Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10400.18/8926 |
Resumo: | URBANTB group: Patrícia Soares (Representative of the consortium), Mário Carreira, Sofia Pereira, Catarina Alves, Filipe Alves, Ana Rodrigues, Ana Moreira, Márcia Cardoso, Sandra Mota, Ana Gomes, Liliana Ferreira, Marta Lopes, Isabel Correia, Juan Rachadell, Maria Gameiro, Ângela Dias, Manuel Pereira, Jorge Gonçalves, Maria Gonçalves, Adriana Taveira, Celene Neves, Lucinda Silva, Maria Mendes, Maria Teixeira, Maria Pereira, Milena Piedade, Antónia Teixeira & Carlos Carvalho. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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7160 |
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Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in PortugalDelayed DiagnosisHelp-seeking BehaviourPatient DelaySymptom PerceptionSymptom ValorisationTuberculosisDoenças InfeciosasInfecções RespiratóriasEstados de Saúde e de DoençaPortugalURBANTB group: Patrícia Soares (Representative of the consortium), Mário Carreira, Sofia Pereira, Catarina Alves, Filipe Alves, Ana Rodrigues, Ana Moreira, Márcia Cardoso, Sandra Mota, Ana Gomes, Liliana Ferreira, Marta Lopes, Isabel Correia, Juan Rachadell, Maria Gameiro, Ângela Dias, Manuel Pereira, Jorge Gonçalves, Maria Gonçalves, Adriana Taveira, Celene Neves, Lucinda Silva, Maria Mendes, Maria Teixeira, Maria Pereira, Milena Piedade, Antónia Teixeira & Carlos Carvalho.Background: Diagnosis delay contributes to increased tuberculosis (TB) transmission and morbimortality. TB incidence has been decreasing in Portugal, but median patient delay (PD) has risen. Symptom valorisation may determine PD by influencing help-seeking behaviour. We aimed to analyse the association between symptom valorisation and PD, while characterising individuals who disregarded their symptoms. Methods: A cross-sectional study was conducted among TB patients in Lisbon and Oporto in 2019 - 2021. Subjects who delayed seeking care because they did not value their symptoms or thought these would go away on their own were considered to have disregarded their symptoms. PD was categorised using a 21-day cut-off, and a 30-day cut-off for sensitivity analysis. We estimated the effect of symptom valorisation on PD through a directed acyclic graph. Then, a multivariable regression analysis characterised patients that disregarded their symptoms, adjusting for relevant variables. We fitted Poisson regression models to estimate crude and adjusted prevalence ratios (PR). Results: The study included 75 patients. Median PD was 25 days (IQR 11.5-63.5), and 56.0% of participants had PD exceeding 21 days. Symptom disregard was reported by 38.7% of patients. Patients who did not value their symptoms had higher prevalence of PD exceeding 21 days compared to those who valued their symptoms [PR 1.59 (95% CI 1.05-2.42)]. The sensitivity analysis showed consistent point estimates but wider confidence intervals [PR 1.39 (95% CI 0.77-2.55)]. Being a smoker was a risk factor for symptom disregard [PR 2.35 (95% CI 1.14-4.82)], while living in Oporto [PR 0.35 (95% CI 0.16-0.75)] and having higher household incomes [PR 0.39 (95% CI 0.17-0.94)] were protective factors. Conclusions: These findings emphasise the importance of symptom valorisation in timely TB diagnosis. Patients who did not value their symptoms had longer PD, indicating a need for interventions to improve symptom recognition. Our findings also corroborate the importance of the socioeconomic determinants of health, highlighting tobacco as a risk factor both for TB and for PD.This work was supported by the Fundação para a Ciência e Tecnologia (FCT, Portugal) [Grant: PTDC/SAU-PUB/31346/2017]. The present publication was funded by Fundação para a Ciência e Tecnologia (FCT, Portugal) national support through Comprehensive Health Research Centre (CHRC) [UIDP/04923/2020].BMCRepositório Científico do Instituto Nacional de Saúdede Morais, MargaridaSousa, SofiaMarques, JéssicaMoniz, MartaDuarte, RaquelLeite, AndreiaSoares, PatriciaCarreira, MárioPereira, SofiaAlves, CatarinaAlves, FilipeRodrigues, AnaMoreira, AnaCardoso, MárciaMota, SandraGomes, AnaFerreira, LilianaLopes, MartaCorreia, IsabelRachadell, JuanGameiro, MariaDias, ÂngelaPereira, ManuelGonçalves, JorgeGonçalves, MariaTaveira, AdrianaNeves, CeleneSilva, LucindaMendes, MariaTeixeira, MariaPereira, MariaPiedade, MilenaTeixeira, AntóniaCarvalho, Carlos2024-01-18T13:13:41Z2023-12-052023-12-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/8926engBMC Public Health. 2023 Dec 5;23(1):2421. doi: 10.1186/s12889-023-17319-71471-245810.1186/s12889-023-17319-7info: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:RCAAP2024-01-20T01:32:24Zoai:repositorio.insa.pt:10400.18/8926Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:52:20.944624Repositório 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 |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| title |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| spellingShingle |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal de Morais, Margarida Delayed Diagnosis Help-seeking Behaviour Patient Delay Symptom Perception Symptom Valorisation Tuberculosis Doenças Infeciosas Infecções Respiratórias Estados de Saúde e de Doença Portugal |
| title_short |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| title_full |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| title_fullStr |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| title_full_unstemmed |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| title_sort |
Investigating the role of symptom valorisation in tuberculosis patient delay in urban areas in Portugal |
| author |
de Morais, Margarida |
| author_facet |
de Morais, Margarida Sousa, Sofia Marques, Jéssica Moniz, Marta Duarte, Raquel Leite, Andreia Soares, Patricia Carreira, Mário Pereira, Sofia Alves, Catarina Alves, Filipe Rodrigues, Ana Moreira, Ana Cardoso, Márcia Mota, Sandra Gomes, Ana Ferreira, Liliana Lopes, Marta Correia, Isabel Rachadell, Juan Gameiro, Maria Dias, Ângela Pereira, Manuel Gonçalves, Jorge Gonçalves, Maria Taveira, Adriana Neves, Celene Silva, Lucinda Mendes, Maria Teixeira, Maria Pereira, Maria Piedade, Milena Teixeira, Antónia Carvalho, Carlos |
| author_role |
author |
| author2 |
Sousa, Sofia Marques, Jéssica Moniz, Marta Duarte, Raquel Leite, Andreia Soares, Patricia Carreira, Mário Pereira, Sofia Alves, Catarina Alves, Filipe Rodrigues, Ana Moreira, Ana Cardoso, Márcia Mota, Sandra Gomes, Ana Ferreira, Liliana Lopes, Marta Correia, Isabel Rachadell, Juan Gameiro, Maria Dias, Ângela Pereira, Manuel Gonçalves, Jorge Gonçalves, Maria Taveira, Adriana Neves, Celene Silva, Lucinda Mendes, Maria Teixeira, Maria Pereira, Maria Piedade, Milena Teixeira, Antónia Carvalho, Carlos |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório Científico do Instituto Nacional de Saúde |
| dc.contributor.author.fl_str_mv |
de Morais, Margarida Sousa, Sofia Marques, Jéssica Moniz, Marta Duarte, Raquel Leite, Andreia Soares, Patricia Carreira, Mário Pereira, Sofia Alves, Catarina Alves, Filipe Rodrigues, Ana Moreira, Ana Cardoso, Márcia Mota, Sandra Gomes, Ana Ferreira, Liliana Lopes, Marta Correia, Isabel Rachadell, Juan Gameiro, Maria Dias, Ângela Pereira, Manuel Gonçalves, Jorge Gonçalves, Maria Taveira, Adriana Neves, Celene Silva, Lucinda Mendes, Maria Teixeira, Maria Pereira, Maria Piedade, Milena Teixeira, Antónia Carvalho, Carlos |
| dc.subject.por.fl_str_mv |
Delayed Diagnosis Help-seeking Behaviour Patient Delay Symptom Perception Symptom Valorisation Tuberculosis Doenças Infeciosas Infecções Respiratórias Estados de Saúde e de Doença Portugal |
| topic |
Delayed Diagnosis Help-seeking Behaviour Patient Delay Symptom Perception Symptom Valorisation Tuberculosis Doenças Infeciosas Infecções Respiratórias Estados de Saúde e de Doença Portugal |
| description |
URBANTB group: Patrícia Soares (Representative of the consortium), Mário Carreira, Sofia Pereira, Catarina Alves, Filipe Alves, Ana Rodrigues, Ana Moreira, Márcia Cardoso, Sandra Mota, Ana Gomes, Liliana Ferreira, Marta Lopes, Isabel Correia, Juan Rachadell, Maria Gameiro, Ângela Dias, Manuel Pereira, Jorge Gonçalves, Maria Gonçalves, Adriana Taveira, Celene Neves, Lucinda Silva, Maria Mendes, Maria Teixeira, Maria Pereira, Milena Piedade, Antónia Teixeira & Carlos Carvalho. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-12-05 2023-12-05T00:00:00Z 2024-01-18T13:13:41Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.18/8926 |
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http://hdl.handle.net/10400.18/8926 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
BMC Public Health. 2023 Dec 5;23(1):2421. doi: 10.1186/s12889-023-17319-7 1471-2458 10.1186/s12889-023-17319-7 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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BMC |
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BMC |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1817553707483529216 |