Delay on care-seeking and related influencing factors among tuberculosis patients in Wuhan, 2008-2017
10.3760/cma.j.issn.0254-6450.2019.06.008
- VernacularTitle: 武汉市2008－2017年结核病患者就诊延迟情况及影响因素分析
- Author:
Xiaojun WANG
1
;
Qian FU
2
;
Zhengbin ZHANG
1
;
Zhouqin LU
1
;
Dan TIAN
1
;
Jing NAN
1
;
Jianjie WANG
1
;
Yuehua LI
1
Author Information
1. Tuberculosis Control and Management Office, Wuhan Institute for Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan 430030, China
2. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Publication Type:Journal Article
- Keywords:
Tuberculosis;
Patient delay;
Influencing factors
- From:
Chinese Journal of Epidemiology
2019;40(6):643-647
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the epidemiological characteristics, trend and related factors of tuberculosis patients that delayed for care, in Wuhan from 2008 to 2017.
Methods:Data regarding tuberculosis (TB) patients was collected from the tuberculosis management information system (TMIS), a part of the China information system for disease control and prevention from 2008 to 2017. A total of 64 208 tuberculosis patients, aged 0 to 95 years were included for the analysis. Unconditional logistic regression method was used to estimate those factors that associated with this study.
Results:Days of delay among TB patients appeared as M=10 (P25-P75: 3-28) day, in Wuhan, 2008-2017. The prevalence of the delay was 52.5% (33 703/64 208), presenting a downward trend from 2008 to 2017 (trend χ2=10.64, P<0.001), but the proportions of women and ≥65 year-olds were gradually increasing. Results from the multivariate logistic regression analysis showed that factors as: patients living far away from the city vs. near the city (OR=1.29, 95%CI: 1.25-1.35), and age above 45 years vs. younger than 25 years (the age 45-64 years group vs. aged less than 25 years group, OR=1.22, 95%CI: 1.15-1.29; the age 65 or above group vs. aged less than 25 years group, the OR=1.30, 95%CI: 1.22-1.39) were under higher risk on the delay of seeking care. Occupation, way of case-finding and classification of tuberculosis patients also appeared as influencing factors on this issue.
Conclusions:Prevalence on the delay of care was 52.5% among tuberculosis patients in Wuhan, 2008-2017, but with an annual decrease. Attention should be paid to female, wrinkly or elderly tuberculosis patients regarding the delay of care on TB, in Wuhan.
