wow-inequalities/02-data/intermediate/wos_sample/30c1d8bdeeed88f386e56ee3e943481b-li-ying-and-ehiri/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Multi-drug resistant tuberculosis (MDR-TB) represents a threat to health
and development in countries with high TB burden. China''s MDR-TB
prevalence rate of 6.8\% is the highest in the world. Interventions to
remove barriers against effective TB control, and prevention of MDR-TB
are urgently needed in the country. This paper reports a cross-sectional
questionnaire survey of 513 pulmonary TB (PTB) patients, and qualitative
interviews of 10 healthcare workers (HCWs), and 15 PTB patients. The
objective was to assess barriers against effective control of PTB and
prevention of MDR-TB by elucidating the perspectives of patients and
healthcare providers. Results showed that more than half of the patients
experienced patient delay of over 12.5 days. A similar proportion also
experienced detection delay of over 30 days, and delay in initiating
treatment of over 31 days. Consulting a non-TB health facility >= 3
times before seeking care at TB dispensary was a risk factor for both
detection delay {[}AOR (95\% CI): 1.89(1.07, 3.34) and delay in
initiating treatment{[}AOR (95\% CI): 1.88 (1.06, 3.36). Results
revealed poor implementation of Directly Observed Therapy (DOT), whereby
treatment of 34.3\% patients was never monitored by HCWs. Only 31.8\%
patients had ever accessed TB health education before their TB
diagnosis. Qualitative data consistently disclosed long patient delay,
and indicated that patient''s poor TB knowledge and socioeconomic
barriers were primary reasons for patient delay. Seeking care and being
treated at a non-TB hospital was an important reason for detection
delay. Patient''s long work hours and low income increased risk for
treatment non-adherence. Evidence-based measures to improve TB health
seeking behavior, reduce patient and detection delays, improve the
quality of DOT, address financial and system barriers, and increase
access to TB health promotion are urgently needed to address the
burgeoning prevalence of MDR-TB in China.'
affiliation: 'Li, Y (Corresponding Author), Third Mil Med Univ, Dept Social Med \&
Hlth Serv Management, Chongqing, Peoples R China.
Li, Ying; Liu, Ying, Third Mil Med Univ, Dept Social Med \& Hlth Serv Management,
Chongqing, Peoples R China.
Ehiri, John, Univ Arizona, Mel \& Enid Zuckerman Coll Publ Hlth, Div Hlth Promot
Sci, Tucson, AZ USA.
Oren, Eyal, Univ Arizona, Mel \& Enid Zuckerman Coll Publ Hlth, Div Epidemiol \&
Biostat, Tucson, AZ USA.
Hu, Daiyu; Wang, Qingya, Chongqing Inst TB Prevent \& Treatment, Chongqing, Peoples
R China.
Luo, Xingneng, Ctr Dis Control Shapingba Dist, Dept TB Control, Chongqing, Peoples
R China.
Li, Daikun, Chongqing Med Univ, Univ Town Hosp, Dept Lab Med, Chongqing, Peoples
R China.'
article-number: e88330
author: Li, Ying and Ehiri, John and Oren, Eyal and Hu, Daiyu and Luo, Xingneng and
Liu, Ying and Li, Daikun and Wang, Qingya
author-email: lilyliying2012@163.com
author_list:
- family: Li
given: Ying
- family: Ehiri
given: John
- family: Oren
given: Eyal
- family: Hu
given: Daiyu
- family: Luo
given: Xingneng
- family: Liu
given: Ying
- family: Li
given: Daikun
- family: Wang
given: Qingya
da: '2023-09-28'
doi: 10.1371/journal.pone.0088330
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: 'MULTIDRUG-RESISTANT TUBERCULOSIS; ANTITUBERCULOSIS-DRUG-RESISTANCE;
RISK-FACTORS; PULMONARY TUBERCULOSIS; EPIDEMIOLOGY; PREVALENCE; DELAYS;
TIME'
language: English
month: FEB 5
number: '2'
number-of-cited-references: '46'
orcid-numbers: Oren, Eyal/0000-0001-7817-3516
papis_id: 4b826a6b979a356127bb915a643da864
ref: Li2014arewe
researcherid-numbers: 'Oren, Eyal/AAD-5561-2019
'
times-cited: '17'
title: Are We Doing Enough to Stem the Tide of Acquired MDR-TB in Countries with High
TB Burden? Results of a Mixed Method Study in Chongqing, China
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000330829200177
usage-count-last-180-days: '0'
usage-count-since-2013: '26'
volume: '9'
web-of-science-categories: Multidisciplinary Sciences
year: '2014'