Objective To understand the delayed status of pulmonary tuberculosis patients in Liaoning Province, and to analyze the main factors related to the delay in treatment, and to provide evidence for the development of interventions.
Methods With information on tuberculosis patients registered in the tuberculosis information management system, statistical methods of descriptive analysis was used to calculate the delay rate of visits in 2017. Using chi-square test to analyze whether there was a difference in the delay of treatment for different gender, age, ethnicity and other factors. Logistic regression model was used to analyze multivariate factors.
Results The delay rate of pulmonary tuberculosis patients in Liaoning Province was 61.41% (15 028/24 472), and the median delay of treatment was 21 days. Multivariate logistic regression analysis showed that other ethnic groups ( OR=1.378, 95% CI=1.238-1.534), migrating population ( OR=1.153, 95% CI=1.042-1.275) and the risk of delay in the treatment of critically ill patients were higher ( P<0.05). The risk of delay in the low age group (≤14 years old) was lower than that in other age group ( P<0.05). The risk of delay in referral recommendation, referral, follow-up and other sources was lower than that of the clinical consultation patients ( P<0.05). The risk of delay in unemployment patients and other occupational patients was lower than that of farmers ( P<0.05).
Conclusion The delay in the treatment of tuberculosis patients in Liaoning Province is more serious. Measures should be taken according to the high-risk factors of delay in treatment, and preventive intervention should be carried out actively and effectively.
摘要： 目的 了解辽宁省肺结核病人的就诊延迟现况，分析相关因素，为制定省级相关政策措施提供有力依据。 方法利用结核病信息管理系统中辽宁省2017年登记的肺结核患者个案资料，采用描述性分析的统计方法计算就诊延迟率，采用χ 2检验的方法对不同年龄、性别、民族等的就诊延迟状况是否存在差异进行分析，用Logistic回归模型进行多因素分析。 结果辽宁省肺结核患者就诊延迟率为61.41%(15 028/24 472),就诊延迟中位数为21 d。多因素Logistic回归分析结果表明：其他民族( OR=1.378,95%CI=1.238~1.534)、流动人口（ OR=1.153,95%CI=1.042~1.275)及重症患者就诊延迟风险更高( P<0.05)。低年龄组(≤14岁)患者就诊延迟风险低于其他年龄组( P<0.05),因症推荐、转诊、追踪及其他来源患者就诊延迟风险低于因症就诊（P<0.05),家务待业及其他职业患者就诊延迟风险低于农民( P<0.05)。 结论辽宁省肺结核患者就诊延迟情况较为严重。应根据就诊延迟的高危因素制定相应措施，积极有效地开展预防干预工作。