Risk factors of healthcare-seeking delay and diagnosis delay in pulmonary tuberculosis patients in Zhoukou,Henan from 2018 to 2021
Objective To explore the status of healthcare-seeking and diagnosis delay and its influencing factors in pulmonary tuberculosis patients in Zhoukou city so as to provide data support for formulating pulmonary tuberculosis prevention and control measures.Methods Data of pulmonary tuberculosis patients in Zhoukou city from 2018 to 2021 were extracted from Tuberculosis Management Information System.Univariate and multivariate logistic regression analysis were used to analyze the influencing factors of the delay.Results There were 14 288 pulmonary tuberculosis patients in Zhoukou city from 2018 to 2021,with 6119 healthcare-seeking delay and 5 447 diagnosis delay.The median and quartile of healthcare-seeking delay and diagnosis delay in pulmonary tuberculosis patients were 10(1,28)days and 7(1,30)days,respectively.The healthcare-seeking delay rate and diagnosis delay rate were 42.83％and 38.12％,respectively.The rates of healthcare-seeking delay and diagnosis delay both increased with time(x2trend=25.248,P＜0.05;x2trend=30.865,P＜0.05).The risk factors for healthcare-seeking delay were female[OR(95％CI):1.091(1.001-1.190)],ethnic minorities[OR(95％CI):2.243(1.212-4.152)],non-local household registration[OR(95％CI):2.669(2.387-2.985)],workers/farmers/migrant workers[OR(95％CI):1.427(1.144-1.780)],seeing doctor due to symptoms[OR(95％CI):4.365(3.177-5.998)],retreatment[OR(95％CI):1.419(1.177-1.711)],and etiology positive[taking etiology positive positive as reference,etiological negative OR(95％CI):0.921(0.850-0.999)].The risk factors for diagnosis delay were 2020-2021[OR(95％CI)＞1],≥60 years old[aged≥60 as reference,OR(95％CI)＜1],non-local household registration[OR(95％CI):3.935(3.479-4.451)],seeing doctor due to symptoms[OR(95％CI):1.964(1.455-2.651)].Conclusions The rates of healthcare-seeking delay and diagnosis delay in tuberculosis patients have increased in Zhoukou city.The publicity of knowledge related to tuberculosis should be strengthened;the active detection rate and the differential diagnosis of tuberculosis by medical personnel should be improved for reducing the incidence of finding delay.
NETL
NSTL
万方数据
