肺结核病人的社会经济学调查  

Socio-economic study on pulmonary tuberculosis patients

作　　者：王黎霞[1] 岳淑敏[1] 钱元福[1] 端木宏谨[1] 杨华林 

机构地区：[1]中国疾病预防控制中心结核病防治临床中心,北京101149 [2]湖南省结核病防治所,长沙410006

出　　处：《中国防痨杂志》2002年第3期130-133,共4页Chinese Journal of Antituberculosis

摘　　要：目的　了解我国肺结核病人的社会经济学现状 ,为今后制定有关结核病控制政策和策略 ,改善结核病控制服务等提供科学依据。方法　对第四次全国结核病流行病学抽样调查中确诊的肺结核病人 ,以问卷形式对调查对象进行逐项调查和记录。结果　 (1)肺结核病人家庭经济水平较低 ,77.9%的病人的人年均收入低于当地人年均收入 ,其中低于当地人均收入 6 0 %者占 5 5 .5 % ,6 1%～99%占 2 2 .4 % ;(2 )病人中有医疗保障者仅为 7.9% % ;(3)发现水平低 ,流调前已确诊的病人仅占2 9.6 % ;(4)防痨宣教不普及 ,接受过防痨宣教者仅为 4 0 .2 % ;(5 )治疗管理水平低 ,规则治疗率仅为2 7.3%。结论　对肺结核病人要实行免费检查与治疗 ;要改善病人发现工作的可及性 ;要广泛开展防痨宣传 ;Objective To realize the socio-economic situation of pulmonary tuberculosis patients and provide the scientific data for the revision of tuberculosis control strategies and policy of the national tuberculosis control progarm as well as to improve tuberculosis control services.Methods All detected pulmonary tuberculosis patients in the fourth nationwide epidemiological sampling survey on tuberculosis were the target for this study.This study was carried out through questionnaire inquiry questioned and recorded by special trained health personnel.Results 1.The economic situation among pulmonary tuberculosis patients was rather poor.About 77.9% of them the annual average income per family member was lower than that of the lacal family member at the same site.55.5% of these patients their income was 60% lower than the average income and 22.4% of the patients their income was 61～99% lower than the average income.2.Only 7.9% of the detected patients covered by various kinds of medical insurance.3.The case-detection rate was low.Only 29.6% of the detected patients their diagnosis of tuberculosis had been confirmed before this survey.4.Health education on tuberculosis had not been popularized.Only 40.2% of the patients had received certain kind of health education on tuberculosis.5.The case-management on treatment among pulmonary tuberculosis patients was not sufficient.The regularity of chemotherapy was only 27.3%.Conclusion Free examination and free treatment services must be provided to all pulmonary tuberculosis patients.The accessibility of case-finding services must be improved.The health education on tuberculosis must be popularized to the community.The full course supervised chemotherapy must be widely expanded and must be supervised by doctor.

关 键 词：肺结核 社会经济学 调查 预防 控制 

分 类 号：R181.3[医药卫生—流行病学]