肺结核患者治疗结局影响因素多水平模型分析  

Multi-level Model Analysis of Influencing Factors on Treatment Outcome of Pulmonary Tuberculosis Patients

作　　者：闫银锁 许琰[1] 倪新兰[1] 赵春卉 赵瑶[1] 高志东[1] Yan Yinsuo;Xu Yan;Ni Xinlan(Department of Prevention and Control,Beijing Research Institute for Tuberculosis Control(100035),Beijing)

机构地区：[1]北京结核病控制研究所防控科,100035

出　　处：《中国卫生统计》2021年第1期25-27,共3页Chinese Journal of Health Statistics

基　　金：首都卫生发展科研专项(2018-2-3021)。

摘　　要：目的分析北京地区肺结核患者治疗结局的影响因素。方法以2016-2018年北京市登记的肺结核患者为研究对象,通过构建两水平回归模型分析影响肺结核患者治疗结局的相关因素。结果在研究范围内影响肺结核患者治疗结局的因素包括年龄和职业。年龄在40~59岁组和60岁及以上组肺结核患者治疗不成功的风险分别是0~19岁组的1.895倍和2.014倍,差异有统计学意义(P<0.05);职业为农牧渔民/民工/长途驾驶员组及离退/家务/待业/其他组肺结核患者治疗不成功的风险分别是干部职员/卫生教育/工人组1.765倍和1.818倍,差异有统计学意义(P<0.05);不同性别、户籍、诊断结果、治疗分类的肺结核患者治疗结局差异均无统计学意义(P≥0.05)。结论中老年、非稳定性就业人群治疗结局相对较差,提示相关服务部门应有针对性加强该部分人群的督导服药管理,实施有针对性的干预策略。Objective To analyze the influencing factors of treatment outcome of tuberculosis patients in Beijing.Methods Taking the registered tuberculosis patients in Beijing from 2016 to 2018 as the research object,the influencing factors of treatment outcome of tuberculosis patients were analyzed by constructing a two-level logistic regression model.Results The main factors affecting the outcome of tuberculosis patients with chemotherapy include age and occupation.The risk of tuberculosis patients aged 40~59 and over 60 who unable to treat successfully was 1.895 times and 2.014 times higher than those aged 0~19.The difference was statistically significant(P<0.05).The risk of tuberculosis patients who were employed as farmers,herdsmen,fishermen,migrant workers,long-distance drivers and retired,house-holders,unemployed who unable to treat successfully was 1.765times and 1.818 times as Cadre staff,health education staff,workers.The difference was statistically significant(P<0.05).There was no significant difference in the treatment outcome of tuberculosis patients with different gender,household registration,diagnosis results and treatment classification(P≥0.05).Conclusion The treatment outcome of the middle-aged and the elderly,the unstable employment population is relatively poor,which suggests that the relevant medical service departments should strengthen the supervision and administration of medication in this part of the population,and implement targeted treatment intervention strategies.

关 键 词：多水平模型 肺结核 治疗 危险因素 

分 类 号：R183.3[医药卫生—流行病学]