Longer delay in accessing treatment among current smokers with new sputum smear-positive tuberculosis in Nepal.
作者： T. S. Bam , D. A. Enarson , S. G. Hinderaker , D. S. Bam
关键词:
摘要: SETTING: Kathmandu, Nepal, which has 7% of the national population and 18% tuberculosis (TB) burden. OBJECTIVES: To determine association smoking with total delay among new sputum smear-positive TB patients. METHODS: Direct interviews were conducted 605 patients registered in 37 randomly selected clinics within 30 days initiating anti-tuberculosis treatment using a semi-structured questionnaire. Total was calculated from date first reported symptom to commencement treatment. Logistic regression analyses performed factors associated delay. RESULTS: Of interviewed, 271 (44.8%) current smokers, 33 (5.5%) ex-smokers 301 (49.8%) never smokers. The median 103 (current smokers 133 days, ex-smoker 80 days). Longer more common (aOR 2.03, 95%CI 1.24-3.31). Covariates significantly female sex, lower levels education higher degrees smear positivity. CONCLUSION: unacceptably longer Anti-smoking interventions are needed as an integral part programme address this problem.
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