Crude and adjusted time ratio# of presentation delay by risk factor, for people with pulmonary tuberculosis (TB) in the South East of England, 2011–2015 (n=779)
Crude time ratio (95% CI) | p-value | Adjusted time ratio (95% CI) | p-value | |
Ethnicity | ||||
Not white | Ref. | Ref. | ||
White | 1.22 (0.99–1.50) | 0.063 | 1.08 (0.82–1.42) | 0.601 |
Mental health barriers | ||||
No | Ref. | Ref. | ||
Yes | 2.26 (1.37–3.75) | 0.001 | 2.06 (1.22–3.50) | 0.007 |
Rurality | ||||
Rural | Ref. | Ref. | ||
Urban | 0.92 (0.65–1.32) | 0.656 | 0.88 (0.61–1.27) | 0.500 |
Physical health comorbidity | ||||
No | Ref. | Ref. | ||
Yes | 0.86 (0.62–1.20) | 0.366 | 0.75 (0.54–1.05) | 0.091 |
Language barriers | ||||
No | Ref. | Ref. | ||
Yes | 1.25 (0.92–1.71) | 0.160 | 1.40 (1.01–1.94) | 0.042 |
Sex | ||||
Female | Ref. | Ref. | ||
Male | 1.10 (0.90–1.34) | 0.335 | 1.04 (0.85–1.27) | 0.698 |
Prior TB diagnosis | ||||
No | Ref. | Ref. | ||
Yes | 1.36 (0.92–2.02) | 0.125 | 1.01(0.68–1.51) | 0.953 |
Age group years¶ | ||||
≥65 | Ref. | Ref. | ||
45–64 | 1.30 (0.97–1.74) | 0.078 | 1.27 (0.95–1.72) | 0.103 |
15–44 | 0.94 (0.72–1.21) | 0.615 | 1.05 (0.79–1.41) | 0.718 |
0–14 | 0.22 (0.08–0.56) | 0.002 | 0.23 (0.09–0.59) | 0.002 |
Social risk factors present+ | ||||
None | Ref. | Ref. | ||
1 | 1.44 (1.01–2.05) | 0.043 | 1.18 (0.82–1.71) | 0.362 |
≥2 | 1.02 (0.65–1.59) | 0.936 | 0.76 (0.47–1.21) | 0.248 |
Time resident in UK§ | ||||
UK-born | Ref. | Ref. | ||
≥11 years | 1.01 (0.77–1.18) | 0.947 | 0.99 (0.71–1.39) | 0.959 |
2–10 years | 0.74 (0.59–0.95) | 0.016 | 0.77 (0.56–1.04) | 0.090 |
<2 years | 0.86 (0.62–1.18) | 0.350 | 0.84 (0.58–1.22) | 0.366 |
QIMDƒ | ||||
1 (least deprived) | Ref. | Ref. | ||
2 | 0.83 (0.59–1.16) | 0.276 | 0.86 (0.64–1.24) | 0.358 |
3 | 0.93 (0.58–1.28) | 0.668 | 0.98 (0.73–1.36) | 0.878 |
4 | 1.08 (0.79–1.49) | 0.619 | 1.04 (0.75–1.43) | 0.818 |
5 (most deprived) | 1.19 (0.81–1.75) | 0.381 | 1.20 (0.86–1.85) | 0.341 |
QIMD: Quintile of Index of Multiple Deprivation. Bold type represents statistical significance at a p-value ≤0.05. #: all models include a random effect on 62 local authority districts; ¶: Wald p-value for overall effect of age group categorical variable crude <0.001, adjusted 0.003; +: Wald p-value for overall effect of social risk factor categorical variable crude 0.128, adjusted 0.275; §: Wald p-value for overall effect of time in UK categorical variable crude 0.058, adjusted 0.247; ƒ: Wald p-value for overall effect of QIMD categorical variable crude 0.306, adjusted 0.474.