家庭收入与新发涂阳肺结核诊治延迟的关系

Impact of family income on delays of newly smear positive tuberculosis patients

目的:了解家庭收入与新发涂阳肺结核患者就诊延迟、确诊延迟和治疗延迟的关系。方法:采用分层随机抽样方法,抽取镇江市3个县(区)192例新发涂阳肺结核患者为调查对象,采用自制调查问卷进行调查。结果:就诊延迟、确诊延迟和治疗延迟的均数为15.92、13.97和1.27天。家庭人均收入均值为14 983.26元。不同家庭收入水平的患者,发生2周以上就诊延迟比例的差异没有统计学意义(P=0.128);但患者选择的医疗机构级别不同,不同级别医疗机构间2周以上确诊延迟比例的差异有统计学意义(P<0.001)。结论:收入水平已不是影响镇江市新发涂阳肺结核患者就诊延迟的主要因素,但是家庭经济水平仍然通过首诊机构影响着患者的确诊延迟。

Objective： To explore the impact of family income on health-seeking, diagnosis and treatment delays for newly smear positive tuberculosis patients. Methods： There were 192 participants from 3 counties in Zhenjiang, which were selected by stratified random sampling method. A questionnaires survey was carried out in this study. Results： The mean of health-seeking, diagnosis and treatment delays was 15.92, 13.97 and 1.27 days, respectively. The mean of family per-capita income was 14 983.26 Yuan. There were no statistically significant differences in unacceptable health-seeking delay among different family income groups（P =0.128）.However, a statistically significant difference was found in the level of medical institution initially visited among patients with different family per-capita income and there were a statistically significant differences in unacceptable diagnosis delay among different medical institutions（P〈0.001）. Conclusion： Family income was not the main reason of health-seeking and treatment delays for newly smear positive tuberculosis patients in Zhenjiang. However, family income still had effect on diagnosis delay by choosing different medical institution initially visited.