Martinho A P S dos Santos|M. F. P. M. Albuquerque|Ricardo A. A. Ximenes|Norma Lucena?Silva|Cynthia Braga|Antônio Roberto Leite Campelo|Odimariles M S Dantas|Ulísses Ramos Montarroyos|Wayner Vieira de Souza|Alexandre M Kawasaki|Laura C. Rodrigues
Risk factors for treatment delay in pulmonary tuberculosis in Recife, Brazil
Universidade Federal de Pernambuco|Fundação Oswaldo Cruz|Universidade Federal de Pernambuco|Universidade Federal de Pernambuco|Fundação Oswaldo Cruz|Fundação Oswaldo Cruz|University of London|London School of Hygiene & Tropical Medicine|Universidade Federal de Pernambuco|Fundação Oswaldo Cruz|Fundação Oswaldo Cruz|Universidade Federal de Pernambuco|University of London|London School of Hygiene & Tropical Medicine
tuberculosis still great challenge public health brazil worldwide early detection followed effective therapy extremely important controlling disease recent studies investigated reasons delays treatment agreed definition constitutes acceptable delay study investigates factors associated total delay treatment tuberculosisa cohort adult cases pulmonary tuberculosis diagnosed twoyear period studied patients interviewed entry reporting duration symptoms start treatment sputum blood samples collected decided sixty days acceptable total delay associations investigated using univariable multivariable analysis population attributable fraction estimatedof 1105 patients 62 delay longer 60 days age sex alcoholism difficulty access associated delays associations found case unemployment given smoking lost weight treated two six health districts proportion attributable exsmoker 31 unemployment 18 weight loss 12 going two worst health districts 25in urban area delays seem related unemployment general attitudes towards health although reflect way health services organized delays associated access care