SETTING: Study conducted in 23 randomly selected districts in four province
s of Vietnam.
OBJECTIVE: To describe and compare health seeking behaviour between men and
women and to measure delays in tuberculosis (TB) diagnosis.
DESIGN: All patients (n = 1027) aged 15-49 years with new smear-positive pu
lmonary TB detected in the selected districts during 1996 were interviewed
using a structured questionnaire.
RESULTS: Mean total delay to TB diagnosis was 13.3 weeks (95% confidence in
terval [CI] 11.5, 15.1) for women and 11.4 weeks (95% CI 10.6, 12.2) for me
n, including a patient's delay of 7.9 weeks (95% CI 6.5, 9.3) and 7.6 weeks
(95% CI 6.9, 8.3) respectively. Doctor's delay was significantly longer am
ong women (5.4 weeks, 95% CI 4.2, 6.6) than among men (3.8 weeks, 95% CI 3.
3, 4.3). Women did not start seeking care later than men, nor did they have
a different health seeking pattern. Women visited more health care provide
rs than men (1.7 and 1.5 providers, respectively, P = 0.02).
CONCLUSION: Patient's delay is unacceptably long for both men and women. Wo
men do not receive a diagnosis of TB by doctors or other health care provid
ers as quickly as men once they seek health care. The reasons for this gend
er difference warrant further investigations.