上海市长宁区流动人口结核病人诊断延误及其影响因素分析  

A descriptive study on diagnostic delays and factors impacting accessibility to diagnosis among TB patients in floating population in Shanghai

作　　者：黄乐清[1] 王伟炳[2] 李洪娣[1] 徐飚[2] 杨怀霞[1] 

机构地区：[1]上海市长宁区疾病预防控制中心,上海200336 [2]复旦大学公共卫生学院,上海200032

出　　处：《中国防痨杂志》2007年第2期127-129,共3页Chinese Journal of Antituberculosis

摘　　要：目的研究城市流动人口结核病人诊断延误及影响诊断延误的社会经济和临床因素。方法采用调查表对2003年9月1日至2004年8月30日期间在上海市长宁区CDC新登记流动人口肺结核病人的社会经济、临床特征和就诊经历进行调查。结果首诊延误、病人延误、医生延误和治疗延误分别为18.0、20.0、13.0和0 d。收入低、选择非正规医院首诊、在上海居住超过5年或不足1年及无职业是影响结核病人延误的原因,而咯血症状的出现是促使病人及时就医的显著因素。结论为了尽早发现结核病人,减少诊断延误,需加强结核病知识的宣传教育,提高流动人口对结核病的认知,将低收入、无业和刚进入上海的流动人口作为结核病发现的重点管理人群,加大对这部分人群中肺结核的诊断和管理。Objective To describe the access to TB diagnosis among floating TB patients with different demographic, socioeconomic and clinical characteristics in Shanghai, and to study the impact of these factors. Methods A total of 116 newly diagnosed TB patients were registered in the study site from Sept. 1. 2003 to Aug. 30. 2004. The subjects were interviewed using a structured questionnaire. Results The first health seeking delay, patient＇s delay, doctor＇s delay and treatment delay were 18.0, 20.0, 13.0 and 0 days in median, respectively, Lower income, first visiting to non-hospital, newly moving into Shanghai are significantly related to longer patient＇ s delay ; whereas emptysis shortened the delay to the first health facility. Conclusion In order to detect TB patients timely, it is urgent to provide health education on TB knowledge for floating population, to promote the awareness of the disease, Lower income, unemployed and new immigrants should be given a priority in TB case detection.

关 键 词：流动人口 结核 肺/预防和控制 结核 肺/诊断 

分 类 号：R52[医药卫生—内科学]