家庭收入对新发涂阳肺结核就诊、确诊和治疗延迟的影响分析
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1.南京医科大学医政学院 南京;2.中国疾病预防控制中心结核病控制中心 北京;3.江苏省疾病预防控制中心 南京;4.镇江市疾病预防控制中心 镇江

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中国国家卫生和计划生育委员会比尔及梅琳达.盖茨基金会结核病防治合作项目(51914)


Impact of Family Income on the Delay of Newly Smear Positive Tuberculosis Patients
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1.School of Health Policy and Management, Nanjing Medical University, Nanjing;2.National Center for TB control and prevention, China CDC, Beijing;3.Jiangsu Center for Disease Control and Prevention, Nanjing;4.Zhenjiang Municipal Center for Disease Control and Prevention, Zhenjiang

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    摘要:

    目的 了解家庭收入与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三个县(区)192名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天、13.97天和1.27天。。家庭人均收入均值为14983.26元。不同家庭收入水平的患者间,发生2周以上就诊延迟的比例没有差异。不同家庭收入水平的患者选择的医疗机构级别不同,不同级别医疗机构间2周以上确诊延迟有差异。不同家庭收入水平的患者间发生1周以上就诊延迟的比例不大。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和治疗延迟的主要因素,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。

    Abstract:

    Objective To explore the impact of family income on health-seeking delay, diagnosis delay and treatment delay. Method 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 delay, diagnosis delay and treatment delay was 15.92days, 13.97 days and 1.27 days. The mean of family per-capita income was 14983.26 Yuan. There were no statistically significant differences in unacceptable health-seeking delay and treatment delay among different family income groups. But a statistically significant difference was found in the level of medical institution initially visited among patients with different family per-capita income and different medical institution caused different unacceptable health-seeking delay. Conclusion Family income was not the main reason of health-seeking delay and treatment delay for newly smear positive tuberculosis patients in Zhenjiang. But family income still had effect on diagnosis delay by choosing different medical institution initially visited.

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  • 收稿日期:2014-12-08
  • 最后修改日期:2015-01-09
  • 录用日期:2015-02-06
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