Health system delay in treatment of multidrug resistant tuberculosis patients in Bangladesh

Rifat, Mahfuza; Hall, John; Oldmeadow, Christopher; Husain, Ashaque; Milton, Abul Hasnat

doi:10.1186/s12879-015-1253-9

BMC Infectious Diseases

Table 3 Factors related to health system delay of multidrug resistant tuberculosis (MDR-TB) patients of Bangladesh

From: Health system delay in treatment of multidrug resistant tuberculosis patients in Bangladesh

		Univariate analysis (n = 200)				Multivariable analysis (n = 200)
Variable	Median Health system delay	Coefficient^a	p*	95 % Confidence Interval		Coefficient^a	p*	p**	95 % Confidence Interval
				Lower	Upper				Lower	Upper
Gender
Male	51.5	Reference				Reference
Female	45	−21.9	0.01	−38.9	−4.9	−18.1	0.27		−50.4	14.2
Education								0.35
No education	43	Reference				Reference
Up to secondary level	50.5	4.1	0.70	−16.9	25.0	3.5	0.76		−18.7	25.7
Higher secondary and above	54.5	58.0	0.13	−17.6	133.5	58.1	0.15		−20.3	136.5
Provider visited								0.003
DOTS centre^c	45	Reference				Reference
Private practitioners	53	33.6	0.01	10.2	57.0	37.7	0.001		15.0	60.4
Informal provider	59.5	23.4	0.12	−5.9	52.7	26.2	0.13		−8.0	60.5
Residence status
Rural	51	Reference				Reference
Urban	46	−1.3	0.89	−19.0	16.4	4.6	0.70		−19.1	28.2
Type of the patients								0.07
New TB patient	57	Reference				Reference
Cured, previously treated	45	−4.2	0.83	−41.4	33.0	21.8	0.40		−29.3	72.9
Completed, previously treated	40.5	2.0	0.90	−30.1	34.0	16.5	0.54		−36.5	69.4
Default, previously treated	51	2.0	0.91	−31.1	35.1	42.6	0.16		−16.7	101.9
Failure, previously treated	54	27.4	0.14	−9.3	64.1	51.7	0.08		−5.3	108.7
No outcome recorded, previously treated	56.5	5.1	0.79	−31.3	41.4	23.9	0.42		−34.0	81.7
Occupation								0.66
None	41.5	Reference				Reference
Service	51	34.7	0.02	5.4	64.0	17.1	0.34		−17.9	52.1
Farmer	54	25.0	0.10	−4.8	54.8	32.8	0.16		−12.8	78.4
Student	27	−15.3	0.14	−35.6	5.0	−21.7	0.56		−93.9	50.6
Homemaker	49	14.4	0.25	−9.9	38.7	26.2	0.12		−6.8	59.1
Factory worker	54	41.6	0.15	−15.0	98.2	36.6	0.32		−35.1	108.2
Business	48.5	31.8	0.03	2.7	60.8	8.8	0.72		−38.6	56.2
Self employed	70.5	43.9	0.07	−3.5	91.3	45.9	0.13		−13.7	105.4
Transport worker	45.5	51.0	0.24	−33.8	135.8	45.1	0.31		−41.7	131.8
Age (years)	-	−0.02	0.95	−0.5	0.5	−0.3	0.36		−1.0	0.4
Income (BDT)^b	-	0.001	0.21	−0.001	0.003	0.0003	0.71		−0.001	0.002

^aRegression coefficients reflect adjusted difference in mean delay (days), while all other factors remain constant
^bIncome is in Bangladeshi taka (BDT), monthly. 1 USD =78 BDT approximately
^cDOTS centres are the NTP designated treatment centres for tuberculosis
p*is the value that the regression coefficient is zero
p**is the value form the omnibus test that all coefficients for that variable are zero

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ISSN: 1471-2334

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