(Press-News.org) People with tuberculosis (TB) in China often delay going to see a doctor for more than two weeks, finds research in BioMed Central's open access journal BMC Medicine. Reasons for this include a poor understanding of TB, increasing costs of treatment not covered by health insurance, and using traditional approaches first. Even after going to a clinic there were still delays in treatment, especially in rural areas, due to a lack of qualified medical staff.
Worldwide TB remains a leading cause of death, and China has the second largest TB epidemic with the most number of people infected with multi-drug resistant (MDR) strains per countries. Delay in being treated increases the risk of spreading TB, and contributes to the development of MDR-TB. To reduce these risks it is important to understand why delays occur.
This meta-analysis of behaviour in seeking diagnosis and treatment for TB included almost 40,000 patients. Patients who delayed going to see a doctor by more than two weeks were more likely to live in rural areas, to be less educated or female. Poverty, lack of health insurance, rising costs of excess payments or treatments not covered by the insurance, as well as a poor understanding of TB were cited by patients in contributing to their delay in seeing a doctor. What seems to happen is that people would first try traditional Chinese medicine, as this was also a risk factor for delay.
Rural patients were also more likely to be subject to delays due to limited resources at the health care facility, such as a lack of qualified health care workers or ability to do appropriate tests.
Prof Shenglan Tang, from Duke University, and Dr Ying Li, from the Third Military Medical University, who carried out this study explained, "Inadequate and late detection of TB remains a challenge especially in rural China. By understanding the reasons behind this we can try to begin to change health intervention programs to ensure that these problems are addressed. There is also a stigma associated with TB which needs to be removed by better health promotion and by empowering individuals with TB to change how others view this disease."
Dr Hilary Glover
Scientific Press Officer, BioMed Central
Tel: +44 (0) 20 3192 2370
Mob: +44 (0) 778 698 1967
Notes to Editors
1. Factors Associated with Patient, and Diagnostic Delays in Chinese TB Patients: A Systematic Review and Meta-analysis
Ying Li, John Ehiri, Shenglan Tang, Daikun Li, YongqiaoBian, Hui Lin, Caitlin Marshall and Jia Cao
BMC Medicine 2013, 11:156
Please name the journal in any story you write. If you are writing for the web, please link to the article. All articles are available free of charge, according to BioMed Central's open access policy.
2. BMC Medicine is the flagship medical journal of the BMC series, publishing original research, commentaries and reviews that are either of significant interest to all areas of medicine and clinical practice, or provide key translational or clinical advances in a specific field. @BMCMedicine
3. BioMed Central is an STM (Science, Technology and Medicine) publisher which has pioneered the open access publishing model. All peer-reviewed research articles published by BioMed Central are made immediately and freely accessible online, and are licensed to allow redistribution and reuse. BioMed Central is part of Springer Science+Business Media, a leading global publisher in the STM sector. @BioMedCentral
4. Currently, China CDC and the Gates Foundation are working together to implement innovative TB/MDR-TB control programs by applying new TB diagnostic tools and financial models to tackle these challenges identified.
Treating TB: What needs to be done to improve treatment rates
ELSE PRESS RELEASES FROM THIS DATE:
Study examines out-of hospital stroke policy at Chicago hospitals
Implementing an out-of hospital stroke policy in some Chicago hospitals was associated with significant improvements in emergency medical services use and increased intravenous tissue plasminogen activator (tPA) use at primary stroke centers, according to a study published by JAMA Neurology. The study evaluated the relationship between a citywide policy recommending pre-hospital triage of patients with suspected stroke to transport them to the nearest primary stroke center and use of intravenous tPA use. The therapy is used to restore blood flow through blocked arteries ...
Identifying climate impact hotspots across sectors
It identifies the Amazon region, the Mediterranean and East Africa as regions that might experience severe change in multiple sectors. The article is part of the outcome of the Intersectoral Impact Model Intercomparison Project (ISI-MIP) that will be featured in a special issue of PNAS later this year. "Overlapping impacts of climate change in different sectors have the potential to interact and thus multiply pressure on the livelihoods of people in the affected regions," says lead-author Franziska Piontek of the Potsdam Institute for Climate Impact Research. "This is ...
Placental cells may prevent viruses from passing from mother to baby, says Pitt/MWRI team
PITTSBURGH, July 1, 2013 – Cells of the placenta may have a unique ability to prevent viruses from crossing from an expectant mother to her growing baby and can transfer that trait to other kinds of cells, according to researchers at Magee-Womens Research Institute (MWRI) and the University of Pittsburgh School of Medicine. Their findings, published in the early online version of the Proceedings of the National Academy of Sciences, shed new light on the workings of the placenta and could point to new approaches to combat viral infections during pregnancy. It is imperative ...
Psychology influences markets
When it comes to economics versus psychology, score one for psychology. Economists argue that markets usually reflect rational behavior—that is, the dominant players in a market, such as the hedge-fund managers who make billions of dollars' worth of trades, almost always make well-informed and objective decisions. Psychologists, on the other hand, say that markets are not immune from human irrationality, whether that irrationality is due to optimism, fear, greed, or other forces. Now, a new analysis published in the XX issue of the Proceedings of the National Academy ...
Breakthrough in El Nino forecasting
In order to extend forecasting from six months to one year or even more, scientists have now proposed a novel approach based on advanced connectivity analysis applied to the climate system. The scheme builds on high-quality data of air temperatures and clearly outperforms existing methods. The study will be published this week in the Proceedings of the National Academy of Sciences. "Enhancing the preparedness of people in the affected regions by providing more early-warning time is key to avoiding some of the worst effects of El Niño," says Hans Joachim Schellnhuber, ...
Removing nerves connecting kidney to the brain shown to reduce high blood pressure
A new technique that involves removing the nerves connecting the kidney to the brain has shown to significantly reduce blood pressure and help lower the risk of stroke, heart and renal disease in patients. The procedure, which has very few side effects, has already shown promising results in hard-to-treat cases of high blood pressure. The technique, published in the journal Hypertension, was performed by a team led by Professor Julian Paton at the University of Bristol who found that in an animal model of hypertension removing nerves connecting the kidney to the brain ...
Study identifies priorities for improving global conservation funding
ANN ARBOR—A University of Michigan researcher and colleagues at the University of Georgia and elsewhere have identified the most underfunded countries in the world for biodiversity conservation. They found that 40 of the most poorly funded countries harbor 32 percent of all threatened mammalian biodiversity. Most—though not all—of the countries in greatest need of more funding are developing nations, so important gains could be made at relatively low cost, the researchers concluded. "Knowing where the need is greatest could help aid donors to direct their funding for ...
'Modern slavery' in England is a prevalent problem
The first evidence of widespread 'modern slavery' in England for refugees and asylum seekers is revealed in a study published today. The two-year study calls for an overhaul of government policy to restore asylum seekers' right to work and ensure all workers can access basic employment rights, such as National Minimum Wage, irrespective of immigration status. Dr Stuart Hodkinson from the University of Leeds, who co-authored of the study, said: "We found that in the majority of cases, if the asylum seeker had been able to work legally then the employer or agent would ...
Wiggling worms make waves in gene pool
HOUSTON – (July 1, 2013) – The idea that worms can be seen as waveforms allowed scientists at Rice University to find new links in gene networks that control movement. The work led by Rice biochemist Weiwei Zhong, which will appear online this week in the Proceedings of the National Academy of Sciences Early Edition, involved analyzing video records of the movement of thousands of mutant worms of the species Caenorhabditis elegans to identify the neuronal pathways that drive locomotion. One result was the discovery of 87 genes that, when inactivated, caused movement ...
Pre-pregnancy diabetes increases risk of MRSA among new mothers
Washington, DC, July 1, 2013 – Pregnant women with diabetes are more than three times as likely as mothers without diabetes to become infected with methicillin-resistant Staphylococcus aureus (MRSA) before hospital discharge, according to a study in the July issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC). The study aim was to investigate the extent to which pre-pregnancy and gestational diabetes are associated with MRSA infection. Researchers found that pre-pregnancy ...