XXXX among migrants in Shandong, China: factors associated with treatment delay.

@entity1 @entity378 @entity1907
OBJECTIVE: A timely initiation of treatment is crucial to better control @entity378 ( @entity378 ). The aim of this study is to describe treatment delay among migrant @entity1 with @entity378 and to identify factors associated with treatment delay, so as to provide evidence for strategy development and improvement of @entity378 control among migrants in China. DESIGN: A cross-sectional study was conducted in Shandong province of China. A total of 314 confirmed smear positive migrant @entity1 with @entity1907 were included. Univariate logistic regression was used to analyse the association of variables with treatment delay among migrant @entity1 with @entity378 . A multilogistic regression model was developed to further assess the effect of variables on treatment delay. RESULTS: Of 314 migrant @entity1 with @entity378 , 65.6% experienced treatment delay (>1   day). Household income level, diagnosis symptom severity, understanding of whether @entity378 is curable or not and knowledge about the free @entity378 treatment policy are factors significantly associated with treatment delay. CONCLUSIONS: Economic status and knowledge about @entity378 are key barriers to accessing @entity378 treatment. An integrated policy of carrying out @entity378 -related health education and publicising the free @entity378 treatment policy among migrants is needed. Health insurance schemes for migrants should be modified to make them transferrable and pro-poor.
