青海省2014-2019年肺结核患者就诊延迟情况及影响因素

  目的  分析青海省2014-2019年肺结核患者就诊延迟的现状、变化趋势以及影响因素。  方法  对青海省2014-2019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回归分析模型分析肺结核患者就诊延迟影响因素。  结果  青海省2014-2019年肺结核患者就诊延迟率为49.6%，并呈现逐年下降趋势，且不同性别和年龄组患者就诊延迟率也均呈下降趋势；多因素Logistic回归分析模型分析结果显示，≥15岁年龄组、患者来源中的因症推荐、追踪和治疗分类中的复治是发生就诊延迟的高风险患者。非农民职业患者发生就诊延迟风险低于农民患者。  结论  青海省2014-2019年肺结核患者就诊延迟率较高，呈现下降趋势。年龄、职业、患者来源和治疗分类是肺结核患者就诊延迟的影响因素，应加强关注发生就诊延迟高风险患者。

Analysis of the health-care seeking delay and influencing factors among pulmonary tuberculosis patients in Qinghai Province, 2014-2019

  Objective  To analyze the current status, trend and related influencing factors of pulmonary tuberculosis patients with delayed health-care seeking in Qinghai Province from 2014 to 2019.  Methods  The current status and trend of health-care seeking delay of pulmonary tuberculosis patients in Qinghai Province from 2014 to 2019 were described, and multivariate Logistic regression model was used to analyze the related influencing factors of health-care seeking delay of pulmonary tuberculosis patients.  Results  The health-care seeking delay rate of pulmonary tuberculosis patients was 49.6%, showing a downward trend from 2014 to 2019. And the health-care seeking delayrate among different genders and age groups patients also showed a downward trend in Qinghai Province from 2014 to 2019. Multivariate Logistic regression analysis showed that the age group ≥15 years old, recommended by disease, follow-up and retreatment were high risk factors for patients of health-care seeking delay. The risk of health-care seeking delay of non-farmer patients was lower than farmer patients.  Conclusion  From 2014 to 2019, the health-care seeking delay rate of pulmonary tuberculosis patients in Qinghai Province was relatively high, but with an annual decrease. Age, occupation, source of patients and treatment classification were the influencing factors on health-care seeking delay of pulmonary tuberculosis patients. In the future, we should pay more attention to patients at high risk for health-care seeking delay.