Gender difference in treatment seeking behaviors of tuberculosis cases in rural communities of Bangladesh.

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dc.contributor.authorAhsan, Giasuddinen_US
dc.contributor.authorAhmed, Jalaluddinen_US
dc.contributor.authorSinghasivanon, Pratapen_US
dc.contributor.authorKaewkungwal, Jaraniten_US
dc.contributor.authorOkanurak, Kamolnetren_US
dc.contributor.authorSuwannapong, Nawaraten_US
dc.contributor.authorAkarasewi, Pasakornen_US
dc.contributor.authorMajid, Mohammad Aen_US
dc.contributor.authorBegum, Vikarunessaen_US
dc.contributor.authorBelayetali, Kazien_US
dc.date.accessioned2009-05-27T16:08:06Z
dc.date.available2009-05-27T16:08:06Z
dc.date.issued2004-03-27en_US
dc.descriptionThe Southeast Asian Journal of Tropical Medicine and Public Health.en_US
dc.description.abstractThis descriptive cross-sectional study was conducted to investigate gender differences in the epidemiological factors associated with the treatment seeking behaviors of TB cases in the rural communities of Bangladesh. The study reveals that there is significant gender difference in treatment seeking behaviors of rural TB cases and the majority of them (52%) have taken prior treatment from various traditional healers, 70% of them are females who attended health centers (UZHCs) as the other choice (adjusted OR: 4.2, 95% CI: 2.0-8.4). It was found that the mean patient delay was 63 days (range 14-210 days) where half of the females delayed more than 60 days while they were spreading their disease. The study findings reveal gender differences in treatment seeking behaviors associated with socio-cultural barriers, particularly among females in their access to TB care. Fifty-five percent of cases wanted the diagnosis of TB remain confidential to avoid being labeled as TB patients, where 82.7% were female, 85.6% of female TB patients had problems in their relationships with their spouse (61%) and family members (58%) after being diagnosed with TB. The results of the TB service factors found that 39% of females were not satisfied with their provider's behaviors, which was significantly associated with treatment seeking behavior (adjusted OR: 2.6, 95% CI: 1.0-6.6). The study findings strongly suggest that there was a significant gender difference in treatment seeking behavior in rural Bangladesh. Based on the study findings, we recommend developing an appropriate gender strategy for developing a TB control program, comprised of operational, socio-cultural and community awareness interventions aimed at treating undiscovered reservoirs of female TB cases in rural Bangladesh.en_US
dc.description.affiliationDGHS, Ministry of Health and FW, Dhaka, Bangladesh. guahsan@yahoo.comen_US
dc.identifier.citationAhsan G, Ahmed J, Singhasivanon P, Kaewkungwal J, Okanurak K, Suwannapong N, Akarasewi P, Majid MA, Begum V, Belayetali K. Gender difference in treatment seeking behaviors of tuberculosis cases in rural communities of Bangladesh. The Southeast Asian Journal of Tropical Medicine and Public Health. 2004 Mar; 35(1): 126-35en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/34497
dc.language.isoengen_US
dc.source.urihttps://www.tm.mahidol.ac.th/seameo/2004_35_1/18-3178.pdfen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshAntitubercular Agents --administration & dosageen_US
dc.subject.meshAttitude to Healthen_US
dc.subject.meshBangladesh --epidemiologyen_US
dc.subject.meshConfidence Intervalsen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Behavioren_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOdds Ratioen_US
dc.subject.meshPatient Acceptance of Health Care --statistics & numerical dataen_US
dc.subject.meshProbabilityen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshRural Populationen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSex Factorsen_US
dc.subject.meshSocioeconomic Factorsen_US
dc.subject.meshTuberculosis, Pulmonary --diagnosisen_US
dc.titleGender difference in treatment seeking behaviors of tuberculosis cases in rural communities of Bangladesh.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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