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| Influencing factors for delay in identification of tuberculosis among students in Jinhua City |
| CHEN Gaoshang, ZHU Kaiqiang, ZHU Junli, LI Ke
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| Jinhua Center for Disease Control and Prevention, Jinhua, Zhejiang 321000, China |
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Abstract Objective To analyze the influencing factors of delay in identification of pulmonary tuberculosis among students in Jinhua City, Zhejiang Province from 2012 to 2023, so as to provide the reference for strengthening prevention and control of tuberculosis in schools. Methods Data of tuberculosis cases among students in Jinhua City were collected through the Tuberculosis Information Management System of the Chinese Disease Prevention and Control Information System from 2012 to 2023, including demographic information, diagnosis and treatment information, and pathogen detection results. The prevalence of delay in identification of tuberculosis among students was described, and its influencing factors were analyzed using a multivariable logistic regression model. Results A total of 1 592 tuberculosis cases among students were reported in Jinhua City from 2012 to 2023, with 601 cases (37.75%) founded delay in identification. The prevalence rates of delay in identification of tuberculosis among male and female students were 36.11% and 39.70%, respectively. The prevalence rates of delay in identification of tuberculosis among primary school, junior high school, high school and college students were 48.68%, 44.97%, 31.44% and 42.49%, respectively. Multivariable logistic regression analysis identified educational level (high school, OR=0.576, 95%CI: 0.350-0.947), onset time of first symptoms (second quarter, OR=0.620, 95%CI: 0.466-0.826; fourth quarter, OR=0.681, 95%CI: 0.498-0.930), detection routes (referral, OR=12.221, 95%CI: 3.525-42.366; direct consultation, OR=9.409, 95%CI: 4.234-20.908; transfer, OR=3.642, 95%CI: 1.970-6.733; follow-up, OR=6.372, 95%CI: 3.362-12.077), etiological test results (negative, OR=0.499, 95%CI: 0.399-0.624), and diagnostic institutions (municipal designated hospitals, OR=0.731, 95%CI: 0.541-0.988) as factors affecting the delay in identification of tuberculosis among students. Conclusion The delay in identification of tuberculosis among students in Jinhua City is primarily associated with the routes of case detection, etiological test results and diagnostic institutions.
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Received: 11 March 2024
Revised: 13 May 2024
Published: 22 August 2024
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