上海市普陀区非户籍人口结核病诊断延误及其影响因素研究

被引：32

作者：

邓海巨 ^{[1
]}

郑亦慧 ^{[1
]}

张宇艳 ^{[1
]}

徐飚 ^{[2
]}

机构：

[1] 上海市普陀区疾病预防控制中心

[2] 复旦大学公共卫生学院

来源：

中华流行病学杂志 | 2006年 / 04期

关键词：

结核病; 诊断延误; 非户籍人口;

D O I：

暂无

中图分类号：

R52 [结核病];

学科分类号：

摘要：

目的了解上海市普陀区非户籍人口结核病诊断延误情况,分析影响非户籍人口结核病诊断延误的人口学和社会经济学因素。方法对146例新确诊的非户籍人口结核病患者,采用回顾性队列研究方法了解患者延误、医生延误及诊断延误的时间,分析其影响因素。结果患者延误时间的中位数是19(7-33．5)天,医生延误时间的中位数是5(2．5-10)天,患者延误时间是医生延误时间的3．8倍。诊断延误时间的中位数是31(11-59)天,女性比男性发生诊断延误的危险性高(OR= 3．226,P<0．05);年收入<5000元者比≥10 000元者发生诊断延误的危险性高(OR=11．958,P< 0．01);痰涂片阴性者发生诊断延误的危险性低于阳性者(OR=0．280,P<0．05)。结论患者延误是诊断延误的主要部分,非户籍人口中女性、低文化程度的结核病患者其医疗可及性更容易受到影响。

引用

页码：311 / 315

页数：5

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