<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742016000300553</article-id>
<article-id pub-id-type="doi">10.5123/S1679-49742016000300011</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Atraso do diagnóstico da tuberculose em adultos em um município paulista em 2009: estudo transversal]]></article-title>
<article-title xml:lang="en"><![CDATA[Delay in tuberculosis diagnosis in adults in a city of São Paulo State, Brazil, in 2009: a cross-sectional study]]></article-title>
<article-title xml:lang="es"><![CDATA[Retraso diagnóstico de tuberculosis en adultos en un municipio paulista en 2009: estudio transversal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ponce]]></surname>
<given-names><![CDATA[Maria Amélia Zanon]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wysocki]]></surname>
<given-names><![CDATA[Anneliese Domingues]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arakawa]]></surname>
<given-names><![CDATA[Tiemi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[Rubia Laine de Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vendramini]]></surname>
<given-names><![CDATA[Silvia Helena Figueiredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva Sobrinho]]></surname>
<given-names><![CDATA[Reinaldo Antônio da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monroe]]></surname>
<given-names><![CDATA[Aline Aparecida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruffino Netto]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villa]]></surname>
<given-names><![CDATA[Tereza Cristina Scatena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Faculdade Ceres Departamento de Saúde Coletiva ]]></institution>
<addr-line><![CDATA[São José do Rio Preto SP]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Mato Grosso do Sul Curso de graduação em Enfermagem ]]></institution>
<addr-line><![CDATA[Três Lagoas MS]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de São Paulo Escola de Enfermagem de Ribeirão Preto ]]></institution>
<addr-line><![CDATA[Ribeirão Preto SP]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Faculdade de Medicina de São José do Rio Preto Departamento de Enfermagem em Saúde Coletiva e Orientação Profissional ]]></institution>
<addr-line><![CDATA[São José do Rio Preto SP]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade Estadual do Oeste do Paraná Curso de Enfermagem ]]></institution>
<addr-line><![CDATA[Foz do Iguaçu PR]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto ]]></institution>
<addr-line><![CDATA[Ribeirão Preto SP]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<volume>25</volume>
<numero>3</numero>
<fpage>553</fpage>
<lpage>562</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742016000300553&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742016000300553&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742016000300553&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  OBJETIVO: analisar características dos doentes e dos serviços de saúde associadas ao atraso do diagnóstico da tuberculose (TB).  MÉTODOS: estudo transversal realizado em São José do Rio Preto-SP, em 2009; utilizaram-se as dimensões 'porta de entrada' e 'acesso ao diagnóstico' do Primary Care Assessment Tool.  RESULTADOS: foram incluídos 99 doentes de TB; o tempo mediano de atraso relacionado ao doente e ao serviço foi de 15 dias; houve menor atraso entre doentes tabagistas (RP=0,71; IC95% 0,54;0,94) e etilistas (RP=0,75; IC95% 0,57;0,99); o atraso do serviço associou-se à não obtenção de consulta no mesmo dia (RP=1,63; IC95% 1,22;2,18), não suspeição da doença (RP=2,07; IC95% 1,18;3,62) e procura pelos serviços quatro vezes ou mais (RP=2,34; IC95% 1,55;3,53).  CONCLUSÃO: doentes fumantes e etilistas tiveram menor atraso na busca por atendimento; fragilidades de acesso ao diagnóstico configuraram o atraso dos serviços de saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: to evaluate patient and health service characteristics associated with tuberculosis (TB) diagnosis delay.  METHODS: this was a cross-sectional study conducted in São José do Rio Preto-SP in 2009; the 'entry point' and 'access to diagnosis' dimensions of the Primary Care Assessment Tool (PCAT) were selected to analyze patient and HS delay.  RESULTS: 99 TB patients were included in the study; the median time related to patient and HS delay was 15 days; delay in seeking services was lower among smokers (PR= 0.71; 95%CI 0.54;0.94) and alcohol users (PR=0.75; 95%CI 0.57;0.99); TB diagnosis delay was related to not being able to get a medical appointment on the same day (PR=1.63; 95%CI 1.22;2.18), TB not being suspected (PR=2.07; 95%CI 1.18;3.62) and seeking care in health services four times or more (PR=2.34; 95%CI 1.55;3.53).  CONCLUSION: delay in seeking care was lower among smokers and alcohol users; shortcomings in access to diagnosis characterized health services delay.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: analizar características de pacientes y servicios de salud (SS) asociados al retraso diagnóstico de tuberculosis (TB).  MÉTODOS: estudio transversal en São José do Rio Preto-SP, 2009; se utilizaron las dimensiones 'puerta de enlace' y 'acceso al diagnóstico' del Primary Care Assessment Tool (PCAT).  RESULTADOS: se incluyeron 99 pacientes con TB; la mediana de tiempo de retraso relacionado al paciente y SS fue 15 días; hubo menor demora entre fumadores (RP=0.71; IC95% 0.54;0.94) y consumidores de alcohol (RP=0.75, IC95% 0.57;0.99); el retraso de SS se relacionó con la no obtención de consulta el mismo día (RP=1,63; IC95% 1,22;2,18), sin sospecha de TB (RP=2,07; IC95% 1,18;3,62) y búsqueda de SS cuatro veces o más (RP=2,34; IC95% 1,55;3,53).  CONCLUSIÓN: pacientes fumadores y consumidores de alcohol tenían menor retraso en la búsqueda de atención; falta de acceso al diagnóstico configuran retraso de SS.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Tuberculose]]></kwd>
<kwd lng="pt"><![CDATA[Diagnóstico Tardio]]></kwd>
<kwd lng="pt"><![CDATA[Serviços de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Aceitação pelo Paciente de Cuidados de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Estudos Transversais]]></kwd>
<kwd lng="en"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[Delayed Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Health Services]]></kwd>
<kwd lng="en"><![CDATA[Patient Acceptance of Health Care]]></kwd>
<kwd lng="en"><![CDATA[Cross-Sectional Studies]]></kwd>
<kwd lng="es"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico Tardío]]></kwd>
<kwd lng="es"><![CDATA[Servicios de Salud]]></kwd>
<kwd lng="es"><![CDATA[Aceptación de la Atención de Salud]]></kwd>
<kwd lng="es"><![CDATA[Estudios Transversales]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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