Chanam Lee, Li Li
Demographic, physical activity, and route characteristics related to school transportation: an exploratory study
American journal of health promotion : AJHP
tuberculosis tb remains major public health challenge however indicators delays assessing effective tb prevention control influencing factors investigated eastern coastal county china notified pulmonary tuberculosis ptb cases fenghua district china collected 2010 2021 available tb information management system comparison delays involving patient health system total delays among local migrant cases additionally correlation available basic public health service project system performed univariate multivariate logistic regression analyses identified influencing factors associated patient total delays patients aged 60 years total 3442 ptb cases notified including 1725 local 1717 migrant patients maletofemale ratio 2131 median patient total delays local tb patients longer migrant patients median health system delay show significant difference patient delay among older adult female cor 193 95 ci 107348 educational level elementary school middle school cor 023 95 ci 006084 statistical difference univariable analysis however patients without diabetes showed higher delay multiplefactor analysis aor 212 95 ci 102441 furthermore education level elementary school middle school presented low total delay univariate cor 022 95 ci 006082 multivariate analysis aor 021 95 ci 005083 older patients delay tb cases among migrants lower local population fenghua district may related healthy migrant effect highlights women illiterate people people without diabetes key groups reducing delays among older adults health awareness focus target populations providing accessible health services reducing time symptom onset diagnosis