Volume 44 Issue 11
Nov.  2023
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XU Lijuan, JIA Lili, WANG Wenrui. Delay on detection, and diagnosis of pulmonary tuberculosis and the influencing factors in Inner Mongolia students during 2011-2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1724-1728. doi: 10.16835/j.cnki.1000-9817.2023.11.029
Citation: XU Lijuan, JIA Lili, WANG Wenrui. Delay on detection, and diagnosis of pulmonary tuberculosis and the influencing factors in Inner Mongolia students during 2011-2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1724-1728. doi: 10.16835/j.cnki.1000-9817.2023.11.029

Delay on detection, and diagnosis of pulmonary tuberculosis and the influencing factors in Inner Mongolia students during 2011-2022

doi: 10.16835/j.cnki.1000-9817.2023.11.029
  • Received Date: 2023-06-09
  • Rev Recd Date: 2023-08-04
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To analyze the delay on detection, care-seeking, diagnosis and treatment of tuberculosis among students in Inner Mongolia Autonomous Region (Inner Mongolia) from 2011 to 2022 and its influencing factors, so as to provide support for the prevention and treatment of tuberculosis among students.  Methods  The general demographic indicators of students with tuberculosis in Inner Mongolia from January 1, 2011 to December 31, 2022 were collected from the infectious disease monitoring (new) module of the China Disease Prevention and Control Information System.General characteristics and trend of four types of delayed pulmonary tuberculosis patients in students were analyzed.The influencing factors were analyzed using univariate and multivariate Logistic regressions.  Results  From 2011 to 2022, there were 6 032 cases of pulmonary tuberculosis among students in Inner Mongolia.The rates of delayed detection, delayed care-seeking, delayed diagnosis, and delayed treatment were 51.71%, 64.01%, 7.82%, and 2.30%, respectively.The results of multivariate Logistic regression analysis showed that tracking (OR=1.51) in the patient source, league-level diagnosis (OR=3.16) in the diagnostic institution level, and county-level diagnosis (OR=2.41) were positively associated with delayed discovery (P < 0.05).At the level of diagnostic unit, league city-level diagnosis (OR=2.69), and county-level diagnosis (OR=3.67) associated with more delayed care-seeking (P < 0.05).Referral (OR=1.58) and follow-up (OR=2.55), floating population (OR=2.05), further consultation with a doctor (OR=2.11), and no results in imaging manifestations (OR=2.19) were positively associated with delayed diagnosis (P < 0.05).The factors contributing to delayed treatment were referral (OR=1.84), follow-up (OR=4.91), active screening (OR=5.46), and floating population (OR=1.95)(P < 0.05).  Conclusions  From 2011 to 2022, the delay on detection and care-seeking for tuberculosis patients among students in Inner Mongolia is at a relatively high level, while the delay in diagnosis and treatment is at a relatively low level but shows an increasing trend.It is necessary to focus on the factors associated with delays in identification, diagnosis and treatment in tuberculosis outbreak in the context of school to prevent or reduce school tuberculosis outbreak.
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