山东省肺结核病人自感健康状况调查

Perceived-health of tuberculosis patients in Shandogn province and its influencing factors

目的了解山东省肺结核病人自感健康状况及影响因素。方法采用分层随机抽样方法,共抽取山东省3个市6个县/区的819例本地常住人口肺结核病人和山东省7个市12个县/区的314例流动人口肺结核病人,分别于2007年12月和2008年7-9月利用自制问卷进行调查。采用SPSS16.0软件进行分析。结果52.2%的本地病人和51.3%的流动人口病人自感健康状况良好;多因素分析结果显示,肺结核病人自感健康状况的影响因素是病人经济条件、债务和治疗分类(P<0.05),债务和治疗分类对流动人口肺结核病人的影响最明显,OR值分别达17.471和26.012,远大于本地病人(OR值分别为3.937和2.471);受教育程度低是流动人口病人自感健康状况的危险因素(OR>1),低年龄组对本地病人自感健康状况是保护因素(OR<1)。结论病人的经济条件是影响其自感健康的重要因素,欠债病人的自感健康状况较差。

Objective To understand the perceived-health and its influencing factors among tuberculosis （TB） patients in Shandong province. Methods The pulmonary tuberculosis patients randomly chosen with stratified-cluster sampling included 819 residents from six districts and 314 from floating population in twelve districts of Shandong province. All ptients were interviewed with a self-made questionnaire. The data was analyzed with SPSS16.0. Results The perceived-health of TB patients with permanent residence was better than that of TB patients from floating population and 51.4% of patients from floating population perceived their health status as good. The main influencing factors of perceived health included patients＇ economic condition, debt situation and treatment classification （ P 〈 0. 05 ）. Debt situation （ OR = 17.471, P 〈 0.05 ） and treatment classification （OR = 26. 012, P 〈 0.05 ）were important influencing factors of perceived health for the patients in floating population. Less educated （ OR 〈 1, P 〈 0.05 ） was one of risk factors of perceived-health for patients in floating population. The perceived-health ststus of young patients was better than that of old patients with permanent residence （ OR 〈 1 ）. Conclusion The socio-economic status is one of important influencing factors of perceived-health of TB patients and the patients with debt have low level of perceived-health.