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

doi:10.19485/j.cnki.issn2096-5087.2023.01.012

Preventive Medicine

2023, Vol. 35

Issue (1): 53-56,60 DOI: 10.19485/j.cnki.issn2096-5087.2023.01.012

Disease Control

Current Issue | Archive | Adv Search

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
Figure/Table
References
Related Citation (15)

Download: PDF (841 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： student tuberculosis delay in case identification delay in healthcare-seeking delay in definitive diagnosis

Received: 12 August 2022 Revised: 01 November 2022 Published: 11 January 2023

ZTFLH:

R521

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Li
	LIANG Zhichao
	CHEN Yanggui
	ZHANG Weisheng
	MAO Hongkai
	XU Wanting
	CAO Mingqin

Cite this article:

MA Li,LIANG Zhichao,CHEN Yanggui, et al. Delay in identification, healthcare-seeking, and definitive diagnosis of tuberculosis among students in Urumqi City from 2010 to 2019[J]. Preventive Medicine, 2023, 35(1): 53-56,60.

URL:

http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2023.01.012 OR http://www.zjyfyxzz.com/EN/Y2023/V35/I1/53

[1] NATHAVITHARANA R R,FRIEDLAND J S.A tale of two global emergencies:tuberculosis control efforts can learn from the ebola outbreak[J].Eur Respir J,2015,46(2):293-296.
[2] LOZANO-DÍAZ S T,SANTAELLA-SOSA E R,GARZA-GONZÁLEZ J N,et al.Latent tuberculosis infection in medical students in the Northeast of Mexico[J/OL].J Clin Tuberc Other Mycobact Dis,2021,24[2022-11-01].http://doi.org/10.1016/j.jctube.2021.100260.
[3] 王黎霞,成诗明,陈伟.学校结核病防治工作手册[M].北京:科学出版社,2012.
[4] LI Y,EHIRI J,TANG S,et al.Factors associated with patient,and diagnostic delays in Chinese TB patients:a systematic review and meta-analysis[J/OL].BMC Med,2013,11[2022-11-01].http://doi.org/10.1186/1741-7015-11-156.
[5] 高新,马晓媛,辛秀梅.不同发现方式在结核病发现中的作用[J].中国预防医学杂志,2016,17(1):75-77.
[6] 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.
[7] 董晓,赵珍,依帕尔·艾海提,等.2010—2019年新疆维吾尔自治区0~14岁儿童肺结核流行特征分析[J].疾病监测,2021,36(11):1142-1146.
[8] 刘年强,王新旗,王希江,等.新疆结核病防治回顾与展望[J].疾病预防控制通报,2020,35(4):80-84.
[9] 杨妮,饶正远,夏岚,等.2016—2018年四川省学生活动性肺结核患者发现延迟影响因素分析[J].疾病监测,2019,34(12):1113-1116.
[10] 傅颖,蒋骏,张晓龙,等.苏州市2011—2020年学生肺结核患者发现延迟状况[J].中国学校卫生,2021,42(12):1781-1784.
[11] 马志,叶尔扎提·吾瓦特,腾子豪,等.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.
[12] 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.
[13] 马斌忠,赵晓银,梁达,等.2011—2020年青海省学生肺结核患者就诊延迟及影响因素分析[J].疾病监测,2022,37(8):1032-1036.
[14] 白璐璐,陈洪,黄延,等.贵阳市2014—2020年学生肺结核患者发现就诊及确诊延迟影响因素分析[J].中国学校卫生,2021,42(12):1776-1780,1784.
[15] 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.
[16] 周勇,闫世春,于兰,等.黑龙江省中小学学生及其家长结核病防治核心知识知晓情况及相关性分析[J].中国公共卫生,2022,38(4):490-493.
[17] 张慧,成君,于艳玲,等.基于社区的重点人群肺结核主动发现干预效果评价:多中心前瞻性队列研究[J].中国防痨杂志,2021,43(12):1248-1259.
[18] 杨春梅,曹现鸿,袁正华,等.2016—2019年青川县60岁及以上常住居民结核病主动发现效果分析[J].预防医学情报杂志,2021,37(7):1001-1006,1010.
[19] 邓献叶. 结核病防治知识健康教育在学校结核病控制中的作用研究[J].国际感染学杂志(电子版),2020,9(12):228-229.