Determinants of the delay in case-finding, treatment, and diagnosis among students tuberculosis patients in Guiyang from 2014 to 2020

BAI Lulu; CHEN Hong; HUANG Yan; ZHANG Binbing; TIAN Yongqin

doi:10.16835/j.cnki.1000-9817.2021.12.005

Volume 42 Issue 12

Dec. 2021

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BAI Lulu, CHEN Hong, HUANG Yan, ZHANG Binbing, TIAN Yongqin. Determinants of the delay in case-finding, treatment, and diagnosis among students tuberculosis patients in Guiyang from 2014 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1776-1780, 1784. doi: 10.16835/j.cnki.1000-9817.2021.12.005

Citation:

BAI Lulu, CHEN Hong, HUANG Yan, ZHANG Binbing, TIAN Yongqin. Determinants of the delay in case-finding, treatment, and diagnosis among students tuberculosis patients in Guiyang from 2014 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1776-1780, 1784. doi: 10.16835/j.cnki.1000-9817.2021.12.005

Citation:

BAI Lulu, CHEN Hong, HUANG Yan, ZHANG Binbing, TIAN Yongqin. Determinants of the delay in case-finding, treatment, and diagnosis among students tuberculosis patients in Guiyang from 2014 to 2020[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1776-1780, 1784. doi: 10.16835/j.cnki.1000-9817.2021.12.005

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Determinants of the delay in case-finding, treatment, and diagnosis among students tuberculosis patients in Guiyang from 2014 to 2020

doi: 10.16835/j.cnki.1000-9817.2021.12.005

Department of Tuberculosis Prevention and Control, Guiyang Center for Disease Control and Prevention, Guiyang (550000), China

Received Date: 2021-07-21
Rev Recd Date: 2021-08-30

Available Online: 2021-12-23

Publish Date: 2021-12-25

Abstract

Abstract

Objective To analyze factors affecting the delay in the case-finding, treatment and diagnosis of tuberculosis among students during 2014-2020, and to provide a reference for the prevention and control measures of tuberculosis among students in Guiyang City. Methods The medical cases of students with tuberculosis from 2014 to 2020 recorded by "China Disease Prevention and Control Information System" were collected and trend of delays in the detection, treatment, and diagnosis of students with tuberculosis were analyzed, and χ² test and multivariate Logistic regression were used to analyze influencing factors. Results From 2014 to 2020, the rate of delay in the case-finding, treatment, and diagnosis of tuberculosis among students in Guiyang showed a relatively stable trend. From 2014 to 2020, Guiyang City reported a total of 1 323 valid cases, the median number of case-finding was 16 days, and 48.75% of student TB patients were delayed; the median number of treatment was 11 days, the delay rate of treatment was 43.46%; the median number of diagnosis was 0 day, the diagnosis delay rate was 11.87%. The results of multivariate Logistic regression analysis showed that the floating population was a risk factor for delay in case-finding (OR=1.45), the classification of the source of patients as "other" (OR=0.19), the level of the first diagnosed unit was county (OR=0.44), and the type of the first diagnosed unit was general hospital (OR=0.58) were the protective factors for the delayed case-finding of tuberculosis in students(P < 0.05). Female (OR=1.32) and floating population (OR=1.38) were risk factors for delayed treatment. Floating population (OR=1.51), rural areas (OR=4.30), urban fringe (OR=2.76), non-severe patients (OR=5.99) were risk factors for delayed diagnosis, females (OR=0.65), ethnic minorities (OR=0.38), college degree (OR=0.53), and the first diagnosis unit wae a specialist hospital (OR=0.22) were protective factors for delayed diagnosis of tuberculosis in students (P < 0.05). Conclusion The rates of tuberculosis case-finding and treatment delay among students are common, which warrants targeted prevention and control measures to reduce the incidence of student delays and reduce the risk of tuberculosis cluster epidemics in schools.
- Tuberculosis, pulmonary,
- Diagnosis,
- Regression analysis,
- Students

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References(19)

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