| Tuberculosis and patient gender in Bangladesh: sex differences in diagnosis and treatment outcome. | |
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MedLine Citation:
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PMID: 11467366 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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SETTING: The public health sector of Bangladesh. OBJECTIVE: To assess gender differences in access to tuberculosis diagnosis and in tuberculosis treatment outcome in Bangladesh. METHODS: Information on the age and sex of a sample of patients in 1997 was collected from out-patient registers and tuberculosis laboratory and treatment registers in 59 thanas in three divisions in Bangladesh. RESULTS: The female/male ratio was 0.79 among 42,877 out-patients with respiratory complaints, 0.51 among 5,665 tuberculosis suspects undergoing sputum smear microscopy, 0.36 among 869 tuberculosis suspects with positive sputum smears, and 0.35 among 5,632 patients registered for tuberculosis treatment. Treatment was successful (cured or treatment completed) in 86% of female and 84% of male patients. CONCLUSION: Women in Bangladesh appear to have less access to public out-patient clinics than men, and if they present with respiratory symptoms they are less likely to undergo sputum smear examination. If examined, women are less likely than men to be smear-positive. No gender bias was observed in tuberculosis treatment outcome. It is recommended to focus further research on exploration of sex differences in the incidence of respiratory conditions, identification of constraints among women in accessing out-patient clinics and verification of the quality of sputum submitted by women for examination. |
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Authors:
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V Begum; P de Colombani; S Das Gupta; A H Salim; H Hussain; M Pietroni; S Rahman; D Pahan; M W Borgdorff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease Volume: 5 ISSN: 1027-3719 ISO Abbreviation: Int. J. Tuberc. Lung Dis. Publication Date: 2001 Jul |
Date Detail:
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Created Date: 2001-07-24 Completed Date: 2001-12-05 Revised Date: 2006-06-12 |
Medline Journal Info:
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Nlm Unique ID: 9706389 Medline TA: Int J Tuberc Lung Dis Country: France |
Other Details:
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Languages: eng Pagination: 604-10 Citation Subset: IM |
Affiliation:
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National TB Control Programme, Directorate General of Health Services, Dhaka, Bangladesh. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Bangladesh Child Delivery of Health Care Directly Observed Therapy Female Humans Male Middle Aged Sex Factors Sputum / microbiology Tuberculosis / diagnosis*, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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