2008 Jul;13(7):927–933.
Journal cover image

Published In

Trop Med Int Health

DOI

EISSN

1365-3156

Publication Date

July 2008

Volume

13

Issue

7

Start / End Page

927 / 933

Location

England

Related Subject Headings

  • Tuberculosis, Pulmonary
  • Tropical Medicine
  • Transients and Migrants
  • Social Class
  • Patient Acceptance of Health Care
  • Middle Aged
  • Medically Uninsured
  • Male
  • Humans
  • Health Knowledge, Attitudes, Practice