2016-2018年四川省学生活动性肺结核患者发现延迟影响因素分析  

Influencing factors for delay in case-finding of active pulmonary tuberculosis in students in Sichuan, 2016–2018

作　　者：杨妮[1] 饶正远[1] 夏岚[1] 宋杨[1] Yang Ni;Rao Zhengyuan;Xia Lan;Song Yang(Sichuan Provincial Center for Disease Control and Prevention,Chengdu 610041,Sichuan,China)

机构地区：[1]四川省疾病预防控制中心结核病预防控制所

出　　处：《疾病监测》2019年第12期1113-1116,共4页Disease Surveillance

摘　　要：目的了解四川省在校学生肺结核患者发现延迟情况及其影响因素,为制订干预措施提供理论依据。方法从2016-2018年四川省在中国结核病管理信息系统登记的初治学生活动性肺结核病患者中,分层随机抽取2 666例为研究对象,描述不同分类发现延迟情况,采用χ~2检验和多分类logistic回归分析发现延迟的影响因素。结果四川省初治学生活动性肺结核病患者的发现延迟时间间隔中位数为24 d,未延迟(0~30 d)、延迟1个月(31~60 d)和延迟2个月以上(>60 d)者分别占57.1%、23.3%和19.6%;<16岁和≥19岁、少数民族、外地户籍、患者来源为追踪、首诊机构为县级机构、痰菌阳性为延迟超过2个月(>60 d)学生患者的主要危险因素。结论四川省学生活动性肺结核患者的发现延迟情况较为普遍。学校与医疗卫生机构应针对学生肺结核患者的发现延迟危险因素,采取有效、全面的干预措施,以减少发现延迟。Objective To understand the delay of active pulmonary tuberculosis(TB) case-finding in students and related influencing factors in Sichuan province, and provide evidence for the development of intervention strategies. Methods The data of 2 666 untreated TB cases in students were randomized collected from National Tuberculosis Management Information System, and the information about the delays in the finding of these cases were analyzed, and χ2 test and multiple logistic regression model were used to analyze the risk factors associated with the casefinding delay. Results The median of delay in the finding of 2 666 pulmonary TB cases in students in Sichuan was 24 d from 2016 to 2018, the proportion of the pulmonary TB cases reported without delay(0–30 d) was 57.1%, the pulmonary TB cases reported with delay of 1–2 months(31–60 d)and those reported with delay of ≥2 months(>60 d) accounted for 23.3% and 19.6% respectively. Age <16 and ≥19 years,minority ethnic group, non-local residence, case source(tracing), first medical seeking in health facilities at county level,positive results of Mycobacterium tuberculosis test were the risk factors for over 2 month case finding delay. Conclusion The case-finding delay of pulmonary TB in students was common in Sichuan. It is necessary for schools and health facilities to take effective and comprehensive intervention measures targeting risk factors to reduce the delay in pulmonary TB case finding in students.

关 键 词：结核 肺 回归分析 学生 发现延迟 

分 类 号：R521[医药卫生—内科学]