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All Journal Tropical Medicine Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Journal of Tropical Biodiversity and Biotechnology Berkala Ilmiah Kedokteran Duta Wacana Jurnal Epidemiologi Kesehatan Komunitas Jurnal Entomologi Indonesia Journal of Community Empowerment for Health Indonesian Journal of Global Health research Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Riris Andono Ahmad
Departemen Biostatistik, Epidemiologi Dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Journal : Tropical Medicine Journal

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Factors Associated with Delayed Diagnosis among Tuberculosis Patient in Kebumen District Edwin Sovvan Aritonang; Ning Rintiswati; Riris Andono Ahmad
Tropical Medicine Journal Vol 3, No 2 (2013): Tropical Medicine Journal
Publisher : Pusat Kedokteran Tropis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1405.366 KB) | DOI: 10.22146/tmj.5865

Abstract

ABSTRACTIntroduction: Tuberculosis is a major global health problem. It is estimated that almost 9 million new cases detected in 2011 and 1.4 million died because of TB. Early diagnosis and effective treatment are the key elements of the TB control program. Delayed diagnosis associated with a longer duration of infectiousness, increase the severity of the disease, more severe complication and even death.Objectives: To determine the factors associated with delayed diagnosis among tuberculosis patients in Kebumen District.Methods : A cross sectional study among newly diagnosed TB patients in April to June 2013 in Kebumen was conducted. The data was collected using a questionnaire interviewing officers of government health care facilities which have implemented DOTS programs already. Data was analyzed by a logistic regression test with confidence interval (CI) of 95%.Results: Eighty five pulmonary TB patients were studied consisting of 65 TB smear positive and 20 smear negative/roentgen positive patients. The median duration of delayed patients was 3.9 weeks; delayed health service was 2.6 weeks and delayed diagnosis was 7.6 weeks. Multivariate analysis showed that factors associated with delayed diagnosis were the type of health services which first visited (p value = 0.002 and OR = 6.87), level of knowledge about TB (p value = 0.002 and OR = 6.41), educational level (p value = 0.024 and OR = 5.68) and the number of visits to health service (p value = 0.021 and OR = 3.87).Conclusion : The median duration of delayed diagnosis was 7.6 weeks. Delayed diagnosis among TB patients in Kebumen Distict was associated with type of health services which is non-DOTS, low level of knowledge about TB,  low levels of education and the number of visits to health services ≥3 times.Keywords: delayed diagnosis, TB patients, Kebumen District
Co-Authors Adekayanti, Putri Adi Isworo Adi Isworo Adi Utarini Aditya Lia Ramadona Ageng Brahmadhi Agus Heri Setiawan Akhmad Mukhibin Amalia, Ichlasul Ananda, Dwi Rizki Andi Dian Puji Lestari Anis Fuad Anis Fuad Anna Tri Hardati Ari Probandari Artika Fristi Firnawati Aryal, Pramila Atik Tri Ratnawati Aulawi Aulawi Ayu Rahayu Bambang Sigit Riyanto Budi Arianto, Budi Chusnaifah, Defriana Lutfi Citra Indriani Daniwijaya, Edwin Widyanto Dewi Ratnawati Dewi Ratnawati DIAN ARUNI KUMALAWATI Dian Mawarni Dibyo Pramono Dibyo Pramono Edwin Sovvan Aritonang Eggi Arguni Evi Susanti Sinaga Fatikha, Amira Nada Febriansyah Firdaus Hafidz As Shidieq Firdy Permana Fitriana, Iva Fury Maulina Guardian Yoki Sanjaya Handika, Denis Oxy Hanevi Djasri Hari Kusnanto Hari Kusnanto Hari Saktiningsih Hary Satrisno Heru Prasanto Imam Abrori Indah Nurhayati Jamhari Jamhari Jemsner Stenly Iroth Joshi, Prakash Chandra Julianti Jeanette Sabono Kuncoro, Teguh Tri Kurniasari, Irianti Leli Rachmawati Lina Apriana Listy Handayani Lutfan Lazuardi Madarina Julia Mardia Mardia Maria Agustina P.Tondong Maundeng, Agnes Caroline Meityn Disye Kasaluhe merlyn sinaga Mohammad Hakimi Mubasysyir Hasanbasri Mubasysyir Hasanbasri Muhammad Ali Imron mukhibin, akhmad Nepal, Sudip Ning Rintiswati Ning Rintiswati Nooria Sukmaningtyas Pramuko, Nida Budiwati Pratama, Fikry Purwaningrum, Nabhela Ayu Retnowulan, Heni Rieski Prihastuti Rio Hermantara Risalia Reni Arisanti Rizaldy Pinzon Rosmawati, Elly Rovik, Anwar Ruri Trisasri Saraswati, Utari Sebong, Perigrinus Hermin Shinta Prawitasari Siti Nurfadilah H Solly Aryza Sukoco, Sidig Hery Supriyati, Endah Tampubolon, Gumson Josua Tasrif Ahmad Timilsina, Amit Tisa Salma Muthi'ah Utama, Muhamad Imam Utami, Indira Diah Vivin Fitriana Vivin Fitriana Wardana, Dwi Satria Warsito Tantowijoyo, Warsito Wisotowardono, Ossie Sosodoro Wuaten, Grace Angel Yanri Wijayanti Subronto Yayi Suryo Prabandari Yodi Mahendradhata Yulia Irene Wahyunarni Zulhasogi, Andre