俞南, 魏云芳. 2014-2020年北京市朝阳区肺结核病患者就诊延迟情况及影响因素分析[J]. 疾病监测, 2022, 37(1): 92-96. DOI: 10.3784/jbjc.202107270417
引用本文: 俞南, 魏云芳. 2014-2020年北京市朝阳区肺结核病患者就诊延迟情况及影响因素分析[J]. 疾病监测, 2022, 37(1): 92-96. DOI: 10.3784/jbjc.202107270417
Yu Nan, Wei Yunfang. Medical care seeking delay and related factors in pulmonary tuberculosis patients in Chaoyang district, Beijing, 2014–2020[J]. Disease Surveillance, 2022, 37(1): 92-96. DOI: 10.3784/jbjc.202107270417
Citation: Yu Nan, Wei Yunfang. Medical care seeking delay and related factors in pulmonary tuberculosis patients in Chaoyang district, Beijing, 2014–2020[J]. Disease Surveillance, 2022, 37(1): 92-96. DOI: 10.3784/jbjc.202107270417

2014-2020年北京市朝阳区肺结核病患者就诊延迟情况及影响因素分析

Medical care seeking delay and related factors in pulmonary tuberculosis patients in Chaoyang district, Beijing, 2014–2020

  • 摘要:
      目的   分析2014—2020年北京市朝阳区肺结核病患者就诊延迟特征、变化趋势及影响因素,为早发现并控制肺结核病传播提供科学依据。
      方法   从中国疾病预防控制信息系统导出2014—2020年北京市朝阳区各医疗卫生机构上报的肺结核病患者信息,包括年龄、性别、职业、户籍、现住址、症状出现日期、首次就诊日期、病原学结果等,采用多因素logistic回归分析肺结核病患者就诊延迟的影响因素。
      结果   2014—2020年北京市朝阳区肺结核病患者就诊时间中位数(四分位数)为9 (0, 33)d,就诊延迟率为42.60% (4269/10020),总体呈下降趋势(趋势χ2=111.002,P<0.001)。 多因素logistic回归分析显示,非本市户籍比值比(OR)=1.189,95% 可信区间(CI): 1.076~1.315;离退人员、学生/散居儿童、家务及待业、干部职员/教师/医务人员以及其他职业OR值及其95% CI分别1.396 (1.149~1.696)、1.282(1.009~1.628)、1.507(1.307~1.739)、1.787(1.532~2.085)和1.978 (1.558~2.512);复治患者OR=1.631(95% CI: 1.275~2.088)。
      结论   2014—2020年北京市朝阳区肺结核病患者就诊延迟率总体呈下降趋势,非本市户籍、离退人员、学生/散居儿童、家务及待业、干部职员/教师/医务人员以及其他职业者和复治是患者就诊延迟发生的高风险因素。

     

    Abstract:
      Objective   To analyze the characteristics and trend of medical care-seeking delay, and related factors in pulmonary tuberculosis (TB) patients in Chaoyang district of Beijing from 2014 to 2020 and provide scientific evidence for the early detection and control of pulmonary TB.
      Methods   The information of pulmonary TB patients registered in Chaoyang from 2014–2020, including age, gender, occupation, current address, date of onset, date of first visit and results of etiological examination, were collected from National Information System for Disease Control and Prevention. The factors associated with the medical care seeking delay in pulmonary TB patients were analyzed by multivariate Logistic regression model.
      Results   The median interval (quartiles) from symptom onset to seeking health care was 9 (0, 33) days in pulmonary TB patients in Chaoyang during 2014–2020, the medical care seeking delay rate was 42.60% (4 269/10 020), and the prevalence of medical care seeking delay showed a downward trend from 2014 to 2020 (trend χ2=111.002, P<0.001). The results from the multivariate Logistic regression analysis showed that the odds ratio (OR) and 95% confidence interval (CI) of non-local household registered patients was 1.189 (1.076–1.315); the ORs and 95% CI of retired personnel, students/children outside child care settings, the jobless/unemployed, staff member/teacher/doctor and other occupation were 1.396 (1.149–1.696), 1.282 (1.009–1.628), 1.507 (1.307–1.739), 1.787 (1.532–2.085) and 1.978 (1.558–2.512); the OR and 95% CI of retreated patients was 1.631(1.275–2.088).
      Conclusion   The overall medical care-seeking delay rate in pulmonary TB patients in Chaoyang showed a downward trend. Non-local household registration, being retired personnel, being students/children outside child care settings, being the jobless/unemployed, being staff member/teacher/doctor, and being retreated patients were the risk factors of the medical care-seeking delay in pulmonary TB patients in Chaoyang.

     

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