Pulmonology Pulmonology
Pulmonol 2018;24:294-9 - Vol. 24 Num.5 DOI: 10.1016/j.rppnen.2017.10.002
Original article
Diagnosis delay of tuberculosis in the Huambo province, Angola
E. Santosa,b,, , Ó. Felgueirasc,d, O. Oliveirab, R. Duarteb,e,f
a Instituto Superior Politécnico, Universidade José Eduardo dos Santos, Cidade Alta, Huambo, Angola
b EpiUnit – Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas, n° 135, 4050-600 Porto, Portugal
c Departamento de Matemática, Faculdade de Ciências, Universidade do Porto, Porto, Portugal
d Centro de Matemática da Universidade do Porto, Porto, Portugal
e Departamento de Pneumologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal
f Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Universidade do Porto, Porto, Portugal
Received 08 March 2017, Accepted 08 October 2017
Abstract
Introduction

Early diagnosis is necessary for the success of the tuberculosis (TB) program. Goal: To identify factors associated with diagnosis delay of TB in Huambo, Angola.

Material and methods

Cross-sectional study carried out in patients diagnosed with TB at the Huambo Anti-Tuberculosis Dispensary (ATD) in the period between October 2015 and January 2016.

Results

The 247 patients included in the analysis had a median age of 27 years and a median diagnosis delay of 64 days. In the univariate analysis, age, consumption of alcoholic beverages, living in a residence further than 10km from a healthcare unit, and looking for any other health unit than the emergency unit were associated with longer diagnosis delay. In the multivariate analysis model, to be between 30 and 44 years of age (p=0.018), to live in a residence more than 10km from a healthcare unit (p=0.006) and to turn to traditional medicine as the first healthcare option (p<0.001) were factors that led to greater time delay before diagnosis.

Conclusions

In the Huambo province, age, distance to healthcare facility and the first healthcare service consulted were associated with diagnosis delay of TB.

Keywords
Tuberculosis, Diagnosis, Associated factors, Huambo
Pulmonol 2018;24:294-9 - Vol. 24 Num.5 DOI: 10.1016/j.rppnen.2017.10.002
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