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Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China
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| Zeitschriftentitel: | Epidemiology and Infection |
|---|---|
| Personen und Körperschaften: | , , |
| In: | Epidemiology and Infection, 147, 2019 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Cambridge University Press (CUP)
|
| Schlagwörter: |
| author_facet |
Chen, H. G. Wang, T. W. Cheng, Q. X. Chen, H. G. Wang, T. W. Cheng, Q. X. |
|---|---|
| author |
Chen, H. G. Wang, T. W. Cheng, Q. X. |
| spellingShingle |
Chen, H. G. Wang, T. W. Cheng, Q. X. Epidemiology and Infection Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China Infectious Diseases Epidemiology |
| author_sort |
chen, h. g. |
| spelling |
Chen, H. G. Wang, T. W. Cheng, Q. X. 0950-2688 1469-4409 Cambridge University Press (CUP) Infectious Diseases Epidemiology http://dx.doi.org/10.1017/s0950268819000049 <jats:title>Abstract</jats:title><jats:p>Gender inequality has severe consequences on public health in terms of delay in diagnosis of pulmonary tuberculosis (PTB). In order to explore gender-related differences in diagnosis delay, a cross-sectional study of 10 686 patients diagnosed with PTB in Yulin from 1 January 2009 to 31 December 2014 was conducted. Diagnosis delay was categorised into ‘short delay’ and ‘long delay’ by four commonly used cut-off points of 14, 30, 60 and 90 days. Logistic regression analysis was used to analyse gender differences in diagnostic delay. Stratified analyses by smear results, age, urban/rural were performed to examine whether the effect persisted across the strata. The median delay was 31 days (interquartile range 13–65). Diagnostic delay in females at cut-off points of 14, 30, 60 and 90 days had odds ratios (OR) of 0.99 (95% CI 0.91–1.09), 1.09 (95% CI 1.01–1.18), 1.15 (95% CI 1.05–1.26) and 1.18 (95% CI 1.06–1.31), respectively, compared with males. Stratified analysis showed that females were associated with increased risk of longer delay among those aged 30–60 years, smear positive and living in the rural areas (<jats:italic>P</jats:italic> < 0.05). The female-to-male OR increased along with increased delay time. Further inquiry into the underlying reasons for gender differences should be urgently addressed to improve the current situation.</jats:p> Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China Epidemiology and Infection |
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Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_unstemmed |
Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_full |
Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
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Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
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Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_short |
Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_sort |
gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from china |
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Infectious Diseases Epidemiology |
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http://dx.doi.org/10.1017/s0950268819000049 |
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2019 |
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<jats:title>Abstract</jats:title><jats:p>Gender inequality has severe consequences on public health in terms of delay in diagnosis of pulmonary tuberculosis (PTB). In order to explore gender-related differences in diagnosis delay, a cross-sectional study of 10 686 patients diagnosed with PTB in Yulin from 1 January 2009 to 31 December 2014 was conducted. Diagnosis delay was categorised into ‘short delay’ and ‘long delay’ by four commonly used cut-off points of 14, 30, 60 and 90 days. Logistic regression analysis was used to analyse gender differences in diagnostic delay. Stratified analyses by smear results, age, urban/rural were performed to examine whether the effect persisted across the strata. The median delay was 31 days (interquartile range 13–65). Diagnostic delay in females at cut-off points of 14, 30, 60 and 90 days had odds ratios (OR) of 0.99 (95% CI 0.91–1.09), 1.09 (95% CI 1.01–1.18), 1.15 (95% CI 1.05–1.26) and 1.18 (95% CI 1.06–1.31), respectively, compared with males. Stratified analysis showed that females were associated with increased risk of longer delay among those aged 30–60 years, smear positive and living in the rural areas (<jats:italic>P</jats:italic> < 0.05). The female-to-male OR increased along with increased delay time. Further inquiry into the underlying reasons for gender differences should be urgently addressed to improve the current situation.</jats:p> |
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| author | Chen, H. G., Wang, T. W., Cheng, Q. X. |
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| description | <jats:title>Abstract</jats:title><jats:p>Gender inequality has severe consequences on public health in terms of delay in diagnosis of pulmonary tuberculosis (PTB). In order to explore gender-related differences in diagnosis delay, a cross-sectional study of 10 686 patients diagnosed with PTB in Yulin from 1 January 2009 to 31 December 2014 was conducted. Diagnosis delay was categorised into ‘short delay’ and ‘long delay’ by four commonly used cut-off points of 14, 30, 60 and 90 days. Logistic regression analysis was used to analyse gender differences in diagnostic delay. Stratified analyses by smear results, age, urban/rural were performed to examine whether the effect persisted across the strata. The median delay was 31 days (interquartile range 13–65). Diagnostic delay in females at cut-off points of 14, 30, 60 and 90 days had odds ratios (OR) of 0.99 (95% CI 0.91–1.09), 1.09 (95% CI 1.01–1.18), 1.15 (95% CI 1.05–1.26) and 1.18 (95% CI 1.06–1.31), respectively, compared with males. Stratified analysis showed that females were associated with increased risk of longer delay among those aged 30–60 years, smear positive and living in the rural areas (<jats:italic>P</jats:italic> < 0.05). The female-to-male OR increased along with increased delay time. Further inquiry into the underlying reasons for gender differences should be urgently addressed to improve the current situation.</jats:p> |
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| spelling | Chen, H. G. Wang, T. W. Cheng, Q. X. 0950-2688 1469-4409 Cambridge University Press (CUP) Infectious Diseases Epidemiology http://dx.doi.org/10.1017/s0950268819000049 <jats:title>Abstract</jats:title><jats:p>Gender inequality has severe consequences on public health in terms of delay in diagnosis of pulmonary tuberculosis (PTB). In order to explore gender-related differences in diagnosis delay, a cross-sectional study of 10 686 patients diagnosed with PTB in Yulin from 1 January 2009 to 31 December 2014 was conducted. Diagnosis delay was categorised into ‘short delay’ and ‘long delay’ by four commonly used cut-off points of 14, 30, 60 and 90 days. Logistic regression analysis was used to analyse gender differences in diagnostic delay. Stratified analyses by smear results, age, urban/rural were performed to examine whether the effect persisted across the strata. The median delay was 31 days (interquartile range 13–65). Diagnostic delay in females at cut-off points of 14, 30, 60 and 90 days had odds ratios (OR) of 0.99 (95% CI 0.91–1.09), 1.09 (95% CI 1.01–1.18), 1.15 (95% CI 1.05–1.26) and 1.18 (95% CI 1.06–1.31), respectively, compared with males. Stratified analysis showed that females were associated with increased risk of longer delay among those aged 30–60 years, smear positive and living in the rural areas (<jats:italic>P</jats:italic> < 0.05). The female-to-male OR increased along with increased delay time. Further inquiry into the underlying reasons for gender differences should be urgently addressed to improve the current situation.</jats:p> Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China Epidemiology and Infection |
| spellingShingle | Chen, H. G., Wang, T. W., Cheng, Q. X., Epidemiology and Infection, Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China, Infectious Diseases, Epidemiology |
| title | Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_full | Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_fullStr | Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_full_unstemmed | Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_short | Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| title_sort | gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from china |
| title_unstemmed | Gender and time delays in diagnosis of pulmonary tuberculosis: a cross-sectional study from China |
| topic | Infectious Diseases, Epidemiology |
| url | http://dx.doi.org/10.1017/s0950268819000049 |