Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shaanxi Province from 2015 to 2019

MA Yu; DU Xin; DENG Yali; ZHANG Tianhua; ZHANG Hongwei

doi:10.16835/j.cnki.1000-9817.2021.04.031

Volume 42 Issue 4

Apr. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(4): 615-618, 622

MA Yu, DU Xin, DENG Yali, ZHANG Tianhua, ZHANG Hongwei. Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shaanxi Province from 2015 to 2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 615-618, 622. doi: 10.16835/j.cnki.1000-9817.2021.04.031

Citation:

MA Yu, DU Xin, DENG Yali, ZHANG Tianhua, ZHANG Hongwei. Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shaanxi Province from 2015 to 2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 615-618, 622. doi: 10.16835/j.cnki.1000-9817.2021.04.031

Citation:

MA Yu, DU Xin, DENG Yali, ZHANG Tianhua, ZHANG Hongwei. Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shaanxi Province from 2015 to 2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 615-618, 622. doi: 10.16835/j.cnki.1000-9817.2021.04.031

PDF( 394 KB)

Factors influencing the delay of seeking medical treatment among students with tuberculosis in Shaanxi Province from 2015 to 2019

doi: 10.16835/j.cnki.1000-9817.2021.04.031

Shaanxi Provincial Institute for Tuberculosis Control and Prevention, Xi'an(710048), China

Received Date: 2020-10-10
Rev Recd Date: 2020-11-29

Available Online: 2021-04-16

Publish Date: 2021-04-25

Abstract

Abstract

Objective To analyze the delay of seeking medical treatment and associated factors among students with tuberculosis in Shaanxi Province from 2015 to 2019, so as to provide scientific evidence for the early detection and control of tuberculosis epidemics in schools. Methods Data from 6 739 students with pulmonary tuberculosis registered in Shaanxi Province from 2015 to 2019 were collected from the TB Management Information System of China Information System for Disease Control and Prevention. Univariate and multivariate Logistic regression analyses were used to analyze the characteristics and influencing factors of pulmonary tuberculosis patients. Results Among 6 739 cases of students with pulmonary tuberculosis from 2015 to 2019 in Shaanxi Province, 3 040 patients delayed seeking medical treatment. The rate of delayed treatment was as high as 45.1%, and the median delayed treatment time was 38(24, 68) days. From 2015 to 2019, the overall delay rate of students showed a downward trend, with a significant difference(χ²=120.45, P < 0.05). Univariate analysis showed that there were statistically significant differences in delay rate between different patient sources, diagnosis results and regions(χ²=274.19, 26.75, 24.12, P < 0.05), among which for factors such as tracing, tuberculosis pleurisy, doctor delay in the northern part of Shaanxi, the rates were higher. The results of multivariate Logistic regression analysis showed that the regions of northern Shaanxi(OR=2.74), central Shaanxi(OR=2.09), and southern Shaanxi(OR=2.39), and clinical consultation(OR=1.84), recommendation(OR=2.81), tracing(OR=3.28), and tracing (OR=6.07) were risk factors for delay of consultation. A lack of etiology results(OR=0.47) was to protect delay of consultation. Conclusion From 2015 to 2019 in Shaanxi Province, a delay in seeking medical treatment was relatively common among students with tuberculosis. The region, source of patients and diagnosis results were factors that influenced the delay in finding tuberculosis patients in Shaanxi Province.
- Tuberculosis, pulmonary,
- Diagnosis,
- Time,
- Regression analysis,
- Students

FullText(HTML)

References(16)

References

[1]	王黎霞, 成诗明, 陈伟, 等. 学校结核病防治工作手册[M]. 北京: 军事医学科学出版社, 2012. WANG L X, CHENG S M, CHEN W, et al. Handbook of tuberculosis control in schools[M]. Beijing: Military Medical Science Press, 2012.
[2]	赵筱苹, 张天华. 某职业技术学院结核病聚集性病例的调查与处置[J]. 职业与健康, 2011, 27(24): 2912-2913. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201124046.htm ZHAO X P, ZHANG T H. Investigation and treatment for clustered tuberculosis cases in a professional technology college[J]. Occup Health, 2011, 27(24): 2912-2913. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201124046.htm
[3]	刘小晖, 刘志敏, 刘言训, 等. 胜利油田地区结核病人就诊延误影响因素研究[J]. 中国卫生事业管理, 2007, 23(12): 855-856. doi: 10.3969/j.issn.1004-4663.2007.12.027 LIU X H, LIU Z M, LIU Y X, et al. Research on influential factors of visiting a doctor delay for patients with tuberculosis in victory oilfield[J]. Chin Health Serv Manage, 2007, 23(12): 855-856. doi: 10.3969/j.issn.1004-4663.2007.12.027
[4]	赵锦明. 广西平果县肺结核主动发现策略实施效果研究[D]. 南宁: 广西医科大学, 2015. ZHAO J M. Study on the implementation Effect of active tuberculosis detection Strategy in Pingguo County, Guangxi[D]. Nanning: Guangxi Medical University, 2015.
[5]	周薇, 李海军, 陈广华, 等. 2008-2013年西安财经学院大学生肺结核患者发现效果分析[J]. 中国防痨杂志, 2014, 36(10): 880-883. doi: 10.3969/j.issn.1000-6621.2014.10.004 ZHOU W, LI H J, CHEN G H, et al. Analysis of TB case-finding among students in Xi'an university of finance and economics during 2008-2013[J]. Chin J Antituberc, 2014, 36(10): 880-883. doi: 10.3969/j.issn.1000-6621.2014.10.004
[6]	张凤梅, 时延利, 徐恒戬. 高等学校肺结核防控策略探讨[J]. 医学理论与实践, 2017, 30(6): 908-909. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201706076.htm ZHANG F M, SHI Y L, XU H J. Prevention and control strategies for tuberculosis in institutions of higher learning[J]. J Med Theory Pract, 2017, 30(6): 908-909. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL201706076.htm
[7]	柳巍, 曾令城, 张慧, 等. 西安市大学新生结核病筛查结果分析[J]. 中国学校卫生, 2016, 37(2): 313-315. doi: 10.16835/j.cnki.1000-9817.2016.02.049 LIU W, ZENG L C, ZHANG H, et al. Analysis of tuberculosis screening results of freshmen in Xi'an university[J]. Chin J Sch Health, 2016, 37(2): 313-315. doi: 10.16835/j.cnki.1000-9817.2016.02.049
[8]	李康, 黄时勇, 刘美良, 等. 2015年广西宾阳县肺结核流行现状及其发现延迟影响因素分析[J]. 医学动物防治, 2018, 34(9): 817-821. https://www.cnki.com.cn/Article/CJFDTOTAL-YXDZ201809001.htm LI K, HUANG S Y, LIU M L, et al. Analysis of the prevalence of pulmonary tuberculosis and the factors associated with the delay of tuberculosis identifiction in Binyang County of Guangxi in 2015[J]. J Med Pest Control, 2018, 34(9): 817-821. https://www.cnki.com.cn/Article/CJFDTOTAL-YXDZ201809001.htm
[9]	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[J]. 预防医学, 2020, 32(11): 1152-1154. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202011017.htm LI D Y, SU D Q, ZHANG W S, et al. Factors influencing the delay in diagnosis, diagnosis and discovery of pulmonary tuberculosis patients in Urumqi[J]. Prev Med, 2020, 32(11): 1152-1154. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202011017.htm
[10]	郭培军, 周正全, 王淑蕾, 等. 2011—2015年烟台市学生肺结核就诊延迟影响因素分析[J]. 中国病原生物学杂志, 2016, 12(11): 1074-1078. https://www.cnki.com.cn/Article/CJFDTOTAL-ZISC201612005.htm GUO P J, ZHOU Z Q, WANG S L, et al. Factors influencing the delay of diagnosis and treatment among students with pulmonary tuberculosis in the City of Yantai from 2011 to 2015[J]. J Parasit Biol, 2016, 12(11): 1074-1078. https://www.cnki.com.cn/Article/CJFDTOTAL-ZISC201612005.htm
[11]	孙宏英, 段晋超, 严昌武, 等. 四川省绵阳市2014—2018年学生结核病患者就诊延迟特征分析[J]. 结核病与肺部健康杂志, 2019, 6(8): 90-93. https://www.cnki.com.cn/Article/CJFDTOTAL-FBJK201902005.htm SUN H Y, DUAN J C, YAN C W, et al. Analysis of characteristics of delayed visiting in the students' patients with tuberculosis in Mianyang City from 2014 to 2018[J]. J Tubercul Lung Health, 2019, 6(8): 90-93. https://www.cnki.com.cn/Article/CJFDTOTAL-FBJK201902005.htm
[12]	TONY Y, GUAN X, HOU S, et al. Determinants of healthcare-seeking delay among tuberculosis patients in rural area of central china[J]. Int J Environ Res Public Health, 2018, 15(9): 1998-2001. doi: 10.3390/ijerph15091998
[13]	赵燕, 张天华, 柳巍, 等. 陕西省2015年肺结核患者就诊延迟及其相关因素分析[J]. 中国热带医学, 2017, 17(3): 289-292. https://www.cnki.com.cn/Article/CJFDTOTAL-RDYX201703021.htm ZHAO Y, ZHANG T H, LIU W, et al. Investigation on health seeking delay and relevant factors among pulmonary tuberculosis patients in Shaanxi[J]. China Trop Med, 2017, 17(3): 289-292. https://www.cnki.com.cn/Article/CJFDTOTAL-RDYX201703021.htm
[14]	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. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201816032.htm 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]. Modern Prev Med, 2015, 45(16): 3014-3018. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201816032.htm
[15]	王晓君, 付谦, 张正斌, 等. 武汉市2008-2017年结核病患者就诊延迟情况及影响因素分析[J]. 中华流行病学杂志, 2019, 40(6): 643-647. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-JHBH201906001610.htm WANG X J, FU Q, ZHANG Z B, et al. Delay on care-seeking and related influencing factors among tuberculosis patients in Wuhan, 2008-2017[J]. Chin J Epidemiol, 2019, 40(6): 643-647. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-JHBH201906001610.htm
[16]	沈鸿程, 杜雨华, 张广川, 等. 2008—2018年广州市结核病患者就诊延迟影响因素分析[J]. 中国防痨杂志, 2020, 5(42): 510-517. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202005021.htm SHEN H C, DU Y H, ZHANG G C, et al. Influencing factors of pulmonary tuberculosis patient delay in Guangzhou, 2008-2018[J]. Chin J Antituberc, 2020, 42(5): 510-517. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFLZ202005021.htm