Patient delay and related factors among tuberculosis patient in Fujian Province, 2010—2019

doi:10.19982/j.issn.1000-6621.20220294

Abstract

Abstract:

Objective: To analyze the trend and related factors of patients delay among tuberculosis patients in Fujian Province from 2010 to 2019, and to provide basis for the formulation and adjustment of tuberculosis control measures. Methods: The data of 174124 tuberculosis patients registered and treated in Fujian Province from 2010 to 2019 were collected to describe the distribution and trend of patient delay. The factors associated with patient delay were analyzed by multivariate logistic regression model. Results: The median number of days from symptom onset to seeking health care was 21 (6, 58) days in Fujian Province from 2010 to 2019, with an average patient delay rate of 59.12% (102940/174124). Multivariate logistic regression analysis showed that female (OR=1.058, 95%CI: 1.035-1.082), aged 25-64 (OR=1.272, 95%CI: 1.232-1.313) and ≥65 (OR=1.427, 95%CI: 1.372-1.483), manual labor (OR=1.195, 95%CI: 1.119-1.276) and retirement or unemployed (OR=1.112, 95%CI: 1.039-1.190), current residency address in other cities of Fujian Province (OR=1.681, 95%CI: 1.550-1.822), contact inspection (OR=1.704, 95%CI: 1.216-2.387) and passive case-finding (OR=3.715, 95%CI: 3.340-4.131), tuberculous pleurisy (OR=1.454, 95%CI: 1.354-1.562)and extrapulmonary tuberculosis (OR=1.935,95%CI: 1.645-2.276), designated hospital model (OR=1.103, 95%CI: 1.078-1.130) and the distance between the current residency address and hospital ≥30 km (OR=1.077, 95%CI: 1.048-1.107) were high risk factors for patient delay. Students or children (OR=0.864, 95%CI: 0.792-0.943) and negative etiological examination (OR=0.650, 95%CI: 0.637-0.663) were low risk factors for patient delay. Conclusion: The patient delay rate in Fujian Province is still at a high level. We should improve the quality and accessibility of medical services, strengthen health education for key populations, and actively carry out active screening to reduce the patient delay.

Key words: Tuberculosis, Patient delay, Factor analysis, statistical, Epidemiologic studies, Fujian Province

CLC Number:

Chen Daiquan, Lin Shufang, Zhou Yinfa, Chen Kun, Dai Zhisong. Patient delay and related factors among tuberculosis patient in Fujian Province, 2010—2019[J]. Chinese Journal of Antituberculosis, 2023, 45(1): 96-103. doi: 10.19982/j.issn.1000-6621.20220294

Figures/Tables 4

References 17

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变量	赋值
性别	男性=1,女性=2
年龄	<25岁=1,25~64岁=2,≥65岁=3
民族	汉族=1,少数民族=2
职业	企事业职工=1,学生及儿童=2,公共场所及商业服务=3,体力劳动=4,退休及待业=5,职业不详=6
患者所属地市	厦门市=1,福州市和平潭综合实验区=2,莆田市=3,三明市=4,泉州市=5,漳州市=6,南平市=7,龙岩市=8,宁德市=9
现住址	本县(区)=1,本市其他县(区)=2,本省其他地级市=3
患者来源	健康检查=1,接触者筛查=2,被动发现=3
诊断分类	肺结核=1,结核性胸膜炎=2,肺外结核=3
病原学结果	病原学阳性=1,病原学阴性/未查=2
结核病防治服务模式	转型前=1,转型后=2
现住址与首诊单位距离	<10km=1, 10~29km=2, ≥30km=3