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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (9): 62-67.

• 论著 • 上一篇    下一篇

全国五省结核病与性别关系的研究

陈伟1, 王雪静1, 王黎霞1, 徐飚2   

  1. 1.中国疾控中心结核病中心,北京;2. 复旦大学公共卫生学院;
  • 出版日期:2010-09-20 发布日期:2010-09-20

TB and Gender in five provinces of China

Chen Wei1; Wang Xuejing1; Wang Lixia1; Xu Biao2   

  1. 1.National Center for TB Control and Prevention; China CDC; Beijing 102206; China; 2.School of Public Health; Fudan University; Shanghai 200033;
  • Online:2010-09-20 Published:2010-09-20
  • Contact: Chen Wei E-mail:chenwei@chinatb.org

摘要: 目的 了解全国5省登记报告肺结核患者的性别特征,促进结核病医疗卫生服务的可及性和公平性。 方法 利用描述性和比较性方法 ,分析全国5省登记报告肺结核患者的性别特征,以及不同性别肺结核患者的年龄、职业、治疗结局和诊断延迟的差异及有关的影响因素。结果全国5省登记报告肺结核患者男性高于女性,东部、南部和中部的男女性别比要高于西部和北部。大部分省份女性肺结核患者的平均年龄低于男性,职业中女性非农民所占比例较高,治疗结局不存在性别差异。不同性别涂阳肺结核患者的诊断延迟不存在差异,但5省之间存在差异,浙江平均为23-d,黑龙江为185-d;职业、年龄和性别是影响诊断延迟的重要因素。结论 登记报告的肺结核患者存在性别差异,而且不同性别肺结核患者的年龄、职业也存在着差异,但治疗结局和诊断延迟的差异无统计学意义。老年女性患者和农村务农女性获得结核病诊疗服务的可及性可能较差。

关键词: 结核, 肺;性别因素

Abstract: Objective To understand the gender characteristic of notified TB cases in five provinces of China in order to promote accessibility and equity of health care service.  Method Using the descriptive and comparable approach, to analyze the difference of age, occupation, treatment outcome and the delay of diagnosis with different gender TB patients.  Results The sex ratio of TB patients in the east, the south and the middle is higher than the west and north. The average age is lower in the female than the male in most of provinces. Proportion of Non-farmer female is high, and there is no difference in treatment outcome between genders. The diagnosis delay was not different between genders, but was significantly different among five provinces with the lowest in Zhejiang and the longest in Heilongjiang. Gender, age and occupation is the risk factors affecting the diagnosis delay.  Conclusion s The age and occupation difference exists in the different gender TB patients, but difference is not significant in the treatment outcome and the delay of diagnosis.Elderly female patients and female rural farmers have poor accessibility to TB services.

Key words: tuberculosis,pulmonary, sex factors