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
Abstract：Objective 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.
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.
[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.
