Volume 42 Issue 2
Apr.  2021
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LI Wenhui, FENG Hanyang, ZHONG Minghao, DAI Yanjie, YAN Li, ZHONG Xinguang, YE Xiaohua. Delay on care-seeking and influencing factors among adolescent tuberculosis patients in Dongguan City from 2009 to 2018[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(2): 264-268, 272. doi: 10.16835/j.cnki.1000-9817.2021.02.026
Citation: LI Wenhui, FENG Hanyang, ZHONG Minghao, DAI Yanjie, YAN Li, ZHONG Xinguang, YE Xiaohua. Delay on care-seeking and influencing factors among adolescent tuberculosis patients in Dongguan City from 2009 to 2018[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(2): 264-268, 272. doi: 10.16835/j.cnki.1000-9817.2021.02.026

Delay on care-seeking and influencing factors among adolescent tuberculosis patients in Dongguan City from 2009 to 2018

doi: 10.16835/j.cnki.1000-9817.2021.02.026
  • Received Date: 2020-09-29
  • Rev Recd Date: 2020-10-27
  • Available Online: 2021-04-06
  • Publish Date: 2021-02-25
  •   Objective  To analyze the characteristics and influencing factors of care-seeking delay of adolescent tuberculosis patients in Dongguan City from 2009 to 2018, so as to provide theoretical basis for the tuberculosis control.  Methods  The study participants were 8 899 adolescent tuberculosis patients in Dongguan from 2009 to 2018. The Rank-sum test and multiple linear regression were used to analyze the influencing factors of care-seeking days, and the χ2 test and Logistic regression were used to analyze the influencing factors of care-seeking delay.  Results  The median care-seeking days among adolescent tuberculosis patients were 18(6-46) days in Dongguan City from 2009 to 2018, and the prevalence of the care-seeking delay was 56.6%. Multiple linear regression indicated that care-seeking delays were positively associated with being women (B=0.20), living in rural areas (B=0.10), pathogen-positive patients (B=0.69), patients from 2014 to 2018 (B=0.21), and junior school students (B=0.98). Multivariate Logistic regression indicated that care-seeking delay were positively associated with being women (OR=1.35, 95%CI=1.23-1.47), living in rural areas (OR=1.21, 95%CI=1.08-1.37), pathogen-positive patients (OR=2.51, 95%CI=2.26-2.79), patients from 2014 to 2018 (OR=1.24, 95%CI=1.14-1.35), junior-school students (OR=7.58, 95%CI=1.45-39.65), high-school students (OR=5.26, 95%CI=1.04-26.52), university students (OR=7.06, 95%CI=1.39-35.99), and non-students (OR=5.23, 95%CI=1.05-26.08)(P < 0.05).  Conclusion  The prevention and control of tuberculosis among adolescent patients in Dongguan urgently needs to be strengthened. In the future, attention should be paid to the prevalence of care-seeking delay among female, rural, and student tuberculosis patients, and a reasonable prevention and control policy for adolescent patients should be formulated.
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