结核与肺部疾病杂志2025，Vol.6Issue(5)：558-565,8.DOI:10.19983/j.issn.2096-8493.20250058
2018-2024年重庆市梁平区肺结核患者就诊延迟的变化趋势及影响因素分析
Analysis of the changing trend and influencing factors of healthcare-seeking delays among pulmonary tuberculosis patients in Liangping District,Chongqing from 2018 to 2024
摘要
Abstract
Objective:To analyze the changing trend and influencing factors of healthcare-seeking delays among pulmonary tuberculosis(PTB)patients in Liangping District of Chongqing from 2018 to 2024,and to provide a reference for optimizing comprehensive PTB prevention and control measures.Methods:Medical records of 1751 eligible PTB patients in Liangping District of Chongqing from 2018 to 2024 were collected from the"Surveillance,Report and Management"subsystem of"China Disease Prevention and Control Information System".The distribution of healthcare-seeking delays was described.The annual percentage change(APC),average annual percentage change(AAPC),and multivariate logistic regression models were used to analyze the trend and influencing factors of healthcare-seeking delay.Results:The healthcare-seeking delay rate among PTB patients in Liangping District during 2018-2024 was 62.76％(1099/1751),with a median delay duration(interquartile range)(M(Q1,Q3))of 31(16,87)days.The healthcare-seeking delay rates for the entire population,males,females,the 45-64 age group,the 65-96 age group,urban areas,and rural townships decreased from 80.65％(275/341),78.91％(217/275),87.88％(58/66),83.85％(135/161),84.62％(66/78),84.09％(74/88),and 79.45％(201/253)in 2018,respectively,to 60.59％(123/203),60.36％(102/169),61.76％(21/34),65.38％(68/104),61.02％(36/59),65.33％(49/75),and 57.81％(74/128)in 2024.Overall,all groups showed a declining trend,with AAPCs of-5.723％,-5.057％,-8.083％,-5.036％,-5.751％,-5.949％,and-5.773％,respectively(all P＜0.05).Multivariable analysis revealed that the 45-64 age group,the ≥65 age group,and patients whose source was categorized as"direct visit/referral","referral","tracking",or"other"had a higher risk of healthcare-seeking delay(OR(95％CI):2.414(1.440-4.046),2.280(1.321-3.935),2.983(1.067-8.339),2.871(1.045-7.888),6.010(1.805-20.018),12.584(1.279-123.806),respectively).Conclusion:Although the healthcare-seeking delay rate among PTB patients in Liangping District remained high,but showed an overall downward trend.Targeted interventions addressing the identified risk factors and key populations are necessary to improve the situation of healthcare-seeking delays.关键词
结核,肺/就诊延迟/因素分析/传染病控制Key words
Tuberculosis,pulmonary/Healthcare-seeking delay/Factor analysis/Communicable disease control分类
医药卫生引用本文复制引用
赵静,廖影,庞艳,王蕾,涂龙成,游茂林,何高琴..2018-2024年重庆市梁平区肺结核患者就诊延迟的变化趋势及影响因素分析[J].结核与肺部疾病杂志,2025,6(5):558-565,8.基金项目
国家自然科学基金(12061079) （12061079）
重庆市科卫联合医学科研项目(2024MSXM140) （2024MSXM140）
重庆市梁平区-璧山区协作科研项目(BSKJ2023068) National Natural Science Foundation of China(12061079) （BSKJ2023068）
Chongqing Science and Health Joint Medical Research Project(2024MSXM140) （2024MSXM140）
Chongqing Liangping District-Bishan District Collaborative Research Project(BSKJ2023068) （BSKJ2023068）
