2016—2018年湖北麻城市新发涂阳结核病患者首诊延误及其影响因素  

Analysis of the delay of the first visit of new smear positive TB patients and the influencing factors in MaCheng of Hubei Province,2016-2018

作　　者：梁智辉[1] 俞济时 宋素芳[1] LIANG Zhihui;YU Jishi;SONG Sufang(Macheng Center for Disease Control and Prevention,Huanggang,Hubei 438300,China)

机构地区：[1]湖北省麻城市疾病预防控制中心,湖北黄冈438300

出　　处：《公共卫生与预防医学》2020年第4期122-125,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的探讨2016—2018年麻城市新发涂阳结核病患者首诊延误及其影响因素,为结核病防治工作提供科学依据。方法自制调查表对2016—2018年《中国疾病预防控制信息系统结核病专报系统》中登记的现住址为本地的372例新发涂阳的结核病患者进行回顾性调查(面对面访谈),然后对其首诊延误影响因素进行单因素分析和多因素Logistic回归分析。结果372例结核病患者中,首诊延误230例,首诊延误率为61.83%,首诊延迟时间中位数为17.0d,平均延误时间37.74d。多因素Logistic回归分析显示,家庭经济困难(OR=31.609,95%CI:7.240~138.010)、没时间(OR=9.597,95%CI:2.014~45.729)、不在乎(OR=13.232,95%CI:2.978~58.804)、就诊点较远(OR=15.374,95%CI:2.896~81.616)、职业非农(OR=31.4439,95%CI:4.398~224.8049)、首诊乡镇(OR=0.171,95%CI:0.037~0.785)等因素引起的首诊延误率比较,差异有统计学意义(P<0.05),但不同性别患者的首诊延误率之间的差异无统计学意义(P>0.05);结论麻城市结核病患者首诊延误率较高,应积极采取有针对性的措施将结核病患者首诊延误率降低到最低限度。Objective To explore the delay in the first diagnosis of tuberculosis patients in Macheng City from 2016 to 2018 and its influencing factors,so as to provide scientific basis for tuberculosis control.Methods A retrospective survey(face-to-face interview)was conducted on 372 new smear positive TB patients registered in the TB special report system of China′s disease prevention and control information system from 2016 to 2018,Then the influencing factors of first visit delay were analyzed by single factor analysis and multi factor Logistic regression analysis.Results Among the 372 TB patients,230 were delayed in the first diagnosis,the delay rate of the first diagnosis was 61.83%,the median delay time of the first diagnosis was 17.0d,and the average delay time was 37.74d.Multivariate logistic regression analysis showed that family financial difficulties(OR=31.609,95%CI:7.240-138.010),no time(OR=9.597,95%CI:2.014-45.729),not care(OR=13.232,95%CI:2.978-58.804),Far away from the clinic(OR=15.374,95%CI:2.896-81.616),non-agricultural occupational(OR=31.4439,95%CI:4.398-224.8049),first visit in township(OR=0.171,95%CI:0.037-0.785),the difference was statistically significant(P<0.05),However,there was no significant difference in the first visit delay rate between different genders(P>0.05).Conclusion The first diagnosis delay rate of tuberculosis patients in Macheng City is high,some effective measures should be taken to minimize the first visit of TB patients.

关 键 词：肺结核 首诊延误 影响因素 逻辑回归 

分 类 号：R183.3[医药卫生—流行病学]