Tuberculosis amongst foreign-born and nationals

Detalhes bibliográficos
Autor(a) principal: Moniz, Marta
Data de Publicação: 2021
Outros Autores: Soares, Patrícia, Leite, Andreia, Nunes, Carla
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/125827
Resumo: Funding Information: The study was supported by the Foundation for Science and Technology—FCT (Portuguese Ministry of Science, Technology and Higher Education) under the National School of Public Health, Universidade NOVA de Lisboa, Lisboa, Portugal (PTDC/SAU-PUB/31346/2017). Publisher Copyright: © 2021, The Author(s).
id RCAP_5726297f027b01c623d3dfe5305557f7
oai_identifier_str oai:run.unl.pt:10362/125827
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Tuberculosis amongst foreign-born and nationalsdifferent delays, different risk factorsDiagnosis delayForeign-bornRisk factorsTuberculosisInfectious DiseasesSDG 3 - Good Health and Well-beingFunding Information: The study was supported by the Foundation for Science and Technology—FCT (Portuguese Ministry of Science, Technology and Higher Education) under the National School of Public Health, Universidade NOVA de Lisboa, Lisboa, Portugal (PTDC/SAU-PUB/31346/2017). Publisher Copyright: © 2021, The Author(s).Background: Delay in Tuberculosis (TB) diagnosis affects foreign-born and nationals in different ways, especially in low-incidence countries. This study characterises total delay and its components amongst foreign-born individuals in Portugal. Additionally, we identify risk factors for each type of delay and compare their effects between foreign-born and nationals. Methods: We analysed data from the Portuguese TB surveillance system and included individuals with pulmonary TB (PTB), notified between 2008 and 2017. We described patient, healthcare, and total delays. Cox regression was used to identify factors associated with each type of delay. All analyses were stratified according to the origin country: nationals (those born in Portugal) and foreign-born. Results: Compared with nationals, foreign-born persons presented statistically significant and longer median total and patient delays (Total: 67 vs. 63; Patient: 44 vs. 36 days), and lower healthcare services delays (7 vs. 9 days). Risk factors for delayed diagnosis differed between foreign-born and nationals. Being unemployed, having drug addiction, and having comorbidities were identified as risk factors for delayed diagnosis in national individuals but not in foreigners. Alcohol addiction was the only factor identified for healthcare delay for both populations: foreign-born (Hazard Ratio 1.34 [95% confidence interval 1.17;1.53]); nationals (Hazard Ratio 1.20 [95% confidence interval 1.13;1.27]). Conclusions: Foreign-born individuals with PTB take longer to seek health care. While no specific risk factors were identified, more in-depth studies are required to identify barriers and support public health intervention to address PTB diagnosis delay in foreign-born individuals.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNMoniz, MartaSoares, PatríciaLeite, AndreiaNunes, Carla2021-10-09T04:58:41Z2021-122021-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/125827eng2374-4235PURE: 34160380https://doi.org/10.1186/s12879-021-06635-1info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:06:38Zoai:run.unl.pt:10362/125827Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:45:48.034729Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Tuberculosis amongst foreign-born and nationals
different delays, different risk factors
title Tuberculosis amongst foreign-born and nationals
spellingShingle Tuberculosis amongst foreign-born and nationals
Moniz, Marta
Diagnosis delay
Foreign-born
Risk factors
Tuberculosis
Infectious Diseases
SDG 3 - Good Health and Well-being
title_short Tuberculosis amongst foreign-born and nationals
title_full Tuberculosis amongst foreign-born and nationals
title_fullStr Tuberculosis amongst foreign-born and nationals
title_full_unstemmed Tuberculosis amongst foreign-born and nationals
title_sort Tuberculosis amongst foreign-born and nationals
author Moniz, Marta
author_facet Moniz, Marta
Soares, Patrícia
Leite, Andreia
Nunes, Carla
author_role author
author2 Soares, Patrícia
Leite, Andreia
Nunes, Carla
author2_role author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Moniz, Marta
Soares, Patrícia
Leite, Andreia
Nunes, Carla
dc.subject.por.fl_str_mv Diagnosis delay
Foreign-born
Risk factors
Tuberculosis
Infectious Diseases
SDG 3 - Good Health and Well-being
topic Diagnosis delay
Foreign-born
Risk factors
Tuberculosis
Infectious Diseases
SDG 3 - Good Health and Well-being
description Funding Information: The study was supported by the Foundation for Science and Technology—FCT (Portuguese Ministry of Science, Technology and Higher Education) under the National School of Public Health, Universidade NOVA de Lisboa, Lisboa, Portugal (PTDC/SAU-PUB/31346/2017). Publisher Copyright: © 2021, The Author(s).
publishDate 2021
dc.date.none.fl_str_mv 2021-10-09T04:58:41Z
2021-12
2021-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/125827
url http://hdl.handle.net/10362/125827
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2374-4235
PURE: 34160380
https://doi.org/10.1186/s12879-021-06635-1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138062178975744

Registros relacionados