摘要
目的了解学生人群肺结核延迟就诊情况及影响因素,为学校结核病防控策略提供依据。方法利用结核病管理信息系统收集2016-2020年洪山区登记的528例学生肺结核患者的人口学信息、就诊信息和发现途径,通过患者调查及学校结核病防控日常督导回顾性收集学校医院配置及晨午检执行数据,分别运用秩和检验、χ^(2)检验和多因素logistic回归,研究肺结核学生患者就诊天数、延迟就诊率及延迟就诊影响因素。结果2016-2020年洪山区学生患者登记528例,男性339例,女性189例,性别比1.79∶1。平均年龄为(20.2±3.2)岁。患者以男性64.20%(339/528)、19~34岁75.19%(397/528)、本地94.89%(501/528)、被动发现92.42%(488/528)为主。平均就诊天数中位数为9(3~18)d,延迟就诊率35.42%(187/528)。单因素延迟就诊率分析显示,年龄、户籍及发现途径等因素的患者延迟就诊率差异有统计学意义(χ^(2)=12.479、5.045、13.663,P均<0.05)。Logistic回归研究显示,13~<16岁患者(OR=0.243)、16~<19岁患者(OR=0.416)、健康体检途径发现(OR=0.062)、第四季度患者(OR=0.517)延迟就诊风险更低;未执行晨午检(OR=2.985)延迟就诊风险更高,差异均有统计学意义(P<0.05)。结论2016-2020年洪山区学生结核病延迟就诊率较高,应重点关注19~34岁年龄组、第一季度发病患者的就诊问题,加强学校晨午检、健康体检等主动筛查发现干预,提高结核病防治知识知晓率,减少延迟就诊。
Objective To analyze the delay on care-seeking and associated factors among students with tuberculosis,and provide aimed strategy for the tuberculosis prevention and control in schools.Methods Demographic information,consultation information and discovery approach of 528 students with pulmonary tuberculosis registered were collected from the TB Management Information System,in Hongshan district from 2016 to 2020.The data of allocation of school hospitals and implementation of morning and afternoon examination were also collected retrospectively through patient survey and daily supervision of tuberculosis prevention and control in schools.Using rank sum test,χ^(2)test and multivariate logistic regression analyses to analyze the characteristics and influencing factors of delay on care-seeking among students tuberculosis.Results A total of 528 cases of students with pulmonary tuberculosis were reported in Hongshan district from2016 to 2020,including 339 boys and 189 girls,with a male/female ratio of 1.79∶1,and average age of(20.2±3.2)years old.Male patients were 64.20%(339/528),75.19%(397/528)aged 19 to 34,94.89%(501/528)local residents,and92.42%(488/528)were found passively.The median number of days of consultation was 9(3-18)days,and the delay rate of consultation was 35.42%(187/528).The univariate analysis of the delay rate of consultation showed that there were statistically significant differences in the delay rate of consultation among patients in age group,household registration and discovery method(χ^(2)=12.479,5.045,13.663,all P<0.05).Logistic regression study showed that patients aged 13-<16 years(OR=0.243),patients aged 16-<19 years(OR=0.416),health check-up pathway discovery(OR=0.062),and patients in the fourth quarter(OR=0.517)had a lower risk of delay in seeing a doctor.Those who did not perform morning and afternoon examinations(OR=2.985)had a higher risk of delay in seeing a doctor,and the difference was statistically significant(P<0.05).Conclusions From 2016 to 2020,the delay rate of tuberculos
作者
李丽
刘镕
杨云
夏琳
王丽娜
LI Li;LIU Rong;YANG Yun;XIA Lin;WANG Li⁃na(Tuberculosis Disease Control and Prevention Department,Hongshan district Center for Disease Control and Prevention,Wuhan,Hubei 430070;School of Basic Medical Sciences Wuhan University,Wuhan,Hubei 430071;School of Computer and Communication Engineering,Zhengzhou University of Light Industry,Zhengzhou,Henan 450001,China)
出处
《热带医学杂志》
CAS
2022年第8期1144-1148,共5页
Journal of Tropical Medicine
基金
河南省自然科学基金(212300410303)
关键词
肺结核
延迟就诊
学生
Pulmonary tuberculosis
Delay on care-seeking
Students
