| 东莞市青少年2009—2018年结核病患者就诊延迟及影响因素分析 |
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| 引用本文： | 李文辉,冯汉阳,钟明浩,代艳杰,闫莉,钟新光,叶小华.东莞市青少年2009—2018年结核病患者就诊延迟及影响因素分析[J].中国学校卫生,2021,42(2):264. |
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| 作者姓名： | 李文辉 冯汉阳 钟明浩 代艳杰 闫莉 钟新光 叶小华 |
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| 作者单位： | 1.广东药科大学公共卫生学院流行病与卫生统计学系，广州 510310 |
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| 基金项目： | 国家自然科学基金项目81973069广东省基础与应用基础研究基金项目2019A1515010915 |
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| 摘 要： | 目的 分析2009—2018年东莞市青少年结核病患者就诊延迟特征及其影响因素，为青少年结核病防控工作提供理论依据。 方法 以2009—2018年东莞市8 899例10~24岁青少年结核病患者作为研究对象，采用秩和检验和多重线性回归分析就诊天数的影响因素，采用χ2检验和Logistic回归分析探究就诊延迟率的影响因素。 结果 2009—2018年东莞市青少年结核病患者就诊天数的中位数为18(6~46)d，就诊延迟率为56.6%。多重线性回归提示，女性(B=0.20)、居住郊区(B=0.10)、病原学阳性(B=0.69)、2014—2018年(B=0.21)、初中患者(B=0.98)与就诊天数增加呈正相关(P均 < 0.05)。多因素Logistic回归分析提示，女性(OR=1.35，95%CI=1.23~1.47)、居住郊区(OR=1.21，95%CI=1.08~1.37)、病原学阳性(OR=2.51，95%CI=2.26~2.79)、2014—2018年(OR=1.24，95%CI=1.14~1.35)、初中(OR=7.58，95%CI=1.45~39.65)、高中(OR=5.26，95%CI=1.04~26.52)、大学(OR=7.06，95%CI=1.39~35.99)、非学生(OR=5.23，95%CI=1.05~26.08)均与就诊延迟率增加呈正相关(P均 < 0.05)。 结论 东莞市青少年结核病防控工作亟需加强。应重点关注女性、郊区、学生青少年结核病患者的就诊延迟问题，制定合理的青少年结核病防控政策。
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| 关 键 词： | 结核 诊断 时间 回归分析 青少年 |
| 收稿时间： | 2020-09-29 |
Delay on care-seeking and influencing factors among adolescent tuberculosis patients in Dongguan City from 2009 to 2018 |
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| Affiliation: | 1.Department of Epidemiology and Health Statistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou (510310), China |
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| Abstract: | Objective To analyze the characteristics and influencing factors of care-seeking delay of adolescent tuberculosis patients in Dongguan City from 2009 to 2018, so as to provide theoretical basis for the tuberculosis control. Methods The study participants were 8 899 adolescent tuberculosis patients in Dongguan from 2009 to 2018. The Rank-sum test and multiple linear regression were used to analyze the influencing factors of care-seeking days, and the χ2 test and Logistic regression were used to analyze the influencing factors of care-seeking delay. Results The median care-seeking days among adolescent tuberculosis patients were 18(6-46) days in Dongguan City from 2009 to 2018, and the prevalence of the care-seeking delay was 56.6%. Multiple linear regression indicated that care-seeking delays were positively associated with being women (B=0.20), living in rural areas (B=0.10), pathogen-positive patients (B=0.69), patients from 2014 to 2018 (B=0.21), and junior school students (B=0.98). Multivariate Logistic regression indicated that care-seeking delay were positively associated with being women (OR=1.35, 95%CI=1.23-1.47), living in rural areas (OR=1.21, 95%CI=1.08-1.37), pathogen-positive patients (OR=2.51, 95%CI=2.26-2.79), patients from 2014 to 2018 (OR=1.24, 95%CI=1.14-1.35), junior-school students (OR=7.58, 95%CI=1.45-39.65), high-school students (OR=5.26, 95%CI=1.04-26.52), university students (OR=7.06, 95%CI=1.39-35.99), and non-students (OR=5.23, 95%CI=1.05-26.08)(P < 0.05). Conclusion The prevention and control of tuberculosis among adolescent patients in Dongguan urgently needs to be strengthened. In the future, attention should be paid to the prevalence of care-seeking delay among female, rural, and student tuberculosis patients, and a reasonable prevention and control policy for adolescent patients should be formulated. |
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