{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:25:21Z","timestamp":1790601921295,"version":"4.1.0"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72374178"],"award-info":[{"award-number":["72374178"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71904165"],"award-info":[{"award-number":["71904165"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Open Project Program of Jiangsu Key Laboratory of Zoonosis","award":["R2208"],"award-info":[{"award-number":["R2208"]}]},{"name":"Open Project Program of International Research Laboratory of Prevention"},{"name":"Control of Important Animal Infectious Diseases and Zoonotic Diseases of Jiangsu Higher Education Institutions"},{"name":"Open Project Program of National Health Commission Key Laboratory of Parasitic Disease Control and Prevention Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology","award":["wk023-007"],"award-info":[{"award-number":["wk023-007"]}]},{"DOI":"10.13039\/100017962","name":"Jiangsu Provincial Health Commission","doi-asserted-by":"publisher","award":["H2023004"],"award-info":[{"award-number":["H2023004"]}],"id":[{"id":"10.13039\/100017962","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017962","name":"Jiangsu Provincial Health Commission","doi-asserted-by":"publisher","award":["X202315"],"award-info":[{"award-number":["X202315"]}],"id":[{"id":"10.13039\/100017962","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Imported malaria cases continue to pose major challenges in China as well as in other countries that have achieved elimination. Early diagnosis and treatment of each imported malaria case is the key to successfully maintaining malaria elimination success. This study aimed to build an easy-to-use predictive nomogram to predict and intervene against delayed care-seeking among international migrant workers with imported malaria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prediction model was built based on cases with imported malaria from 2012 to 2019, in Jiangsu Province, China. Routine surveillance information (e.g. sex, age, symptoms, origin country and length of stay abroad), data on the place of initial care-seeking and the gross domestic product (GDP) of the destination city were extracted. Multivariate logistic regression was performed to identify independent predictors and a nomogram was established to predict the risk of delayed care-seeking. The discrimination and calibration of the nomogram was performed using area under the curve and calibration plots. In addition, four machine learning models were used to make a comparison.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 2255 patients with imported malaria, 636 (28.2%) sought care within 24\u00a0h after symptom onset, and 577 (25.6%) sought care 3 days after symptom onset. Development of symptoms before entry into China, initial care-seeking from superior healthcare facilities and a higher GDP level of the destination city were significantly associated with delayed care-seeking among migrant workers with imported malaria. Based on these independent risk factors, an easy-to-use and intuitive nomogram was established. The calibration curves of the nomogram showed good consistency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The tool provides public health practitioners with a method for the early detection of delayed care-seeking risk among international migrant workers with imported malaria, which may be of significance in improving post-travel healthcare for labour migrants, reducing the risk of severe malaria, preventing malaria reintroduction and sustaining achievements in malaria elimination.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jtm\/taae021","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T18:49:32Z","timestamp":1707504572000},"source":"Crossref","is-referenced-by-count":4,"title":["Delayed care-seeking in international migrant workers with imported malaria in China"],"prefix":"10.1093","volume":"31","author":[{"given":"Jiyue","family":"Gu","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"},{"name":"Yangzhou University , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Cao","sequence":"additional","affiliation":[{"name":"National Health Commission Key Laboratory of Parasitic Disease Control and Prevention , Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, , Wuxi, Jiangsu Province, 214064 , China"},{"name":"Jiangsu Institute of Parasitic Diseases , Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, , Wuxi, Jiangsu Province, 214064 , China"},{"name":"Center for Global Health , School of Public Health, , Nanjing, Jiangsu Province, 211166 , China"},{"name":"Nanjing Medical University , School of Public Health, , Nanjing, Jiangsu Province, 211166 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liying","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"},{"name":"Yangzhou University , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enyu","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"},{"name":"Yangzhou University , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaixuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"},{"name":"Yangzhou University , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeyin","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , China"},{"name":"Yangzhou University , School of Public Health, Medical College of Yangzhou University, , Yangzhou, Jiangsu Province, 225009 , 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhui","family":"Xu","sequence":"additional","affiliation":[{"name":"Center for Disease Control and Prevention , Yangzhou, Jiangsu Province, 225007 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Wang","sequence":"additional","affiliation":[{"name":"Yangzhou Schistosomiasis and Parasitic Disease Control Office , Yangzhou, Jiangsu Province, 225007 , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olaf","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Institute of Global Health , Medical School, , Heidelberg, 69117 , Germany"},{"name":"Ruprecht-Karls-University Heidelberg , Medical School, , Heidelberg, 69117 , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Cao","sequence":"additional","affiliation":[{"name":"National Health Commission Key Laboratory of Parasitic Disease Control and Prevention 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