Geographic mobility and time to seeking care among people with TB in Limpopo, South Africa

被引：0

作者：

Petersen, M. R. ^{[1
]}

Nonyane, B. A. S. ^{[2
]}

Lebina, L. ^{[3
]}

Mmolawa, L. ^{[3
]}

Siwelana, T. ^{[3
]}

Martinson, N. ^{[3
]}

Dowdy, D. W. ^{[1
]}

Hanrahan, C. F. ^{[1
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, 615 N Wolfe St,Room E6031, Baltimore, MD 21205 USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Internat Hlth, Baltimore, MD USA

[3] Perinatal HIV Res Unit, Soweto, South Africa

来源：

INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE | 2021年 / 25卷 / 09期

基金：

美国国家卫生研究院;

关键词：

tuberculosis; geographic mobility; care-seeking; South Africa; MIGRATION; TUBERCULOSIS; MORTALITY; HEALTH;

D O I：

10.5588/ijtld.21.0038

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

SETTING: Human mobility contributes to the spread of infectious diseases. South Africa has a long history of internal labor migration and a high burden of TB. METHODS: People newly diagnosed with TB in the Vhembe and Waterberg Districts of Limpopo answered a questionnaire regarding geographic movement over the past year. Participants were classified as 'highly mobile' (spending more than 30 nights at a residence other than their primary residence in the past year, or being >= 250 km from their primary residence at the time of the interview) or 'less mobile'. We explored associations between sociodemographic characteristics and high mobility, and between mobility and time to presentation at a clinic. RESULTS: Of the 717 participants included, 185 (25.7%) were classified as 'highly mobile'. Factors associated with high mobility included living with someone outside of Limpopo Province, HIV-positive status (men only), and current smoking (men only). Highly mobile individuals had similar care-seeking behavior as less mobile individuals (adjusted time ratio 0.9, 95% CI 0.6-1.2, P = 0.304) CONCLUSION: Highly mobile people with TB in Limpopo Province were more likely to live with people from outside the province, smoke, and have HIV. These patients had similar delays in seeking care as less mobile individuals.

引用

页码：708 / +

页数：9

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