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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 *

From: Tuberculosis case finding based on symptom screening among immigrants, refugees and asylum seekers in Rome

 

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)

 
  1. * The sum could not add up to the total because of missing values;
  2. OR: odds–ratio; MLR–OR: Multivariate–logistic regression odds ratio; CI: Confidence intervals †p<0.05; ‡p<0.10;
  3. (a) A: Public health service for asylum seekers/refugees; B: NGO health service for migrants; C: Public health service for migrants;
  4. (b) According to WHO estimates http://www.who.int/tb/publications/global_report/2010/en/index.html;
  5. (c) Registration with the Italian National Health Service.