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J Public Health (Oxf). 2013 Mar;35(1):12-20. doi: 10.1093/pubmed/fds046. Epub 2012 Jun 21.

Delay and completion of tuberculosis treatment: a cross-sectional study in the West Midlands, UK.

Author information

1
School of Health and Population Sciences, University of Birmingham, Room 240, Edgbaston, Birmingham B15 2TT, UK. hamira.sultan@nhs.net

Abstract

BACKGROUND:

TB remains a significant problem in the UK with the West Midlands having the highest incidence after London. Treatment is usually for a minimum of 6 months and requires a high level of compliance. We investigated potential determinants of delays and completion of treatment for tuberculosis (TB) in the West Midlands, UK.

METHODS:

We used data on 4840 patients with TB in the West Midlands from the Enhanced Tuberculosis Surveillance database from 1 January 2005 to 1 October 2010. We used regression models to investigate the cross-sectional association between sociodemographic and clinical risk factors and the timeliness and completion of TB treatment.

RESULTS:

Patients with TB waited 82 days on average from symptom onset to treatment initiation. Female patients spent 6% longer time than males before receiving treatment [95% confidence interval (CI): 1.2-11.6%, P = 0.015]. Asian/Asian British patients were 11 times more likely to complete treatment than White patients (adjusted odds ratio: 11.4, 95% CI: 1.31-100.3, P = 0.028).

CONCLUSIONS:

Females in the West Midlands took longer time to receive TB treatment than males, representing a health inequality that could be addressed through gender-sensitive awareness raising programmes. White patients were less likely to complete treatment than Asian/Asian British patients; additional support is needed in this group.

PMID:
22722093
DOI:
10.1093/pubmed/fds046
[Indexed for MEDLINE]

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