云南盘江垦区疟疾患者门诊使用状况及影响因素分析

Investigation on utilization for malaria outpatients in the Plantation of Panjian,Yunnan and analysis of influential factors on utilization

目的 通过调查 1999年全年使用了抗疟疾药物的门诊处方 ,结合荧光抗体实验结果分析不同距离、时间、性别、年龄等因素对疟疾病人求医行为的影响。结果 近距离组人群 ,中距离组人群和远距离组人群的疟疾患者就诊率分别为 5 4 .85 % ,2 6 .5 7% ,2 7.2 7% ,近距离组与中距离组和远距离组人群的疟疾患者就诊率有显著性差异。男性患者就诊率 96 .4 5 % ,远远超过女性患者就诊率 6 6 .99%。劳动力组 ,学龄儿童组和学龄前儿童疟疾患者就诊率分别为 10 4 .5 1% ,4 6 .5 6 %和 2 0 .6 9% ,各组间疟疾患者就诊率有统计学显著性差异。全民预防服药期间居民的疟疾患者就诊率 33.2 8%与非服药期间疟疾患者就诊率 5 0 .82 %在统计学上有显著性差异。提示距离医疗卫生服务设施远近的不同 ,年龄 ,时间等因素影响疟疾患得的求医行为。

Objective To analyze the influence of distance to health facility,season,gender and age for treatment-seeking in a local hospital. The result showed that the rates of treatment-seeking to the facility for malaria patients among the population of short;medium and long distance to the facility are 54.85%,26.57%,27.27%,respectively.The rates of treatment-seeking are different statistically between the malarisa cases from the population of short distance to health facility and that of medium distance.96.45% of the rate of treatment-seeking for male malaria patients is far beyond 66.99% of that for female malaria patients. The rates of treatment-seeking in this facility among the group of labour,schooling children and non-schooling children,are 104.51%,46.56% and 20.69%,respectively.They are statistically different.50.82% of the rate of treatment-seeking in this facility during the period of prophy laxis is statistically different from 33.28% of that during the period of non-prophylaxis.Suggestion:distance to health facility,age and season are the factors which influence the behavior of treatment-seeking for malaria patients.