{"doi":"10.5588/pha.23.0010","title":"Geographic distribution and predictors of diagnostic delays among possible TB patients in Uganda","abstract":"BACKGROUND: Understanding the geographic distribution and factors associated with delayed TB diagnosis may help target interventions to reduce delays and improve patient outcomes. METHODS: We conducted a secondary analysis of adults undergoing TB evaluation within a public health demonstration project in Uganda. Using Global Moran’s I (GMI) and Getis-Ord GI* statistics, we evaluated for residential clustering and hotspots associated with patient-related and health system-related delays. We performed multivariate logistic regression to identify individual predictors of both types of delays. RESULTS: Of 996 adults undergoing TB evaluation (median age: 37 years, IQR 28–49), 333 (33%) experienced patient delays, and 568 (57%) experienced health system delays. Participants were clustered (GMI 0.47–0.64, P 0.001) at the sub-county level, but there were no statistically significant hotspots for patient or health system delays. Married individuals were less likely to experience patient delays (OR 0.6, 95% CI 0.48–0.75; P < 0.001). Those aged 38–57 years (OR 1.2, 95% CI 1.07–1.38; P = 0.002) were more likely than those aged 58 years to experience patient delays. Knowledge about TB (OR 0.8, 95% CI 0.63–0.98; P = 0.03) protected against health system delays. CONCLUSIONS: We did not identify geographic hotspots for TB diagnostic delays. Instead, delays were associated with individual factors such as age, marital status and TB knowledge.","journal":"Public Health Action","year":2023,"id":382359,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9036,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":315465,"name":"Katherine Robsky","orcid":"0000-0001-7789-5779","position":1,"is_corresponding":false},{"id":390174,"name":"Amanda Meyer","orcid":"0000-0003-2318-1783","position":2,"is_corresponding":false},{"id":1148532,"name":"Andrew Tamale","orcid":"0000-0002-9742-1172","position":3,"is_corresponding":false},{"id":1148533,"name":"Joseph Kungu","orcid":"0000-0002-2225-463X","position":4,"is_corresponding":false},{"id":390176,"name":"Patricia Turimumahoro","orcid":"0000-0003-1910-8559","position":5,"is_corresponding":false},{"id":1148885,"name":"S. Nakasendwa","orcid":null,"position":6,"is_corresponding":false},{"id":959605,"name":"Innocent B. Rwego","orcid":"0000-0003-1274-7788","position":7,"is_corresponding":false},{"id":970259,"name":"Winters Muttamba","orcid":"0000-0001-7154-2964","position":8,"is_corresponding":false},{"id":231145,"name":"Moses Joloba","orcid":"0000-0002-0334-9983","position":9,"is_corresponding":false},{"id":406179,"name":"Willy Ssengooba","orcid":"0000-0002-1643-110X","position":10,"is_corresponding":false},{"id":315616,"name":"J. Lucian Davis","orcid":"0000-0002-8629-9992","position":11,"is_corresponding":false},{"id":315467,"name":"Achilles Katamba","orcid":"0000-0002-2347-4183","position":12,"is_corresponding":false},{"id":390177,"name":"Emmanuel Ochom","orcid":"0000-0003-0999-3275","position":0,"is_corresponding":true}],"reference_count":23,"raw_metadata":null,"created_at":"2026-07-19T01:17:17.113710Z","pmid":"37736583","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}