ابراهیم اوغلی, رضا ، قبادی مراللو, حسن ، ادهم, داود ، جنگی, پرویز ، عباسی قهرمانلو, عباس ، مرادی اصل, اسلام (1401) احتمال تاخیرهای تشخیصی سل و عوامل خطر مرتبط با آن در شمال غرب ایران از سال 1384 تا 1395: تجزیه و تحلیل بقا با استفاده از دادههای مراقبت سل. Epidemiology and Health ــ 44 (e20220). شاپا 2092-7193
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آدرس اینترنتی رسمی : https://www.e-epih.org/journal/view.php?number=130...
عنوان انگليسی
The probability of diagnostic delays for tuberculosis and its associated risk factors in northwest Iran from 2005 to 2016: a survival analysis using tuberculosis surveillance data
خلاصه انگلیسی
OBJECTIVES: Early diagnosis is essential for effective tuberculosis (TB) control programs. Therefore, this study examined the risk of delays in TB diagnosis and associated factors in Ardabil Province in northwest Iran from 2005 to 2016. METHODS: This longitudinal retrospective cohort study was conducted using data obtained from the Iranian National Tuberculosis Control Program at the provincial level between 2005 and 2016. The total delay in diagnosis was defined as the time interval (days) between the onset of symptoms and TB diagnosis. Survival analysis was conducted to analyze the delay in diagnosis. Associated factors were identified using a Cox proportional hazards model. RESULTS: A total of 1,367 new TB cases were identified. The 12-year median diagnostic delay was 45 days (interquartile range [IQR], 30-87). The annual median diagnostic delay decreased from 68 days (IQR, 33-131) in 2005 to 31 days (IQR, 30-62) in 2016. The probability of a delay in TB diagnosis decreased by 5.0% each year (hazard ratio [HR], 1.05; 95% confidence interval [CI], 1.04 to 1.07). Residence in a non-capital county (HR, 0.83; 95% CI, 0.74 to 0.92) and referral from the private health system (HR, 0.74%; 95% CI, 0.65 to 0.84) were significantly associated with an increased risk of delay in TB diagnosis over the 12-year study period. CONCLUSIONS: The median delay decreased during the study period. We identified factors associated with a longer delay in TB diagnosis. These findings may be useful for further TB control plans and policies in Iran.
نوع سند : | مقاله |
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زبان سند : | انگلیسی |
نویسنده اول : | رضا ابراهیم اوغلی |
نویسنده : | حسن قبادی مراللو |
نویسنده : | داود ادهم |
نویسنده : | پرویز جنگی |
نویسنده : | عباس عباسی قهرمانلو |
نویسنده مسئول : | اسلام مرادی اصل |
ضریب تاثیر و نمایه مجلات: | IF: 5.191 Indexed in: ISI, PubMed/Medline, Scopus |
کلیدواژه ها (انگلیسی): | TuberculosisDelayed, diagnosisSurvival, analysisIran |
موضوعات : | WA بهداشت عمومي WA بهداشت عمومي |
بخش های دانشگاهی : | دانشکده بهداشت > گروه بهداشت عمومی دانشکده بهداشت > گروه بهداشت عمومی دانشکده بهداشت > گروه بهداشت عمومی |
کد شناسایی : | 16266 |
ارائه شده توسط : | دکتر اسلام مرادی اصل |
ارائه شده در تاریخ : | 21 آذر 1401 12:21 |
آخرین تغییر : | 21 آذر 1401 12:21 |
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