摘要
目的 分析2016―2022年重庆市青少年肺结核的发现延误现状及影响因素,为减少肺结核的发现延误提供科学依据。方法 通过中国疾病预防控制信息系统收集2016―2022年重庆市青少年肺结核患者病案资料,采用描述性分析、χ^(2)检验及多因素logistic回归分析模型分析青少年肺结核发现延误现状及影响因素。结果 共纳入重庆市青少年18 856人,男性占61.16%,学生占50.10%。发现延误平均时间为50.46 d,延误率为46.47%;就诊延迟平均时间为43 d,延迟率为54.41%;诊断延误平均时间为7.46 d,延误率为13.61%。多因素logistic回归分析模型结果显示,其他职业(OR=1.402,95%CI:1.315~1.494)、流动人口(OR=1.109,95%CI:1.036~1.186)、被动发现(OR=3.457,95%CI:3.059~3.908)和复治(OR=1.229,95%CI:1.026~1.472)是重庆市青少年肺结核患者发现延误的危险因素(均P<0.05)。结论 重庆市青少年肺结核患者发现延误率偏高,但总体呈下降趋势。应加强对青少年肺结核相关知识的健康宣教,提高肺结核防治力度。
Objective To analyze the discovery delays and influencing factors of adolescent pulmonary tuberculosis in Chongqing Municipality from 2016 to 2022,and to provide scientific basis for reducing the discovery delays of tuberculosis.Methods The case data of adolescent pulmonary tuberculosis patients in Chongqing Municipality from 2016 to 2022 were collected through the China disease control and prevention information system,and the current status of adolescent pulmonary tuberculosis discovery delays and the factors affecting them were analyzed using descriptive analysis,univariate analysis,and multifactorial logistic regression.Results A total of 18 856 adolescents in Chongqing were included in the study,with males accounting for 61.16% and students accounting for 50.10%.The average time of delay in detection was 50.46 d,with a delay rate of 46.47%;the average time of delay in consultation was 43 d,with a delay rate of 54.41%;and the average time of delay in diagnosis was 7.46 d,with a delay rate of 13.61%.The multifactorial results showed that other occupations(OR=1.402,95% CI:1.315-1.494),mobile population(OR=1.109,95% CI:1.036-1.186),passive detection(OR=3.457,95% CI:3.059-3.908),and retreatment(OR=1.229,95% CI:1.026-1.472) were risk factors for delayed detection of adolescent pulmonary tuberculosis patients in Chongqing(all P<0.05).Conclusions The level of delayed detection of adolescent patients in Chongqing was high,but the overall trend was decreasing.Health education on knowledge related to pulmonary tuberculosis among adolescents should be strengthened to improve pulmonary tuberculosis prevention and treatment.
作者
王向柳
税义超
罗文君
罗慧
孔德亮
张婷
吴成果
蒲川
WANG Xiangliu;SHUI Yichao;LUO Wenjun;LUO Hui;KONG Deliang;ZHANG Ting;WU Chengguo;PU Chuan(College of Public Health,Research Center for Medical and Social Development,Chongqing Medical University,Chongqing 401331,China;Chongqing Institute of Tuberculosis Control and Prevention,Chongqing 400050,China)
出处
《中华疾病控制杂志》
北大核心
2025年第1期49-54,共6页
Chinese Journal of Disease Control & Prevention
基金
重庆市科卫联合医学科研项目(2023MSXM053,2024ZDXM020)
重庆市科学技术局项目(cstc2021jsyj-zzysbAX0066)。
关键词
青少年
肺结核
发现延误
Adolescents
Tuberculosis
Discovery delay
