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


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          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 (χ 2 = 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 (χ 2 = 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.


          【摘要】 目的 分析2015—2019年陕西省学生肺结核患者就诊延迟情况及影响因素, 为学校防控结核病疫情工作提供科 学依据。 方法 通过《中国疾病预防控制信息系统》的子系统《结核病管理信息系统》, 收集2015—2019年陕西省登记的 6 739例学生肺结核患者信息, 采用单因素分析和多因素Logistic回归分析方法, 分析学生肺结核患者就诊延迟特征及影响 因素。 结果 6 739例学生肺结核患者中, 就诊延迟患者共计3 040名, 就诊延迟率髙达45.1%, 就诊延迟时间中位数为38 (24~68)d。2015—2019年学生患者就诊延迟率总体呈下降趋势, 不同年份差异有统计学意义 (χ 2 = 120.45, P<0.05) 。单 因素分析显示, 不同患者来源、诊断结果、区域学生的就诊延迟率差异均有统计学意义 (χ 2值分别为274.19,26.75,24.12, P 值均<0.05), 追踪、结核病胸膜炎、陕北地区就诊延迟率更髙。多因素Logistic回归分析结果显示, 区域为陕北 ( OR = 2.74) 、 关中 ( OR = 2.09)、陕南 ( OR = 2.39)和患者来源为因症就诊 ( OR =1.84)、因症推荐 ( OR = 2.81)、转诊 ( OR = 3.28)、追踪 ( OR =6.07) 与就诊延迟呈正相关, 诊断结果为无病原学结果 ( OR = 0.47)与就诊延迟呈负相关 ( P值均<0.05)。 结论 陕西省 2015—2019年学生肺结核患者就诊延迟现象较为普遍, 区域、患者来源、诊断结果是学生肺结核患者就诊延误的影响因 素, 应采取综合措施减少学生就诊延迟。

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          Author and article information

          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          01 April 2021
          01 April 2021
          : 42
          : 4
          : 615-618
          [1] 1Shaanxi Provincial Institute for Tuberculosis Control and Prevention Xi’an (710048), China
          Author notes
          *Corresponding author: DU Xin, E-mail: duxinfzhk@ 123456126.com
          © 2021 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Self URI (journal-page): http://www.cjsh.org.cn
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Diagnosis,Time,Students,Tuberculosis, pulmonary,Regression analysis


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