Table 2

Factors affecting refusal or non-attendance to diagnostic evaluation for tuberculosis among individuals with at least one symptom referred by primary care centres *
Total Refusal or non- OR (95% CI) MLR-OR (95% CI)
attendance
(n=176) n (%)
All 176 80 (45.5)
Gender Male 143 62 (43.4) 1 1
Female 33 18 (54.5) 1.6 (0.7–3.4) 1.9 (0.8–4.4)
Age (each 10–year increase) 0.8 (0.7–1.1) 0.7 (0.5–0.9)†
Length of stay in Italy (yrs) <2 65 30 (46.2) 1
>2 106 49 (46.2) 1.0 (0.5–1.9)
Centre (a) A 39 8 (20.5) 0.2 (0.1–0.5)† 0.3 (0.1–1.1)‡
B 108 59 (54.6) 1 1
C 29 13 (44.8) 0.7 (0.3–1.5) 0.5 (0.2–1.2)
Tuberculosis incidence rate in the country of origin (/105) (b) <25 11 7 (63.6) 2.0 (0.5–7.9)
25–99 36 17 (47.2) 1
100+ 129 56 (43.4) 0.9 (0.4–1.8)
Occupation No/Not available 131 61 (46.6) 1
Yes 45 19 (42.2) 0.8 (0.4–1.7)
Legal status Regular 120 48 (40.0) 1 1
Irregular 56 32 (57.1) 2.0 (1.1–3.8)† 1.9 (0.9–4.1)
Place of residence Apartment 83 38 (45.8) 1
Immigration centre 44 20 (45.5) 1.0 (0.5–2.1)
Homeless/dormitories 44 20 (45.5) 1.0 (0.5–2.1)
Other/Not available 5 2 (40.0) 0.8 (0.1–5.0)
NHS registration (c) No/Not available 126 67 (53.2) 1 1
Yes 50 13 (26.0) 0.3 (0.2–0.6)† 0.8 (0.2–2.9)
Previous healthcare in Italy No/Not available 125 64 (51.2) 1 1
Yes 51 16 (31.4) 0.4 (0.2–0.9)† 0.7 (0.3–1.5)
Education (yrs) None/Not available 38 19 (50.0) 1
1–8 62 28 (45.2) 0.8 (0.4–1.8)
9+ 76 33 (43.4) 0.8 (0.4–1.7)

* The sum could not add up to the total because of missing values;

OR: odds–ratio; MLR–OR: Multivariate–logistic regression odds ratio; CI: Confidence intervals †p<0.05; ‡p<0.10;

(a) A: Public health service for asylum seekers/refugees; B: NGO health service for migrants; C: Public health service for migrants;

(b) According to WHO estimates http://www.who.int/tb/publications/global_report/2010/en/index.html webcite;

(c) Registration with the Italian National Health Service.

Sañé Schepisi et al.

Sañé Schepisi et al. BMC Public Health 2013 13:872   doi:10.1186/1471-2458-13-872

Open Data