南京市肺结核可疑症状者就诊延迟及其影响因素研究

Characteristic and influence factors of health-seeking delay of the suspects with pulmonary tuberculosis in Nanjing

目的了解南京市肺结核可疑症状者就诊延迟状态,探索影响就诊延迟的主要因素。方法按照医院的等级和城市、农村进行分层,随机抽取18家医疗机构。对到医疗机构就诊的肺结核可疑症状者进行问卷调查。结果就诊延迟率为19.6%;就诊延迟中位时间为20d。流动人口、就诊点较远、既往无结核病史是肺结核可疑症状者就诊延迟的危险因素;文化程度较高是肺结核可疑症状者就诊延迟的保护因素。结论南京市肺结核可疑症状者就诊延迟率具有一定比例;影响就诊延迟的因素有人口性质、就诊点远近、结核病史及文化程度。采取有针对性的干预措施,有助于减少肺结核可疑症状者就诊延迟,提高结核病发现率。

Objective To understand the extent of the health-seeking delay of the suspects with pulmonary tuberculosis （TB）, and to study its impact factors in Nanjing. Methods There were 18 health facilities, which were chosen by random stratification, enrolled this investigation according to different grades of hospital in both rural and urban. A questionnaires sur- vey was carried out for TB suspected outpatients. Results The median of health-seeking delay was 20 days,the rate of health- seeking delay was 19.6G. The transient population, a far distance to attend health facility and non TB history were risk fac- tors. A higher education background was a protective factor. Conclusion The rate of health-seeking delay of the suspects with pulmonary tuberculosis had a certain proportion. The impact factors on health-seeking delay included population characteris- tics,distance to attend health facility, TB history and educational level. The targeted measures might be helpful to decrease the cases with the health-seeking delay,and raise discovery rate of TB.