流动肺结核病人结核病防治机构利用情况分析

Use of tuberculois control institution service among tuberculsis patients in floating population and its influencing factors

目的了解山东省流动人口肺结核病人对结核病防治机构的利用程度及影响因素,为山东省结核病防治工作提出相关建议。方法采用分层随机抽样方法,共抽取山东省7个地市12个县/区314例流动人口肺结核病人,于2008年7-9月利用自制调查问卷进行调查,采用SPSS 16.0软件进行分析。结果调查的314例流行人口肺结核病人初次就诊时选择结核病防治机构的仅占18.5%,但74.8%的病人在结防机构确诊;流动人口初次就诊选择的影响因素是病人家庭总收入、家庭人口数、从现居住地到最近的卫生院所需时间(P<0.05);其中,家庭总收入较低为病人初诊选择结防机构的保护性因素(OR>1),家庭人口较少和到卫生院所需较少时间为危险因素(OR<1)。结论加大宣传力度和经费投入,贯彻免费查痰、体检措施,完善基层医疗卫生机构的转诊和激励制度,有助于提高流动人口结核病的发现率。

Objective To understand the utilization and its influencing factors of the tuberculosis（TB） control institution service among tuberculosis patients in floating population in Shandong province. Methods A total of 314 pulmonary tuberculosis patients in floating population from twelve districts of Shandong province were randomly chosen with stratifiedcluster sampling method and were investigated with self-made questionnaire from July to September 2008. The data was analyzed with SPSS16.0. Results Only 18.5 % of 314 patients chose TB prevention and control institution for their fast-time consultancy. But 74. 8% of them were dignosed by the TB prevention and control instiutions. The total family income （ OR 〉 1 ）, number of household menber （ OR 〈 1 ） and the time required from the place of residence to the nearest hospital （ OR 〈 1 ） were the main influencing factors for the use of the service of TB control institution. Conclusion It is necessary to carry out public health education about TB among TB patients in floating population. Measures such as free sputum examination and medical examination should be implemented.