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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 2
Feb.  2021
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FU Li-juan, WANG Ye-sheng, ZHU Wen-long, WANG Wei-bing. Consultation delay and influencing factors among pulmonary tuberculosis patients in Huzhou City from 2008 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 235-239. doi: 10.16462/j.cnki.zhjbkz.2021.02.022
Citation: FU Li-juan, WANG Ye-sheng, ZHU Wen-long, WANG Wei-bing. Consultation delay and influencing factors among pulmonary tuberculosis patients in Huzhou City from 2008 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 235-239. doi: 10.16462/j.cnki.zhjbkz.2021.02.022

Consultation delay and influencing factors among pulmonary tuberculosis patients in Huzhou City from 2008 to 2018

doi: 10.16462/j.cnki.zhjbkz.2021.02.022
Funds:

National Natural Science Foundation of China 81673233

"13th Five-Year Plan" National Science and Technology Major Project 2017ZX10201302

"13th Five-Year Plan" National Science and Technology Major Project 2018ZX10722302-005

More Information
  • Corresponding author: Wang Wei-bing, E-mail: wwb@fudan.edu.cn
  • Received Date: 2020-09-02
  • Rev Recd Date: 2020-11-09
  • Publish Date: 2021-02-10
  •   Objective  To understand the characteristics, trend and influencing factors of the consultation delay in Huzhou City from 2008 to 2018, so as to provide evidence for tuberculosis (TB) prevention and control.  Methods  From the Tuberculosis Management Information System (TMIS), we collected the data of the TB consultation delay from 2008 to 2018 in Huzhou City. χ2 test was used for single factor analysis, χ2 trend test was used for time trend test of rate and composition ratio, multivariate Logistic regression model was used to analyze the influencing factors of the delay.  Results  From 2008 to 2018 in Huzhou City, the consultation delay rate of TB patients was 52.9%, and the overall trend was decreasing year by year (χ2trend=149.581, P < 0.001), different gender and age groups also showed the same trend. The delayed patients were mainly male, over 60 years old, but the proportion of female was increasing (χ2trend=10.320, P < 0.001). Multivariate Logistic regression model showed that women, elderly, local residents, follow-up, see a doctor due to symptoms, sputum positive and newly diagnosed TB patients were associated with a higher risk of consultation delay (all P < 0.05).  Conclusions  From 2008 to 2018, the majority of TB consultation patients in Huzhou City were males, over 60 years old but the proportion of females showed an upward trend. The delay rate showed a downward trend. Gender, age, registered residence, source of patients, sputum examination results and treatment classification were the factors influencing the consultation delay.
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  • [1]
    Marks GB, Nguyen NV, Nguyen PTB, et al. Community-wide screening for tuberculosis in a high-prevalence setting [J]. N Engl J Med, 2019, 381(14):1347-1357. DOI: 10.1056/NEJMoa1902129.
    [2]
    肖和平.中国耐药结核病的流行现状与治疗对策[J].中华结核和呼吸杂志, 2010, 33(7):481-482. DOI: 10.3760/cma.j.issn.1001-0939.2010.07.001.

    Xiao HP. The prevalence of drug-resistance tuberculosis in China and the chemotherapy strategies [J]. Chin J Tuberculosis Respir Dis, 2010, 33(7):481-482. DOI: 10.3760/cma.j.issn.1001-0939.2010.07.001.
    [3]
    王荣, 李晨, 杨晨, 等.南京市2011-2013年肺结核患者就诊延迟状况及影响因素分析[J].中华疾病控制杂志, 2015, 19(8):854-856. DOI: 10.16462/j.cnki.zhjbkz.2015.08.026.

    Wang R, Li C, Yang C, et al. Study on influencing factors of health-seeking delay of patients with pulmonary tuberculosis in Nanjing during 2011-2013 [J]. Chin J Dis Control Prev, 2015, 19(8):854-856. DOI: 10.16462/j.cnki.zhjbkz.2015.08.026.
    [4]
    陈松华, 王晓萌, 钟节鸣, 等.肺结核病新患者发现延误及影响因素分析[J].中国公共卫生, 2013, 29(4):481-484. http://www.cnki.com.cn/Article/CJFDTotal-ZGGW201304006.htm

    Chen XS, Wang XM, Zhong JM, et al. Factors associated with diagnostic delay for primary pulmonary tuberculosis patients in Zhejiang Province [J]. Chin J Public Health, 2013, 29(4):481-484. http://www.cnki.com.cn/Article/CJFDTotal-ZGGW201304006.htm
    [5]
    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. DOI: 10.13604/j.cnki.46-1064/r.2017.03.19.

    Zhao Y, Zhang TH, Liu W, et al. Investigation on health seeking delay and relevant factors among pulmonary tuberculosis patients in Shaanxi [J]. China Tropical Medicine, 2017, 17(3):289-292. DOI: 10.13604/j.cnki.46-1064/r.2017.03.19.
    [6]
    毛宁, 钟威, 梁爽, 等.辽宁省2017年肺结核患者就诊延迟相关因素分析[J].中国热带医学, 2020, 20(1):61-64. DOI: 10.13604/j.cnki.46-1064/r.2020.01.14.

    Mao N, Zhong W, Liang S, et al. Relative factors of delay in treatment of pulmonary tuberculosis patients in Liaoning, 2017 [J]. China Tropical Medicine, 2020, 20(1):61-64. DOI: 10.13604/j.cnki.46-1064/r.2020.01.14.
    [7]
    魏建军, 曾令霞. 2014-2017年陕西汉中市肺结核患者就诊延迟及影响因素[J].公共卫生与预防医学, 2018, 29(5):55-58. DOI: 10.3969/j.issn.1006-2483.2018.05.015.

    Wei JJ, Zeng LX. Status and associated factors analysis of health seeking delay among pulmonary tuberculosis patients in Hanzhong City (2014-2017) [J]. J of Pub Health and Prev Med, 2018, 29(5):55-58. DOI: 10.3969/j.issn.1006-2483.2018.05.015.
    [8]
    赵秀秀, 徐凌忠, 郭振, 等.肺结核病人就诊延迟影响因素分析[J].中国卫生事业管理, 2012, 29(10):795-797. DOI: 10.3969/j.issn.1004-4663.2012.10.027.

    Zhao XX, Xu LZ, Guo Z, et al. Analyzing the influencing factors of patients with tuberculosis being delayed for medical treatment [J]. Chin Health Service Manage, 2012, 29(10):795-797. DOI: 10.3969/j.issn.1004-4663.2012.10.027.
    [9]
    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, 42(5):510-517. DOI: 10.3969/j.issn.1000-6621.2020.05.017.

    Shen HC, Du YH, Zhang GC, et al. Influencing factors of pulmonary tuberculosis patient delay in Guangzhou, 2008-2018 [J]. Chin J Antituberc, 2020, 42(5):510-517. DOI: 10.3969/j.issn.1000-6621.2020.05.017.
    [10]
    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. DOI: 10.3760/cma.j.issn.0254-6450.2019.06.008.

    Wang XJ, Fu Q, Zhang ZB, 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. DOI: 10.3760/cma.j.issn.0254-6450.2019.06.008.
    [11]
    曾伟, 凤羽中, 张冬梅, 等.巢湖市新发现涂阳肺结核病人就诊延迟相关因素调查分析[J].中华疾病控制杂志, 2011, 15(4):306-308. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201104013

    Zeng W, Feng YZ, Zhang DM, et al. Investigation and analysis about delay in seeking health of new smear-positive tuberculosis patients in Chaohu City [J]. Chin J Dis Control Prev, 2011, 15(4):306-308. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201104013
    [12]
    罗兴能, 贺加, 刘雄娥, 等.重庆地区肺结核患者诊疗延迟及影响因素分析[J].中国热带医学, 2013, 13(1):39-42. http://www.cnki.com.cn/Article/CJFDTotal-RDYX201301014.htm

    Luo XN, He J, Liu XE, et al. Factors influencing patients delay and diagnosis delay of tuberculosis patients in Chongqing area [J]. China Tropical Medicine, 2013, 13(1):39-42. http://www.cnki.com.cn/Article/CJFDTotal-RDYX201301014.htm
    [13]
    Jeremiah ZA, Leonard I, Ezinma AC. Discordantly elevated erythrocyte sedimentation rate (ESR) and depressed C-reactive protein (CRP) values in early diagnosis of pulmonary tuberculosis patients in Maiduguri, Nigeria [J]. Open Journal of Blood Diseases, 2013, 3(2):74-77. DOI: 10.4236/ojbd.2013.32016.
    [14]
    孙艳春.云南省网络直报肺结核病人不到位影响因素研究[D].昆明: 昆明医学院, 2007.

    Sun YC. Study on the influencing factors of the lack of direct network reporting of tuberculosis patients in Yunnan Province [D]. Kunming: Kunming Medical College, 2007.
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