Delay in care-seeking and its influencing factors among tuberculosis patients in Dongguan City
LUO Dong1, ZHONG Ming-hao2, LI Wen-hui3, YAO Zhen-jiang3, YE Xiao-hua3, ZHONG Xin-guang2
1. Dongguan Municipal Health Bureau, Dongguan, Guangdong 523008, China; 2. The Sixth People’s Hospital of Dongguan City, Dongguan, Guangdong 523008, China; 3. School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong 510310, China
Abstract：Objective To analyze the characteristics and influencing factors of delay in care-seeking among tuberculosis patients in Dongguan City so as to provide a scientific basis for tuberculosis prevention and treatment. Methods We collected the information regarding medical records of 3,865 tuberculosis patients in Dongguan in 2018. The Rank-sum test and multiple linear regression method were used to analyze the factors influencing care-seeking days, and the χ2 test and logistic regression analysis were employed for identifying the factors influencing the rate of delay in care-seeking. Results The median time of care-seeking days in the tuberculosis patients were 28 days, and the rate of delay in care-seeking was 69.5%. Multiple linear regression analysis indicated that the risk factors associated with increment in care-seeking days were female, increment in age, farmers and retirees, pathogen-positive patients and having other tuberculosis. Multivariate logistic regression analysis revealed that the risk factors for delay in care-seeking were female (OR=1.26), advanced age (OR=1.15), retirees (OR=2.14), positive results in etiology (OR=1.97) and simple tuberculous pleurisy (OR=1.81), patients from tracing/other sources (OR=3.67), having complications (OR=1.61) and having other tuberculosis (OR=2.13). Conclusions Special attention should be paid to the delay in care-seeking among female, middle-aged, elderly, rural and retired tuberculosis patients in future.
罗东, 钟明浩, 李文辉, 姚振江, 叶小华, 钟新光. 东莞市结核病患者就诊延迟及影响因素分析[J]. 实用预防医学, 2021, 28(1): 24-28.
LUO Dong, ZHONG Ming-hao, LI Wen-hui, YAO Zhen-jiang, YE Xiao-hua, ZHONG Xin-guang. Delay in care-seeking and its influencing factors among tuberculosis patients in Dongguan City. , 2021, 28(1): 24-28.
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2021, Vol. 28 
