2010—2019年乌鲁木齐市学生结核病病例发现延迟、就诊延迟、确诊延迟分析  

Delay in identification,healthcare-seeking,and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019

作　　者：马丽[1] 梁智超 陈阳贵[1] 张为胜[1] 毛宏凯 胥婉婷 曹明芹[2] MA Li;LIANG Zhichao;CHEN Yanggui;ZHANG Weisheng;MAO Hongkai;XU Wanting;CAO Mingqin(Department of Tuberculosis Control and Prevention,Urumqi Center for Disease Control and Prevention,Urumqi,Xinjiang 830092,China;Xinjiang Medical University,Urumqi,Xinjiang 830054,China)

机构地区：[1]乌鲁木齐市疾病预防控制中心结核病防治科,新疆乌鲁木齐830092 [2]新疆医科大学,新疆乌鲁木齐830054

出　　处：《预防医学》2023年第1期53-56,60,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：NSFC-新疆联合基金(U190310197)。

摘　　要：目的了解2010—2019年乌鲁木齐市学生结核病病例发现、就诊、确诊延迟情况,并分析影响因素,为学生结核病防控提供依据。方法通过中国疾病预防控制信息系统结核病管理信息系统收集2010—2019年乌鲁木齐市学生结核病病例的人口学信息和诊断信息,分析学生结核病病例发现、就诊、确诊延迟情况,采用多因素logistic回归模型分析发现、就诊、确诊延迟的影响因素。结果2010—2019年乌鲁木齐市学生结核病病例996例,其中学生结核病病例发现延迟702例,发现延迟率为70.48%;就诊延迟500例,就诊延迟率为55.22%;确诊延迟534例,确诊延迟率为53.61%。多因素logistic回归分析结果显示,主动发现(OR=0.116,95%CI:0.032~0.420)是学生结核病发现延迟的影响因素;女生(OR=1.424,95%CI:1.104~1.836)、外地户籍(OR=1.311,95%CI:1.016~1.694)和主动发现(OR=0.232,95%CI:0.064~0.848)是学生结核病病例就诊延迟的影响因素;主动发现(OR=0.143,95%CI:0.032~0.644)是学生结核病病例确诊延迟的影响因素。结论2010—2019年乌鲁木齐市学生结核病病例发现、就诊、确诊延迟率处于较高水平,女生和外地户籍就诊延迟风险较高,应加强主动发现筛查力度。Objective To investigate the delay in identification,healthcare-seeking,and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019,and to identify the influencing factors,so as to provide insights into tuberculosis control among students.Methods The demographic and diagnosis data of tuberculosis patients in Urumqi City from 2010 to 2019 were captured from the Tuberculosis Information Management System of Chinese Disease Control and Prevention Information System.The delay in identification,healthcare-seeking and definitive diagnosis of tuberculosis was analyzed among students,and the factors affecting the delay in identification,healthcare-seeking and definitive diagnosis of tuberculosis were identified using a multivariable logistic regression model.Results A total of996 tuberculosis cases were identified among students in Urumqi City from 2010 to 2019.There were 702 students with delay in identification of tuberculosis(70.48%),500 students with delay in healthcare-seeking(55.22%)and 534students with delay in definitive diagnosis(53.61%).Multivariable logistic regression analysis identified active identification(OR=0.116,95%CI:0.032-0.420)as a factor affecting delay in identification of tuberculosis,women(OR=1.424,95%CI:1.104-1.836),non-local household registration(OR=1.311,95%CI:1.016-1.694)and active identification(OR=0.232,95%CI:0.064-0.848)as factors affecting delay in healthcare-seeking,and active identification(OR=0.143,95%CI:0.032-0.644)as a factor affecting delay in definitive diagnosis of tuberculosis among students.Conclusions There is a high proportion of delay in identification,healthcare-seeking and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019,and female and non-locally household-registered students were at a high risk of delay in healthcare-seeking for tuberculosis.Active detection and screening of tuberculosis should be reinforced.

关 键 词：学生 结核病 发现延迟 就诊延迟 确诊延迟 

分 类 号：R521[医药卫生—内科学]