Please wait a minute...
文章检索
预防医学  2022, Vol. 34 Issue (2): 180-184    DOI: 10.19485/j.cnki.issn2096-5087.2022.02.015
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
2009—2020年伊宁市学生结核病就诊延迟情况调查
马志1, 叶尔扎提·吾瓦特2, 腾子豪1, 蒋远东1, 向阳1
1.新疆医科大学公共卫生学院,新疆 乌鲁木齐 830011;
2.伊宁市疾病预防控制中心,新疆 伊宁 830011
Health-seeking delay in tuberculosis among students inYining City from 2009 to 2020
MA Zhi1, Yeerzhati Wuwate2, TENG Zihao1, JIANG Yuandong1, XIANG Yang1
1. School of Public Health, Xinjiang University, Urumqi, Xinjiang 830011, China;
2. Yining Center for Disease Control and Prevention, Yining, Xinjiang 830011, China
全文: PDF(802 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解2009—2020年新疆维吾尔自治区伊宁市在校学生结核病就诊延迟情况,并分析其影响因素,为降低伊宁市学生结核病就诊延迟率提供依据。方法 通过中国疾病预防控制信息系统结核病管理信息系统收集2009—2020年伊宁市学生结核病病例的人口学信息和就诊资料,采用多因素logistic回归模型分析学生结核病就诊延迟的影响因素。结果 2009—2020年伊宁市报告学生结核病病例443例,其中男生209例,女生234例,男女性别比为1∶1.12。小学、初中、高中和大学分别报告29、81、187和146例,占6.55%、18.28%、42.21%和32.96%。本地户籍394例,占88.94%。就诊延迟287例,就诊延迟率为64.79%,就诊延迟时间MQR)为35(33)d。多因素logistic回归分析结果显示,户籍(本地,OR=1.899,95%CI:1.004~3.591)、病例来源(因症就诊,OR=3.448,95%CI:1.755~6.775;因症推荐,OR=3.215,95%CI:1.161~8.900;追踪,OR=2.415,95%CI:1.269~4.596)和诊断结果(痰涂片阳性,OR=3.081,95%CI:1.710~5.551)与学生结核病就诊延迟存在统计学关联。结论 2009—2020年伊宁市学生结核病就诊延迟率较高,户籍、结核病病例来源和诊断结果是主要影响因素。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
马志
叶尔扎提·吾瓦特
腾子豪
蒋远东
向阳
关键词 结核病学生就诊延迟    
AbstractObjective To investigate the health-seeking delay in tuberculosis among school students in Yining City, Xinjiang Uygur Autonomous Region from 2009 to 2020, and analyze the influencing factors, so as to provide the evidence for reducing the health-seeking delay in tuberculosis among students in Yining City. Methods The demographic features and diagnosis of students with tuberculosis in Yining City from 2009 to 2020 were retrieved from the Tuberculosis Management Information System of the Chinese Disease Control and Prevention Information System, and the factors affecting the health-seeking delay in tuberculosis were identified using the multivariable logistic regression analysis. Results A total of 443 students with tuberculosis were reported in Yining City from 2009 to 2020, including 209 boys and 234 girls, with a male/female ratio of 1∶1.12. There were 29 primary school students ( 6.55% ), 81 junior high school students ( 18.28% ), 187 high school students ( 42.21% ) and 146 college students ( 32.96% ) reporting tuberculosis, and 394 cases ( 88.94% ) had locally registered residence. There were 287 students with health-seeking delay in tuberculosis ( 64.79% ), and the median duration of health-seeking delay was 35 ( interquartile range, 33 ) days. Multivariable logistic regression analysis showed that registered residence ( local, OR=1.899, 95%CI: 1.004-3.591 ) and origin of tuberculosis patients ( clinical consultation, OR=3.448, 95%CI: 1.755-6.775; recommendation for symptoms, OR=3.215, 95%CI: 1.161-8.900; tracking, OR=2.415, 95%CI: 1.269-4.596 ) and diagnostic results ( positive sputum smears, OR=3.081, 95%CI: 1.710-5.551 ) statistically correlated with health-seeking delay among students with tuberculosis. Conclusions The proportion of health-seeking delay in tuberculosis was high among students in Yining City from 2009 to 2020; registered residence, origin of tuberculosis patients and diagnostic results were associated.
Key wordstuberculosis    student    health-seeking delay
收稿日期: 2021-08-23      修回日期: 2021-11-21      出版日期: 2022-02-10
中图分类号:  R521  
基金资助:国家自然科学基金(81860589)
通信作者: 向阳,E-mail:893664450@qq.com   
作者简介: 马志,硕士在读
引用本文:   
马志, 叶尔扎提·吾瓦特, 腾子豪, 蒋远东, 向阳. 2009—2020年伊宁市学生结核病就诊延迟情况调查[J]. 预防医学, 2022, 34(2): 180-184.
MA Zhi, Yeerzhati Wuwate, TENG Zihao, JIANG Yuandong, XIANG Yang. Health-seeking delay in tuberculosis among students inYining City from 2009 to 2020. Preventive Medicine, 2022, 34(2): 180-184.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.02.015      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I2/180
[1] 龙令杏,陈再平,杨通平.少数民族地区肺结核患者就诊延迟状况及其影响因素分析[J].重庆医学,2017,46(18):2535-2537.
LONG L X,CHEN Z P,YANG T P.Analysis of health-seeking delay and relevant factors tuberculosis diagnosis among ethnic minority areas[J].Chongqing Med,2017,46(18):2535-2537.
[2] 杨蕊,邱玉冰,苏玮玮,等.云南省TB/HIV双重感染患者抗结核治疗死亡危险因素生存分析[J].中华疾病控制杂志,2016,20(12):1212-1215,1226.
YANG R,QIU Y B,SU W W,et al.Survival analysis on the influencing factors of the mortality of TB/HIV co-infectious patients during the anti-tuberculosis treatment period in Yunnan Province[J].Chin J Dis Control Prev,2016,20(12):1212-1215,1226.
[3] 陈卉,夏愔愔,张灿有,等.2014—2018年全国学生肺结核疫情变化趋势及特征分析[J].中国防痨杂志,2019,41(6):662-668.
CHEN H,XIA Y Y,ZHANG C Y,et al.Analysis on the trend and characteristics of tuberculosis epidemic among students in China from 2014 to 2018[J].Chin J Tuberc Def,2019,41(6):662-668.
[4] 李鹏飞. 2010年—2015年新疆地区肺结核患者就诊延迟状况及其影响因素分析[D].乌鲁木齐:新疆医科大学,2018.
LI P F.Study on influencing factors of health-seeking delay of patients wirh pulmonary tuberculosis in Xinjiang during 2010-2015[D].Urumqi:Xinjiang Medical University,2018.
[5] 中华人民共和国国家卫生和计划生育委员会.肺结核诊断:WS 288—2017[S].2017.
National Health and Family Planning Commission of the People's Republic of China.Diagnosis of pulmonary tuberculosis:WS 288-2017[S].2017.
[6] 李德洋,苏德奇,张为胜,等.乌鲁木齐市肺结核患者就诊、确诊、发现延迟的影响因素分析[J].预防医学,2020,32(11):1150-1154.
LI D Y,SU D Q,ZHANG W S,et al.Influencing factors for delay in treatment,diagnosis and discovery of pulmonary tuberculosis patients in Urumqi[J].Prev Med,2020,32(11):1150-1154.
[7] 左延才,龙凤娟.铜陵市2017—2018年初治与复治结核病患者耐药情况分析[J].安徽医学,2019,40(12):1339-1342.
ZUO Y C,LONG F J.Analysis of drug resistance of TB patients treated and retreated in Tongling City from 2017 to 2018[J].Anhui Med J,2019,40(12):1339-1342.
[8] 毛敏杰,汪彩红,潘蕾.细胞免疫和体液免疫功能检测对重症结核病患者的临床意义[J].中华危重症医学杂志(电子版),2015(2):109-111.
MAO M J,WANG C H,PAN L.Clinical significance of cellular immunity and humoral immunity for patients with severe tuberculosis[J].Chin J Crit Care Med(Electron Ed),2015(2):109-111.
[9] 周玉兰,邓亚利,冉建朝,等.2008—2017年新疆生产建设兵团肺结核患者就诊、确诊延迟及影响因素分析[J].现代预防医学,2018,45(16):3014-3018.
ZHOU Y L,DENG Y L,RAN J C,et al.Analysis of the treatment delay,diagnosis delay and influencing factors of tuberculosis patients in Xinjiang Production and Construction Corps from 2008 to 2017[J].Mod Prev Med,2018,45(16):3014-3018.
[10] 杨太华,瓦哈甫·沙力,扬津民,等.新疆维吾尔自治区喀什地区肺结核就诊及确诊延迟调查分析[J].中国防痨杂志,2011,33(12):803-805.
[11] 张婷,胡代玉,刘英,等.重庆市儿童结核病就诊延迟现况研究[J].重庆医学,2016,45(25):3531-3533.
ZHANG T,HU D Y,LIU Y,et al.Study on the current situation of treatment delay of childhood tuberculosis in Chongqing[J].Chongqing Med,2016,45(25):3531-3533.
[12] 赵承杰,何雪姣.136例初治肺结核患者就诊延迟的影响因素分析[J].预防医学,2017,29(12):1235-1237.
ZHAO C J,HE X J.An analysis on the influencing factors of patient delay 136 newly treated patients with pulmonary tuberculosis[J].Prev Med,2017,29(12):1235-1237.
[13] 马煜,杜昕,邓亚丽,等.陕西省2015—2019年学生肺结核患者就诊延迟影响因素分析[J].中国学校卫生,2021,42(4):615-618,622.
MA Y,DU X,DENG Y L,et al.Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shaanxi Province from 2015 to 2019[J].Chin J Sch Health,2021,42(4):615-618,622.
[14] 杨玲,黄建斌,任军辉.石家庄市鹿泉区肺结核病人就诊延迟情况及相关因素分析[J].医学动物防制,2017,33(6):695-697,699.
YANG L,HUANG J B,REN J H.Analysis of delay and related factors in patients with pulmonary tuberculosis in Luquan District of Shijiazhuang[J].J Med Pest Control,2017,33(6):695-697,699.
[15] 王荣,李晨,杨晨,等.南京市2011—2013年肺结核患者就诊延迟状况及影响因素分析[J].中华疾病控制杂志,2015,19(8):854-856.
WANG R, LI C,YANG C,et al.Study on influencing factors of health-seeking delay of patients with pulmonary tuberculosis in Nanjing during 2011-2013[J].Chin J Dis Control Prev,2015,19(8):854-856.
[16] 傅丽娟,汪业胜,朱文龙,等.湖州市2008—2018年肺结核患者就诊延迟情况及影响因素[J].中华疾病控制杂志,2021,25(2):235-239.
FU L J,WANG Y S,ZHU W L,et al.Consultation delay and influencing factors among pulmonary tuberculosis patients in Huzhou City from 2008 to 2018[J].Chin J Dis Control Prev,2021,25(2):235-239.
[17] 胡庆亮,巴桑卓玛,德庆.西藏383例涂阳肺结核病人从首发症状到确诊的平均时间分析[J].中国防痨杂志,2005,27(4):257.
[18] 杜正新,何佩贤.涂阴与涂阳肺结核患者发现方式及发现初期临床症状和体征的对比分析[J].中国防痨杂志,2016,38(11):940-944.
DU Z X,HE P X.Comparative analysis of detection methods and clinical features in patients with smear-negative and smear-positive pulmonary tuberculosis[J].Chin J Antitubercul,2016,38(11):940-944.
[1] 徐倩倩, 朱莹莹, 丁十戈, 金秋妍, 董莹. 宁波市中学生电子烟使用调查[J]. 预防医学, 2023, 35(9): 814-819.
[2] 刘晶芝, 胡燕燕, 张学伟, 阿依努尔. 新疆阿勒泰农牧区哈萨克族小学生贫血调查[J]. 预防医学, 2023, 35(9): 807-810.
[3] 胡嘉, 黄钦, 郑建刚, 何旺瑞, 曾艳文. 江西省居民结核病防治核心信息知晓情况调查[J]. 预防医学, 2023, 35(8): 718-720,731.
[4] 高颖, 孙乐成, 王莉莉, 黄银凤, 吴英锋. 海南省中学生电子烟使用情况调查[J]. 预防医学, 2023, 35(8): 655-658,664.
[5] 闫孜晴, 苏畅, 白玉, 曾亦斌, 包希哲, 赵醒村. 大学生身体自我效能对身体活动及体质健康的影响研究[J]. 预防医学, 2023, 35(6): 480-484.
[6] 余志涛, 程庆林, 邓媛元, 王柳茜, 黎燕, 李志芳. 中学生解离倾向的影响因素分析[J]. 预防医学, 2023, 35(5): 369-373,379.
[7] 景正伟, 宁艳, 常文辉, 周超, 任强, 董丽芳, 贾华, 许诗瑶, 王志锋. 高校MSM人群HIV感染学生生存质量分析[J]. 预防医学, 2023, 35(4): 291-294.
[8] 张丛笑, 郑琳, 沈利明, 黄闽燕, 陈晖, 牛星凯, 宋凯. 某区中小学生抑郁症状调查[J]. 预防医学, 2023, 35(3): 196-199,204.
[9] 余繁荣, 王伟, 闫玉琴, 宋黎桥, 陈莉媛, 苏少晨. 玛曲县藏族小学生患龋的影响因素分析[J]. 预防医学, 2023, 35(3): 239-242.
[10] 彭佳, 曹友琴, 荣冬芸, 刘玉杰, 吕宝坤, 曹煜. 贵阳市在校大学生电子烟相关知识、态度、行为调查[J]. 预防医学, 2023, 35(3): 253-257.
[11] 陈可, 李锦成, 虞浩, 竺丽梅, 刘巧. 扬州市65岁及以上老年人群肺结核流行特征分析[J]. 预防医学, 2023, 35(10): 877-880.
[12] 马丽, 梁智超, 陈阳贵, 张为胜, 毛宏凯, 胥婉婷, 曹明芹. 2010—2019年乌鲁木齐市学生结核病病例发现延迟、就诊延迟、确诊延迟分析[J]. 预防医学, 2023, 35(1): 53-56,60.
[13] 孙楷城, 陈劲华, 朱志宏, 黄葵青, 傅爽. 义乌市小学生营养综合干预效果评价[J]. 预防医学, 2022, 34(9): 964-967.
[14] 夏强, 刘海灿, 赵秀芹, 万康林, 赵丽丽. 结核分枝杆菌异烟肼与乙硫异烟胺交叉耐药的相关基因研究[J]. 预防医学, 2022, 34(8): 836-841.
[15] 沈婷, 蔡永环, 张静敏, 胡艺俨, 靳颖, 许俊. 西湖区健康促进学校初中学生电子烟使用调查[J]. 预防医学, 2022, 34(8): 776-781.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed