2008—2021年咸宁市肺结核病患者就诊延迟及影响因素分析  

Treatment delay and influencing factors of tuberculosis patients in Xianning from 2008 to 2021

作　　者：刘旷怡 徐巧 葛木村 王兆芬[1] LIU Kuangyi;XU Qiao;GE Mucun;WANG Zhaofen(Department of Public Health,Medical College of Qinghai University,Xining,Qinghai 810008,China;Xianning Tuberculosis Prevention and Control Hospital,Xianning,Hubei 437000,China)

机构地区：[1]青海大学医学院公共卫生系,青海西宁810001 [2]湖北省咸宁市结核病防治院,湖北咸宁437000

出　　处：《公共卫生与预防医学》2023年第3期74-78,共5页Journal of Public Health and Preventive Medicine

基　　金：国家自然科学基金项目(81860593)。

摘　　要：目的分析咸宁市2008—2021年肺结核患者就诊延迟的现状、变化趋势以及影响因素,为控制结核病疫情提供科学依据。方法对咸宁市2008—2021年肺结核患者就诊延迟现状及变化趋势进行描述,并采用多因素logistic回归分析模型探索肺结核患者就诊延迟影响因素。结果咸宁市2008—2021年肺结核患者就诊延迟率为58.53%,前六年就诊延迟率趋于平稳,2014—2016年略有上升后逐年降低至2021年的44.76%。不同性别及年龄组与总体趋势相同;多因素logistic回归分析模型分析结果显示,女性,户籍地址为嘉鱼县,职业中服务行业、工人、农牧民、离休人员、其他,诊断结果为病原学阳性,患者来源中直接就诊是发生就诊延迟的高风险患者,≥65岁患者发生就诊延迟风险低于<25岁患者。结论2008—2021年咸宁市结核病患者就诊延迟现象较为普遍,对上述各类就诊延迟的高危因素,需要重点加强关注。Objective To analyze the current situation,change trend and influencing factors of the delay in the treatment of tuberculosis patients in Xianning from 2008 to 2021,and to provide a scientific basis for controlling the tuberculosis epidemic.Methods The current situation and trend of the delay in the treatment of tuberculosis patients in Xianning City from 2008 to 2021 were described,and the multivariate Logistic regression analysis model was used to explore the influencing factors of the treatment delay in tuberculosis patients.Results The delay rate of seeking medical care for tuberculosis patients in Xianning from 2008 to 2021 was 58.53%,and the delay rate in the first six years tended to be stable.From 2014 to 2016,it increased slightly and then decreased year by year to 44.76%in 2021.Different gender and age groups showed the same trends as overall patients.The analysis results of the multivariate Logistic regression analysis model showed that females,household registration address in Jiayu County,occupations including service industries,workers,farmers and herdsmen,retirees,and others,the diagnosis result being positive for etiology,and the direct treatment in the patient source were high-risk factors for patients with delayed treatment.The risk of delay in treatment in≥65-year-old patients was lower than that of<25-year-old patients.Conclusion From 2008 to 2021,the phenomenon of delay in the treatment of patients with pulmonary tuberculosis in Xianning City is relatively common,and the high-risk factors of the delay in treatment need to be paid more attention to.

关 键 词：肺结核 就诊延迟 影响因素 

分 类 号：R183[医药卫生—流行病学]