Analysis of the health-care seeking delay and influencing factors among pulmonary tuberculosis patients in Qinghai Province, 2014-2019

LIANG Da; SHANG Yue; WANG Zhao-fen; MA Bin-zhong

doi:10.16462/j.cnki.zhjbkz.2021.07.005

Volume 25 Issue 7

Aug. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(7): 763-767

LIANG Da, SHANG Yue, WANG Zhao-fen, MA Bin-zhong. Analysis of the health-care seeking delay and influencing factors among pulmonary tuberculosis patients in Qinghai Province, 2014-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(7): 763-767. doi: 10.16462/j.cnki.zhjbkz.2021.07.005

Citation:

LIANG Da, SHANG Yue, WANG Zhao-fen, MA Bin-zhong. Analysis of the health-care seeking delay and influencing factors among pulmonary tuberculosis patients in Qinghai Province, 2014-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(7): 763-767. doi: 10.16462/j.cnki.zhjbkz.2021.07.005

Citation:

LIANG Da, SHANG Yue, WANG Zhao-fen, MA Bin-zhong. Analysis of the health-care seeking delay and influencing factors among pulmonary tuberculosis patients in Qinghai Province, 2014-2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(7): 763-767. doi: 10.16462/j.cnki.zhjbkz.2021.07.005

PDF( 2394 KB)

Analysis of the health-care seeking delay and influencing factors among pulmonary tuberculosis patients in Qinghai Province, 2014-2019

doi: 10.16462/j.cnki.zhjbkz.2021.07.005

1.
Department of Public Health, Medical College, Qinghai University, Xining 810001, China
2.
Institute for Prevention and Control of Infectious Diseases, Qinghai Center for Disease Control and Prevention, Xining 810007, China

Funds:

National Natural Science Foundations of China 81860593

Qinghai Provincial thousand talents program for high-level innovative talents 2017-2

More Information

Corresponding author: MA Bin-zhong, E-mail: qhxnmbz@126.com
Received Date: 2020-06-16
Rev Recd Date: 2020-12-16
Publish Date: 2021-07-10

Abstract

Abstract

Objective To analyze the current status, trend and related influencing factors of pulmonary tuberculosis patients with delayed health-care seeking in Qinghai Province from 2014 to 2019. Methods The current status and trend of health-care seeking delay of pulmonary tuberculosis patients in Qinghai Province from 2014 to 2019 were described, and multivariate Logistic regression model was used to analyze the related influencing factors of health-care seeking delay of pulmonary tuberculosis patients. Results The health-care seeking delay rate of pulmonary tuberculosis patients was 49.6%, showing a downward trend from 2014 to 2019. And the health-care seeking delayrate among different genders and age groups patients also showed a downward trend in Qinghai Province from 2014 to 2019. Multivariate Logistic regression analysis showed that the age group ≥15 years old, recommended by disease, follow-up and retreatment were high risk factors for patients of health-care seeking delay. The risk of health-care seeking delay of non-farmer patients was lower than farmer patients. Conclusion From 2014 to 2019, the health-care seeking delay rate of pulmonary tuberculosis patients in Qinghai Province was relatively high, but with an annual decrease. Age, occupation, source of patients and treatment classification were the influencing factors on health-care seeking delay of pulmonary tuberculosis patients. In the future, we should pay more attention to patients at high risk for health-care seeking delay.
- Pulmonary tuberculosis,
- Health-care seeking delay,
- Influencing factors

FullText(HTML)

References(15)

References

[1]	张曼晖. 我国肺结核控制目标实现及影响因素研究[D]. 北京: 中国疾病预防控制中心, 2019. Zhang MH. The implementation and predictors of pulmonary tuberculosis control objectives in China[D]. Beijing: Chinese Center for Disease Control and Prevention, 2019.
[2]	李旭, 仇蕾洁, 姜鑫洋, 等. 中国2012-2016年肺结核发病趋势及空间自相关分析[J]. 中国公共卫生, 2020, 36(11): 1624-1627. DOI: 10.11847/zgggws1121991. Li X, Qiu LJ, Jiang XY, et al. Changing trend and spatial autocorrelation of pulmonary tuberculosis incidence in China: 2012-2016[J]. Chin J Public Health, 2020, 36(11): 1624-1627. DOI: 10.11847/zgggws1121991.
[3]	王朝才, 刘燕, 晁秀珍, 等. 2006-2015年青海省肺结核流行特征分析[J]. 现代预防医学, 2017, 44(3): 397-400. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201703004.htm Wang ZC, Liu Y, Chao XZ, et al. Epidemiological characteristics of pulmonary tuberculosis of Qinghai, 2006-2015[J]. Modern Prevent Med, 2017, 44(3): 397-400. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201703004.htm
[4]	杨玲, 黄建斌, 任军辉. 石家庄市鹿泉区肺结核病人就诊延迟情况及相关因素分析[J]. 医学动物防制, 2017, 33(6): 695-697, 699. DOI: 10.7629/yxdwfz201706035. Yang L, Huang JB, Ren JH. Analysis of delay and related factors in patients with pulmonary tuberculosis in Luquan District of Shijiazhuang[J]. J Med Pest Control, 2017, 33(6): 695-697, 699. DOI: 10.7629/yxdwfz201706035.
[5]	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.
[6]	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.
[7]	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 Shanxi[J]. China Tropical Medicine, 2017, 17(3): 289-292. DOI: 10.13604/j.cnki.46-1064/r.2017.03.19.
[8]	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 YL, Deng YL, Ran JC, et al. Analysis of the treatment delay, diagnosis delay and influencing factors of tuberculos is patients in Xinjiang production and construction corps from 2008 to 2017[J]. Modern Prevent Med, 2018, 45(16): 3014-3018. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201816032.htm
[9]	赵承杰, 何雪娇. 136例初治肺结核患者就诊延迟的影响因素分析[J]. 预防医学, 2017, 29(12): 1235-1237. DOI: 10.19485/j.cnki.issn1007-0931.2017.12.011. Zhao CJ, He XJ. Analysis of influencing factors of the treatment delay of 136 patients with newly treated pulmonary tuberculosis[J]. Prev Med, 2017, 29(12): 1235-1237. DOI: 10.19485/j.cnki.issn1007-0931.2017.12.011.
[10]	龙腾, 李宁秀, 杨光京, 等. 四川地区结核患者就医行为研究[J]. 现代预防医学, 2008, 35(7): 1301-1304. DOI: 10.3969/j.issn.1003-8507.2008.07.043. Long T, Li NX, Yang GJ, et al. Study on the hospitalizing behavior of patients with tuberculosis in Sichuan area[J]. Modern Prevent Med, 2008, 35(7): 1301-1304. DOI: 10.3969/j.issn.1003-8507.2008.07.043.
[11]	桓世彤, 张本, 严非, 等. 农村贫困地区肺结核患者就诊延迟及其原因分析[J]. 中国防痨杂志, 2007(1): 70-73. DOI: 10.3969/j.issn.1000-6621.2007.01.020. Huan ST, Zhang B, Yan F, et al. Analysis on patient delay and reasons for pulmonary tuberculosis in poor rural[J]. Chin J Antituberc, 2007(1): 70-73. DOI: 10.3969/j.issn.1000-6621.2007.01.020.
[12]	Xu X, Liu JH, Cao SY, et al. Delays in care seeking, diagnosis and treatment among pulmonary tuberculosis patients in Shenzhen, China[J]. Int J Tuberc Lung Dis, 2013, 17(5): 615-620. DOI: 10.5588/ijtld.12.0231.
[13]	Tong Y, Guan X, Hou S, et al. Determinants of health care-seeking delay among tuberculosis patients in rural area of central China[J]. Int J Environ Res Public Health, 2018, 15(9): 1998. DOI: 10.3390/ijerph15091998.
[14]	张辉. 694例初诊肺结核患者来源情况分析[J]. 齐齐哈尔医学院学报, 2015, 36(14): 2119-2120. https://www.cnki.com.cn/Article/CJFDTOTAL-QQHB201514053.htm Zhang H. Analysis of the source of 694 cases of newly diagnosed pulmonary tuberculosis[J]. Journal of Qiqihar University of Medicine, 2015, 36(14): 2119-2120. https://www.cnki.com.cn/Article/CJFDTOTAL-QQHB201514053.htm
[15]	蒋玲, 王黎霞, 黄飞, 等. 重庆市梁平县肺结核患者就诊延迟及其相关因素分析[J]. 中国防痨杂志, 2014, 36(5): 341-345. DOI: 10.3969/j.issn.1000-6621.2014.05.009. Jiang L, Wang LX, Huang F, et al. Analysis of delayed health care seeking among patients with pulmoanry tuberculosis in Liangping county of Chongqing and its relative factors[J]. Chin J Antituberc, 2014, 36(5): 341-345. DOI: 10.3969/j.issn.1000-6621.2014.05.009.