Detection delay of pulmonary tuberculosis patients among migrants in China: a cross-sectional study

Int J Tuberc Lung Dis. 2012 Dec;16(12):1630-6. doi: 10.5588/ijtld.12.0227.


Objectives: 1) To explore the characteristics of patient and diagnostic delays among migrant tuberculosis (TB) patients in Shandong, China; and 2) to identify factors associated with patient and diagnostic delays, for the development and improvement of TB control strategy among migrants in China.

Design: A cross-sectional study was conducted in 12 counties of Shandong Province using a semi-structured questionnaire. A total of 314 smear-positive pulmonary migrant TB patients registered with the county TB dispensary of the sampling sites from 1 August 2007 to 31 July 2008 were selected.

Results: Among 314 migrant TB patients, the median patient delay was 10 days, and the median diagnostic delay was 8 days. A quarter of the participants had a patient delay of >22 days and a diagnostic delay of >16 days. Factors affecting detection delay included financial conditions, health insurance status, working time, patient age, severity of initial symptoms, geographic access to TB-related care and the health facilities first visited.

Conclusions: Interventions such as expansion of the free service package and education about TB diagnosis among community health personnel are urgently required for early case detection among migrants.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Chi-Square Distribution
  • China / epidemiology
  • Cross-Sectional Studies
  • Delayed Diagnosis*
  • Employment
  • Female
  • Financing, Personal
  • Health Services Accessibility
  • Humans
  • Insurance, Health
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Mycobacterium tuberculosis / isolation & purification
  • National Health Programs
  • Odds Ratio
  • Patient Acceptance of Health Care*
  • Predictive Value of Tests
  • Registries
  • Residence Characteristics
  • Risk Factors
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Time Factors
  • Transients and Migrants / psychology*
  • Tuberculosis, Pulmonary / diagnosis*
  • Tuberculosis, Pulmonary / epidemiology
  • Tuberculosis, Pulmonary / microbiology
  • Tuberculosis, Pulmonary / psychology
  • Young Adult