Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia
Introduction: Fear of COVID-19 makes tuberculosis (TB) patients seek health care after complications of the case. This can be the reason for serious illness, increased length of infectiousness, poor treatment outcomes, and economic crisis for families and the health system. Despite this, no study ha...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121221142469 |
| _version_ | 1811293961425256448 |
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| author | Jira Wakoya Feyisa Keno Melkamu Kitila Jiregna Chalchisa Lemu Megersa Dinku Hunde Aboma Diriba Hunde |
| author_facet | Jira Wakoya Feyisa Keno Melkamu Kitila Jiregna Chalchisa Lemu Megersa Dinku Hunde Aboma Diriba Hunde |
| author_sort | Jira Wakoya Feyisa |
| collection | DOAJ |
| description | Introduction: Fear of COVID-19 makes tuberculosis (TB) patients seek health care after complications of the case. This can be the reason for serious illness, increased length of infectiousness, poor treatment outcomes, and economic crisis for families and the health system. Despite this, no study has been conducted in Ethiopia and in other African countries with the factor “fear of COVID-19.” Identified preventable factor and other covariates are used to reduce the healthcare-seeking delay. Objective: This study assessed the association of fear of COVID-19 with healthcare-seeking delay among TB patients in Ilu Ababor Zone health facilities, south-western Ethiopia. Methods and materials: A health institution-based cross-sectional study was conducted among TB patients from October 15, 2020, to March 1, 2021. Using a systematic sampling method, 403 TB patients were selected for face-to-face interviews. The association of fear of getting COVID-19 with healthcare-seeking delay was assessed by a chi-square test. Variables with a p -value <0.25 in the bi-variable binary logistic regression were entered into the multivariable binary logistic regression model. The level of statistical significance in multivariable binary logistic regression was declared at a p -value <0.05. Result: In this study, the proportion of patient healthcare-seeking delay was 46.7%. Chi-square test of the association of fear of COVID-19 with healthcare-seeking delay among TB patients showed a significant association ( p -value = 0.042). After controlling for covariates, patients living in rural area (adjusted odds ratio (AOR) = 2.437, 95% confidence interval (CI): 1.385–4.286), patients with poor knowledge (AOR = 3.300, 95% CI: 1.792–6.078), earning monthly income <200 Ethiopian birr (ETB) (AOR = 3.912 95% CI: 1.951–7.841), traveling greater than 30 min (AOR = 2.127, 95% CI: 1.301–3.476), and fear of COVID-19 pandemic (AOR = 3.124, 95% CI: 1.029–9.479) were significantly associated with patient healthcare-seeking delay. Conclusion: The study found that healthcare-seeking delay among TB patients was substantial. Patient healthcare-seeking delay was significantly associated with fear of COVID-19. |
| first_indexed | 2024-04-13T05:10:16Z |
| format | Article |
| id | doaj.art-8621390163db463eafdb96fc3340a0aa |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-04-13T05:10:16Z |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-8621390163db463eafdb96fc3340a0aa2022-12-22T03:01:04ZengSAGE PublishingSAGE Open Medicine2050-31212022-12-011010.1177/20503121221142469Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west EthiopiaJira Wakoya Feyisa0Keno Melkamu Kitila1Jiregna Chalchisa Lemu2Megersa Dinku Hunde3Aboma Diriba Hunde4Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaDepartment of Public Health, College of Health Sciences, Mettu University, Mettu, EthiopiaDepartment of Nursing, College of Health Sciences, Mettu University, Mettu, EthiopiaDepartment of Nursing, College of Health Sciences, Mettu University, Mettu, EthiopiaDepartment of Midwifery, College of Health Sciences, Mettu University, Mettu, EthiopiaIntroduction: Fear of COVID-19 makes tuberculosis (TB) patients seek health care after complications of the case. This can be the reason for serious illness, increased length of infectiousness, poor treatment outcomes, and economic crisis for families and the health system. Despite this, no study has been conducted in Ethiopia and in other African countries with the factor “fear of COVID-19.” Identified preventable factor and other covariates are used to reduce the healthcare-seeking delay. Objective: This study assessed the association of fear of COVID-19 with healthcare-seeking delay among TB patients in Ilu Ababor Zone health facilities, south-western Ethiopia. Methods and materials: A health institution-based cross-sectional study was conducted among TB patients from October 15, 2020, to March 1, 2021. Using a systematic sampling method, 403 TB patients were selected for face-to-face interviews. The association of fear of getting COVID-19 with healthcare-seeking delay was assessed by a chi-square test. Variables with a p -value <0.25 in the bi-variable binary logistic regression were entered into the multivariable binary logistic regression model. The level of statistical significance in multivariable binary logistic regression was declared at a p -value <0.05. Result: In this study, the proportion of patient healthcare-seeking delay was 46.7%. Chi-square test of the association of fear of COVID-19 with healthcare-seeking delay among TB patients showed a significant association ( p -value = 0.042). After controlling for covariates, patients living in rural area (adjusted odds ratio (AOR) = 2.437, 95% confidence interval (CI): 1.385–4.286), patients with poor knowledge (AOR = 3.300, 95% CI: 1.792–6.078), earning monthly income <200 Ethiopian birr (ETB) (AOR = 3.912 95% CI: 1.951–7.841), traveling greater than 30 min (AOR = 2.127, 95% CI: 1.301–3.476), and fear of COVID-19 pandemic (AOR = 3.124, 95% CI: 1.029–9.479) were significantly associated with patient healthcare-seeking delay. Conclusion: The study found that healthcare-seeking delay among TB patients was substantial. Patient healthcare-seeking delay was significantly associated with fear of COVID-19.https://doi.org/10.1177/20503121221142469 |
| spellingShingle | Jira Wakoya Feyisa Keno Melkamu Kitila Jiregna Chalchisa Lemu Megersa Dinku Hunde Aboma Diriba Hunde Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia SAGE Open Medicine |
| title | Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia |
| title_full | Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia |
| title_fullStr | Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia |
| title_full_unstemmed | Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia |
| title_short | Healthcare-seeking delay during COVID-19 pandemic among tuberculosis patients in Ilubabor zone health facilities, south-west Ethiopia |
| title_sort | healthcare seeking delay during covid 19 pandemic among tuberculosis patients in ilubabor zone health facilities south west ethiopia |
| url | https://doi.org/10.1177/20503121221142469 |
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