Delay in identification, healthcare-seeking, and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019
MA Li1, LIANG Zhichao2, CHEN Yanggui1, ZHANG Weisheng1, MAO Hongkai2, XU Wanting2, CAO Mingqin2
1. Department of Tuberculosis Control and Prevention, Urumqi Center for Disease Control and Prevention, Urumqi, Xinjiang 830092, China; 2. Xinjiang Medical University, Urumqi, Xinjiang 830054, China
Abstract：Objective To investigate the delay in identification, healthcare-seeking, and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019, and to identify the influencing factors, so as to provide insights into tuberculosis control among students. Methods The demographic and diagnosis data of tuberculosis patients in Urumqi City from 2010 to 2019 were captured from the Tuberculosis Information Management System of Chinese Disease Control and Prevention Information System. The delay in identification, healthcare-seeking and definitive diagnosis of tuberculosis was analyzed among students, and the factors affecting the delay in identification, healthcare-seeking and definitive diagnosis of tuberculosis were identified using a multivariable logistic regression model. Results A total of 996 tuberculosis cases were identified among students in Urumqi City from 2010 to 2019. There were 702 students with delay in identification of tuberculosis (70.48%), 500 students with delay in healthcare-seeking (55.22%) and 534 students with delay in definitive diagnosis (53.61%). Multivariable logistic regression analysis identified active identification (OR=0.116, 95%CI: 0.032-0.420) as a factor affecting delay in identification of tuberculosis, women (OR=1.424, 95%CI: 1.104-1.836), non-local household registration (OR=1.311, 95%CI: 1.016-1.694) and active identification (OR=0.232, 95%CI: 0.064-0.848) as factors affecting delay in healthcare-seeking, and active identification (OR=0.143, 95%CI: 0.032-0.644) as a factor affecting delay in definitive diagnosis of tuberculosis among students. Conclusions There is a high proportion of delay in identification, healthcare-seeking and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019, and female and non-locally household-registered students were at a high risk of delay in healthcare-seeking for tuberculosis. Active detection and screening of tuberculosis should be reinforced.
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.
MA Li, LIANG Zhichao, CHEN Yanggui, ZHANG Weisheng, MAO Hongkai, XU Wanting, CAO Mingqin. Delay in identification, healthcare-seeking, and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019. Preventive Medicine, 2023, 35(1): 53-56,60.
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