天津市18家综合医疗机构丙型肝炎患者主动就诊行为的影响因素  

Influencing factors of active visiting behavior of hepatitis C patients in 18 comprehensive medical institution of Tianjin

作　　者：刘鹏英 陈静[2] 杨勇 何海艳[2] 

机构地区：[1]天津市津南区疾病预防控制中心传染病科,天津300350 [2]天津市疾病预防控制中心病毒性肝炎科,天津300011

出　　处：《职业与健康》2017年第9期1224-1226,1230,共4页Occupation and Health

摘　　要：目的了解天津市丙型肝炎患者主动就诊的影响因素,促进早发现,早诊断和早治疗,为采取有效的防治措施提供依据。方法采取分层随机抽样方法从天津市16个区18家二级及以上综合性医院各随机抽取10例符合条件的丙型肝炎患者进行丙型肝炎主动就诊相关影响因素和知晓率调查。采用SPSS 21.0进行统计学分析。结果 180例病例中主动就诊45例,未主动就诊者135例;主动就诊组中的男性比例高于未主动就诊组(χ~2=5.098,P<0.05);在主动就诊者中有明显临床症状者高于未主动就诊组(χ~2=7.714,P<0.05);主动就诊组的危险因素接触史显著高于未主动就诊组(χ~2=24.198,P<0.05),在单因素分析基础上,进行logistic回归分析结果显示,性别、危险因素接触史和对丙型肝炎传播危险因素的知晓3个因素是丙型肝炎患者主动就诊的主要影响因素。结论针对丙型肝炎患者主动就诊的主要影响因素,开展有效的干预措施,促进丙型肝炎患者尽快就诊。[Objective] To explore and anal To explore and analyze the influencing factors of active visiting behavior in patients with hepatitis C,promote early detection,early diagnosis and early treatment,and provide evidence for effective prevention and treatment publicity. [Methods]By using the stratified random sampling,18 secondary and above general hospitals were collected from 16 districts of Tianjin,and 10 qualified patients with hepatitis C were selected from each hospital,to investigate the influencing factors and awareness rate. SPSS 21.0 was adopted for the statistical analysis.[Results]Among the 180 cases,45 have actively visited the hospital and 135 were passive. The proportion of men in the active visiting group was higher than that in the non-active visiting group（χ^2=5.098,P〈0.05）. The proportion of patients with obvious clinical symptoms in the active visiting group was higher than that in the non-active visiting group（χ^2=7.714,P〈0.05）,and the proportion of patients with history of exposure to risk factors in the active visiting group was higher than that in the non-active visiting group（χ^2 =24.198,P〈0.05）. On the basis of univariate analysis,logistic regression analysis showed that gender,history of exposure to risk factors,and the awareness of hepatitis C transmission risk factors were the main factors influencing the active visiting behavior of hepatitis C patients.[Conclusion]It is necessary to take the effective intervention measures according to the main influencing factors of active visiting behavior in hepatitis C patients,to promote them visit the hospital as soon as possible.

关 键 词：丙型肝炎 主动就诊 影响因素 LOGISTIC回归 

分 类 号：R181.3[医药卫生—流行病学]