Trends of delays in tuberculosis case finding in Japan and associated factors

SETTING: Nationwide tuberculosis (TB) registry in Japan, 1987-2002.OBJECTIVE: To clarify the trends of patient's delay (PD), doctor's delay (DD) and total delay (TD), their relation and factors associated with the delays.DESIGN: Longitudinal study on trends in delays. Among patients with s...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2005-09, Vol.9 (9), p.999-1005
Hauptverfasser: OHMORI, M, OZASA, K, MORI, T, WADA, M, YOSHIYAMA, T, AOKI, M, UCHIMURA, K, ISHIKAWA, N
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container_end_page 1005
container_issue 9
container_start_page 999
container_title The international journal of tuberculosis and lung disease
container_volume 9
creator OHMORI, M
OZASA, K
MORI, T
WADA, M
YOSHIYAMA, T
AOKI, M
UCHIMURA, K
ISHIKAWA, N
description SETTING: Nationwide tuberculosis (TB) registry in Japan, 1987-2002.OBJECTIVE: To clarify the trends of patient's delay (PD), doctor's delay (DD) and total delay (TD), their relation and factors associated with the delays.DESIGN: Longitudinal study on trends in delays. Among patients with symptomatic smear-positive pulmonary TB, those with long PD (≥2 months), DD (≥1 month) and TD (≥3 months) were analysed.RESULTS: Long PD rates increased until around 1997, whereas long DD rates decreased markedly from 1995 to 1999. Long TD rates increased until 1997, and decreased slightly thereafter. Men aged 30-59 years had higher rates of long PD, and the long PD rates increased through the 16-year observation period. Day labourers receiving or applying for welfare benefit had the highest rate of long TD, 46.5% during 1995-2002. Teachers and medical doctors showed the greatest increase in long TD rates through the period.CONCLUSION: Long TD was influenced more by PD than DD, and showed an upward trend. However, the long TD rate has declined slightly owing to the recent reduction in long DD. The reduction in DD since 1995 occurred immediately after the introduction of new technology in bacteriological examinations.
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Among patients with symptomatic smear-positive pulmonary TB, those with long PD (≥2 months), DD (≥1 month) and TD (≥3 months) were analysed.RESULTS: Long PD rates increased until around 1997, whereas long DD rates decreased markedly from 1995 to 1999. Long TD rates increased until 1997, and decreased slightly thereafter. Men aged 30-59 years had higher rates of long PD, and the long PD rates increased through the 16-year observation period. Day labourers receiving or applying for welfare benefit had the highest rate of long TD, 46.5% during 1995-2002. Teachers and medical doctors showed the greatest increase in long TD rates through the period.CONCLUSION: Long TD was influenced more by PD than DD, and showed an upward trend. However, the long TD rate has declined slightly owing to the recent reduction in long DD. 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Among patients with symptomatic smear-positive pulmonary TB, those with long PD (≥2 months), DD (≥1 month) and TD (≥3 months) were analysed.RESULTS: Long PD rates increased until around 1997, whereas long DD rates decreased markedly from 1995 to 1999. Long TD rates increased until 1997, and decreased slightly thereafter. Men aged 30-59 years had higher rates of long PD, and the long PD rates increased through the 16-year observation period. Day labourers receiving or applying for welfare benefit had the highest rate of long TD, 46.5% during 1995-2002. Teachers and medical doctors showed the greatest increase in long TD rates through the period.CONCLUSION: Long TD was influenced more by PD than DD, and showed an upward trend. However, the long TD rate has declined slightly owing to the recent reduction in long DD. The reduction in DD since 1995 occurred immediately after the introduction of new technology in bacteriological examinations.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Case Finding</subject><subject>Child</subject><subject>Delay</subject><subject>Factor</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Insurance, Health</subject><subject>Japan</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Occupations</subject><subject>Time Factors</subject><subject>Tuberculosis</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Pulmonary - diagnosis</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1vFDEMQEcIREvhL6Bc4DaSM5lMkiMqUEBFcCjnyJOPKqvZzBJnkMqvJ6vdqidysC3n6Um2n3WXXHPZKzPA81bDoHqhuLnoXhHtAAbOuXrZXfCJS63NcNl9vyshe2JrZD4s-EAsZVa3ORS3LSslYg4psJiyT_n--PkND5gZZs-QaHUJa_Asoqtrodfdi4gLhTfnfNX9-vzp7vpLf_vj5uv1h9s-CSVqP3MncJ4mMDCNalRaq9nFYNwYueMKIvdSjFwaNGIEpYMYFQKoeQLthOTiqnt_8h7K-nsLVO0-kQvLgjmsG9lJSy200Q18ewa3eR-8PZS0x_JgHxfQgHdnAMnhEgtml-iJUyBhANW4jyeubSHkina3biW3GW3asC7ept0xDgDSwumZpwJLbZlD0_z8n8Y9mo5XOx7N_jHZNOPAQQ_SctlaPkTclmorFnv_11JT_gNzWZRp</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>OHMORI, M</creator><creator>OZASA, K</creator><creator>MORI, T</creator><creator>WADA, M</creator><creator>YOSHIYAMA, T</creator><creator>AOKI, M</creator><creator>UCHIMURA, K</creator><creator>ISHIKAWA, N</creator><general>IUATLD</general><general>Union internationale contre la tuberculose et les maladies respiratoires</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20050901</creationdate><title>Trends of delays in tuberculosis case finding in Japan and associated factors</title><author>OHMORI, M ; OZASA, K ; MORI, T ; WADA, M ; YOSHIYAMA, T ; AOKI, M ; UCHIMURA, K ; ISHIKAWA, N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i373t-b1c3ab6609064747887bcfe9c4f1c170f1d534159a934078e347a007b608c3513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Case Finding</topic><topic>Child</topic><topic>Delay</topic><topic>Factor</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Insurance, Health</topic><topic>Japan</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Occupations</topic><topic>Time Factors</topic><topic>Tuberculosis</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Tuberculosis, Pulmonary - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OHMORI, M</creatorcontrib><creatorcontrib>OZASA, K</creatorcontrib><creatorcontrib>MORI, T</creatorcontrib><creatorcontrib>WADA, M</creatorcontrib><creatorcontrib>YOSHIYAMA, T</creatorcontrib><creatorcontrib>AOKI, M</creatorcontrib><creatorcontrib>UCHIMURA, K</creatorcontrib><creatorcontrib>ISHIKAWA, N</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OHMORI, M</au><au>OZASA, K</au><au>MORI, T</au><au>WADA, M</au><au>YOSHIYAMA, T</au><au>AOKI, M</au><au>UCHIMURA, K</au><au>ISHIKAWA, N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends of delays in tuberculosis case finding in Japan and associated factors</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2005-09-01</date><risdate>2005</risdate><volume>9</volume><issue>9</issue><spage>999</spage><epage>1005</epage><pages>999-1005</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Nationwide tuberculosis (TB) registry in Japan, 1987-2002.OBJECTIVE: To clarify the trends of patient's delay (PD), doctor's delay (DD) and total delay (TD), their relation and factors associated with the delays.DESIGN: Longitudinal study on trends in delays. Among patients with symptomatic smear-positive pulmonary TB, those with long PD (≥2 months), DD (≥1 month) and TD (≥3 months) were analysed.RESULTS: Long PD rates increased until around 1997, whereas long DD rates decreased markedly from 1995 to 1999. Long TD rates increased until 1997, and decreased slightly thereafter. Men aged 30-59 years had higher rates of long PD, and the long PD rates increased through the 16-year observation period. Day labourers receiving or applying for welfare benefit had the highest rate of long TD, 46.5% during 1995-2002. Teachers and medical doctors showed the greatest increase in long TD rates through the period.CONCLUSION: Long TD was influenced more by PD than DD, and showed an upward trend. However, the long TD rate has declined slightly owing to the recent reduction in long DD. The reduction in DD since 1995 occurred immediately after the introduction of new technology in bacteriological examinations.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>16158892</pmid><tpages>7</tpages></addata></record>
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source MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Adult
Bacterial diseases
Biological and medical sciences
Case Finding
Child
Delay
Factor
Female
Human bacterial diseases
Humans
Infectious diseases
Insurance, Health
Japan
Male
Medical sciences
Middle Aged
Occupations
Time Factors
Tuberculosis
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Pulmonary - diagnosis
title Trends of delays in tuberculosis case finding in Japan and associated factors
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