福建省贫困人群结核病状况与防治需求调查分析

目的了解福建省农村贫困地区、边远少数民族地区结核贫困人群结核病防治的现状、困难及需求。方法采用分层整群等比例随机抽样的方法,调查福建省贫困人群肺结核患病率。获得基本医疗服务的可及性、结核病可疑症状者、患者就诊情况、费用支出情况。结果福建省农村地区肺结核患病率仍然较高,101例正在治疗肺结核患者中53例（52.5%）就诊延迟、37例（36.6%）确诊延迟,首次就诊至确诊平均医疗费用为1 870元,10例（9.9%）不清楚当地有肺结核病诊疗专业机构。结论福建省农村肺结核疫情仍然不可忽视,结核病防治优惠政策应该向经济欠发达地区倾斜。

Investigation into staus Mycobacterium tuberculosis infection of poverty-stroken population in Fujian Province and their demand for treatment

Objective To undersand the status of tuberculosis infection,their economical constraints and dmands in rural poor popu lation in Fujian.Methods The prevalence of tuberculosis in porerty-stroken ethnic groups,the availability of medical facilities,the diagnosis of suspected tuberclosis cases and expenditure for treatment of tuberculosis were investigated by stratified clustering random and proportional sampling.Results The prevalence of tuberculosis in remote poverty-stroken population is still high.The diagnosis of 53 of the 101 tuberculosis cases under treatment was delayed（52.3%）,the confirmation of 37 tuberculosis cases was delayed.The average expenses of from the first day of diagnosis to the day of confirmation was RMB 1 870 yuan and this was 10 tuberculosis cases（9.9%） did not know if there were special tuberculolsis control institutions in the locality.Conclusion Tuberculosis is still prevalent in remote rural areas and preferential policy should be put into effect on the poverty-stroken ethnic group.