Factors influencing recurrence and delayed treatment of pulmonary tuberculosis patients in Hai'an area,2017-2022
Objective To explore the factors affecting recurrence and delayed treatment of patients with pulmonary tuberculosis in Hai'an area,and to provide references for pulmonary tuberculosis prevention and treatment in local area.Methods Pulmonary tuberculosis patients registered in Hai'an area from 2017 to 2022 were screened based on the Primary Tuberculosis Prevention and Management Information System.The patients were divided into the non-recurrence group and the recurrence group according to treatment classification.The patients were divided into the non-delayed treatment group and the delayed treatment group according to the days of treatment.The differences in the general data of patients between the corresponding groups were compared.Multivariate logistic regression analysis was performed to identify the related factors affecting recurrence and delayed treatment of the pulmonary tuberculosis patients.Results A total of 1,263 patients with pulmonary tuberculosis were registered from 2017 to 2022,78 patients had recurrence of pulmonary tuberculosis,with the recurrence rate of 6.18％.A total of 754 patients had delayed presentation,with the delayed presentation rate of 59.70％.Compared with the non-recurrence group,the recurrence group had a higher mean age,a higher proportion of etiologically positive cases and a higher proportion of migrants,showing statistically significant differences(P＜0.05).Multivariate logistic regression analysis revealed that older age(OR=1.020,95％CI:1.005-1.036),positive etiology(OR=6.151,95％CI:3.682-10.273),and floating population(OR=1.736,95％CI:1.030-2.927)were risk factors affecting recurrence of pulmonary tuberculosis.Compared with the group without delayed presentation,the delayed presentation group was older,and had a higher proportion of floating population and lower levels of education background and annual family income,with statistically significant differences(P＜0.05).Multivariate logistic regression analysis displayed that older age(OR=1.011,95％CI:1.004-1.018)and floating population(OR=2.707,95％CI:1.305-5.613)were risk factors affecting delayed presentation of pulmonary tuberculosis.Bachelor degree or above(OR=0.104,95％CI:0.042-0.254)and annual family income＞30,000(annual family income 30,000-70,000 yuan(OR=0.849,95％CI:0.763-0.946);annual family income＞70,000 yuan(OR=0.356,95％C/:0.202-0.628))were beneficial to promoting the pulmonary tuberculosis patients'timely presentation.Conclusion The recurrence rate and delayed treatment rate of pulmonary tuberculosis in Hai'an area in 2017-2022 were relatively high.It is necessary to pay special attention to the elderly and floating population so as to prevent recurrence and promote the patients'timely treatment.Strengthening the disease prevention education for the low education level group and reducing the patients'possible economic burden of treatment can effectively promote timely treatment of the pulmonary tuberculosis patients in Hai'an area.
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