北京市平谷区成年流感病例早期就诊影响因素分析  

Influencing factors of early treatment among adult influenza cases in Pinggu district of Beijing

作　　者：薛慧[1] 李佳[2] 郑阳[3] 张洪伟 王泽倩 Xue Hui;Li Jia;Zheng Yang;Zhang Hongwei;Wang Zeqian(Department of Infectious Disease and Endemic Disease Control,Beijing Pinggu District Center for Disease Prevention and Control,Beijing 101200,China;Research Management and Education Office,Beijing Center for Disease Prevention and Control,Beijing 100013,China;Institute for Infectious Disease and Endemic Disease Control and Prevention,Beijing Center for Disease Prevention and Control,Beijing 100013,China)

机构地区：[1]北京市平谷区疾病预防控制中心传染病地方病控制科,101200 [2]北京市疾病预防控制中心科研教学管理办公室,100013 [3]北京市疾病预防控制中心传染病地方病控制所,100013

出　　处：《国际病毒学杂志》2022年第4期282-285,共4页International Journal of Virology

基　　金：急性呼吸道传染病病原谱和流行规律及重要病原变异变迁特征研究(2017ZX10103004)。

摘　　要：目的探究成年人流感早期就诊的影响因素,为流感防治政策提供依据。方法采用x2检验比较不同特征调查对象早期就诊行为的差异,非条件多因素logistic回归分析调查对象早期就诊行为的相关因素。结果共调查平谷区成年流感病例80人。非条件多因素logistic回归显示,与≥60岁相比,18~59岁流感病例早期就诊OR(95%CI)值为0.52(0.38~0.71);居住城区相比农村早期就诊OR(95%CI)值为0.70(0.52~0.94);文化程度高中以上比高中以下早期就诊OR(95%CI)值为1.76(1.32~2.34);最高体温≥38.5℃比体温<38.5℃早期就诊OR(95%CI)值为0.20(0.16~0.27);医疗费用承担方式自费比医保报销早期就诊OR(95%CI)值为2.37(1.65~3.39)。结论年龄、居住地、文化程度、就诊前最高体温、医保方式是影响成年流感病例是否早期就诊的因素,针对年龄大、文化程度低、付费方式等方面制定有效措施。Objective To explore the influencing factors of early medical consultation among adult patients with influenza,so as to provide basis for the prevention and treatment of influenza.Methods Chi-square test was used to compare the difference of early visit behavior among the subjects with different characteristics,and unconditional multivariate logistic regression analysis was used to analyze the related factors of early visit behavior.Results The survey enrolled 80 adult influenza cases in Pinggu district.Unconditional multivariate logistic regression showed that the values of OR(95%CI)of early consultation among 18-59 years old group was 0.52(0.38-0.71),comparing to 60 years old and above group.The OR(95%CI)of the early visit between urban and rural residences was 0.70(0.52-0.94).For education levels,the OR(95%CI)of early consultation between above and below senior high school was 1.76(1.32-2.34).For the highest body temperatures,the OR(95%CI)of early consultation between over and below 38.5 degrees Celsius was 0.20(0.16-0.27).For medical treatment fees,the OR(95%CI)of early consultation between self-funded patients and insured patients was 2.37(1.65-3.39).Conclusions Age,place of residence,education level,the highest body temperature before visiting hospital as well as payment methods were the factors that influence early medical consultation among adult influenza cases.Effective intervention measures regarding aging,low level of education and payment methods should be implemented.

关 键 词：流行性感冒 成年人 早期就诊 

分 类 号：R511.7[医药卫生—内科学]