河南省农村法定传染病漏报严重的logistic归因分析

Logistic Regression Analysis on Missing Report of Notifiable Diseases in Rural Areas in Henan Province.

目的找出河南省农村法定传染病漏报严重的原因,为制定相关政策提供依据。方法采用分阶段整群抽样法,从河南省报告水平中等县随机抽出一个平原县和一个山区县作为样本县,每个样本县随机抽4个乡镇作为样本乡,对样本县、样本乡各级医疗机构的法定传染病责任报告人进行调查,统计分析采用非条件logistic归因分析。结果“愿意报告传染病”、“填写过传染病报告卡”、“接受过传染病报告培训”、“接受过县卫生局组织的传染病报告培训”以及“从医年限长”是传染病报告的促进因素,而“报告传染病没有报酬”则是其抑制因素。结论农村传染病报告工作人员报酬低,传染病培训少,培训级别低,报告人报告传染病的意识差,缺乏传染病报告应有的工具是影响河南省农村法定传染病报告的主要因素。

Objectives This study was designed to find out factors of the missing report of notifiable diseases in rural areas in Henan Province, and provide basis for formulating policy on reporting notifiable diseases. Method Adopting multistage stratified cluster sampling, a plain county and a mountain county were chosen randomly as samples from which reporting incidence of communicable diseases was within moderate level in Henan Province. Each sample county chose 4 towns as samples. An investigation was conducted for notifiable diseases reporters of medical units of sample counties and towns, statistic analysis adopted unconditional logistic regression. Results Positive factors for reporting communicable diseases were as follow：willing to report diseases,filling out notifiable diseases cards, being trained by the public health bureau on reporting notifiable diseases, years of being a medical worker. The negative factor was because of no pay. Conclusion The main reasons which affected notifiable diseases reporting in rural areas in Henan Province are lower pay for communicable diseases reporters, less trained in reporting notifiable diseases, being trained in low level, reporters＇ low consciousness and lacking of necessary tools in reporting notifiable diseases.