徐丽娟, 姜晓峰, 郝瑞霞, 李兵, 王晓君. 2016-2022年内蒙古自治区医务人员肺结核流行特征分析及就诊延迟关联因素分析[J]. 凯发娱乐加盟代理. DOI: 10.3784/jbjc.202304110161
引用本文: 徐丽娟, 姜晓峰, 郝瑞霞, 李兵, 王晓君. 2016-2022年内蒙古自治区医务人员肺结核流行特征分析及就诊延迟关联因素分析[J]. 凯发娱乐加盟代理. DOI: 10.3784/jbjc.202304110161
Xu Lijuan, Jiang Xiaofeng, Hao Ruixia, Li Bing, Wang Xiaojun. Epidemiological characteristics of pulmonary tuberculosis and medical care seeking delay in medical staff in Inner Mongolia Autonomous Region, 2016?2022[J]. Disease Surveillance. DOI: 10.3784/jbjc.202304110161
Citation: Xu Lijuan, Jiang Xiaofeng, Hao Ruixia, Li Bing, Wang Xiaojun. Epidemiological characteristics of pulmonary tuberculosis and medical care seeking delay in medical staff in Inner Mongolia Autonomous Region, 2016?2022[J]. Disease Surveillance. DOI: 10.3784/jbjc.202304110161

2016-2022年内蒙古自治区医务人员肺结核流行特征分析及就诊延迟关联因素分析

Epidemiological characteristics of pulmonary tuberculosis and medical care seeking delay in medical staff in Inner Mongolia Autonomous Region, 2016?2022

  • 摘要:
    目的 了解内蒙古自治区(内蒙古)医务人员肺结核报告发病情况,探索流行病学及就诊延迟关联因素,为制定有效的医务人员保护措施提供策略。
    方法 收集2016—2022年中国疾病预防控制信息系统“传染病监测系统”中“监测报告管理”两个模块中有关医务人员肺结核疫情,进行统计学描述性分析。 采用χ2检验比较不同分类下的延迟情况,多因素logistic 回归模型分析就诊延迟的关联因素。
    结果 2016—2022年共报告 318 例医务人员肺结核患者,报告发病数均呈东部高、西部中等、中部低趋势。 第四季度报告肺结核患者占比最高,占患者总数的 27.94%。 11月报告肺结核患者数最多(38例)。 平均年龄为 34.83 岁,中位年龄MP25P75)为 30.57(25.36,41.50)岁,占比最高为23~30岁年龄组(46.86%)。 男女性别比为1∶2.78。 其他医疗机构就诊延迟高于结核病医疗机构,差异有统计学意义(χ2=6.871,P=0.009);同期全人群就诊延迟高于医务人员,差异有统计学意义(χ2=27.760,P<0.001)。 多因素分析显示,年龄段中51~60岁[比值比(OR)=3.72,95%置信区间(Cl):1.38~9.97]为就诊延迟的危险因素。
    结论 内蒙古医务人员肺结核报告发病总体呈不规律波动,东部地区偏高,23~30岁年龄组高发,且就诊延迟现象严重,应有针对性制定防控政策,降低肺结核发病。

     

    Abstract:
    Objective To understand the incidence of pulmonary tuberculosis (TB) reported in medical staff in Inner Mongolia autonomous region, analyze the epidemiological characteristics of pulmonary TB and associated factors associated with medical care seeking delay in this population, and provide evidence for the development of targeted prevention and control strategies.
    Methods The incidence data of pulmonary TB in medical staff in Inner Mongolia from 2016 to 2022 were collected from national disease prevention and control information system for a descriptive epidemiological analysis. The medical care seeking delay was compared by χ2 test, and multiple Logistic regression model was used to identify the associated factors for the medical care seeking delay.
    Results A total of 318 pulmonary TB cases were reported in medical staff in Inner Mongolia during this period. The reported case number was highest in eastern area, followed by western area and central area, The highest annual proportion of pulmonary TB was reported in the fourth quarter, accounting for 27.94% of the total. The highest case number (38) was reported in November. The mean age of the cases was 34.83 years, and the median age M (P25, P75) was 30.57 (25.36, 41.50) years, the proportion of the cases was highest in age group 23-30 years (46.86%). The male to female ratio of the cases was 2.78∶1. The medical care seeking delay rate in designated TB medical institutions was lower than that in other medical institutions, the difference was significant (χ2=6.871, P =0.009). The medical care seeking delay rate in medical staff was lower than that in general population, the difference was significant (χ2=27.760, P <0.001).Multivariate analysis showed that the age 51?60 years old odds ratio (OR)=3.72, 95% confidence interval (CI): 1.38?9.97 was a risk factor for the medical care seeking delay.
    Conclusion The incidence of pulmonary TB reported in medical staff in Inner Mongolia fluctuated irregularly, and the incidence was relatively high in eastern area, the cases were mainly distributed in age group 23?30 years, and the prevalence of medical care seeking delay was high. Therefore, targeted prevention and control strategies should be developed to reduce the incidence of pulmonary TB in this population.

     

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