title: [Delay in tuberculosis diagnosis in adults in a city of São Paulo State, Brazil, in 2009: a cross-sectional study].
abstract: to evaluate patient and health service characteristics associated with tuberculosis (TB) diagnosis delay.
  
  
  
  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.
  
  
  
  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).
  
  
  
  delay in seeking care was lower among smokers and alcohol users; shortcomings in access to diagnosis characterized health services delay.
authors.affiliation: Faculdade Ceres, Departamento de Saúde Coletiva, São José do Rio Preto-SP, Brasil.
authors.forename: Maria Amélia Zanon
authors.initials: MA
authors.lastname: Ponce
authors.affiliation: Universidade Federal do Mato Grosso do Sul, Curso de graduação em Enfermagem, Três Lagoas-MS, Brasil.
authors.forename: Anneliese Domingues
authors.initials: AD
authors.lastname: Wysocki
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto-SP, Brasil.
authors.forename: Tiemi
authors.initials: T
authors.lastname: Arakawa
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto-SP, Brasil.
authors.forename: Rubia Laine de Paula
authors.initials: RL
authors.lastname: Andrade
authors.affiliation: Faculdade de Medicina de São José do Rio Preto, Departamento de Enfermagem em Saúde Coletiva e Orientação Profissional, São José do Rio Preto-SP, Brasil.
authors.forename: Silvia Helena Figueiredo
authors.initials: SH
authors.lastname: Vendramini
authors.affiliation: Universidade Estadual do Oeste do Paraná, Curso de Enfermagem, Foz do Iguaçu-PR, Brasil.
authors.forename: Reinaldo Antônio da Silva
authors.initials: RA
authors.lastname: Sobrinho
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto-SP, Brasil.
authors.forename: Aline Aparecida
authors.initials: AA
authors.lastname: Monroe
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto-SP, Brasil.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ruffino Netto
authors.affiliation: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto-SP, Brasil.
authors.forename: Tereza Cristina Scatena
authors.initials: TC
authors.lastname: Villa
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D001938:Brazil / Q000453:epidemiology; D002947:Cities / Q000453:epidemiology; D003430:Cross-Sectional Studies; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012907:Smoking / Q000453:epidemiology; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis*; D055815:Young Adult