Analysis of the delay of the first visit of new smear positive TB patients and the influencing factors in MaCheng of Hubei Province, 2016 -2018 / 公共卫生与预防医学

ABSTRACT

Objective: To explore the delay in the first diagnosis of tuberculosis patients in Macheng City from 2016 to 2018 and its influencing factors, so as to provide scientific basis for tuberculosis control. Methods A retrospective survey (face-to-face interview) was conducted on 372 new smear positive TB patients registered in the TB special report system of China's disease prevention and control information system from 2016 to 2018, Then the influencing factors of first visit delay were analyzed by single factor analysis and multi factor Logistic regression analysis. Results Among the 372 TB patients, 230 were delayed in the first diagnosis, the delay rate of the first diagnosis was 61.83%, the median delay time of the first diagnosis was 17.0d, and the average delay time was 37.74d.Multivariate logistic regression analysis showed that family financial difficulties (OR = 31.609, 95% CI 7.240-138.010), no time (OR= 9.597, 95% CI 2.014-45.729), not care (OR= 13.232, 95% CI 2.978-58.804), Far away from the clinic (OR= 15.374, 95% CI 2.896-81.616), non-agricultural occupational (OR = 31.4439, 95% CI 4.398-224.8049), first visit in township (OR = 0.171, 95% CI 0.037-0.785), the difference was statistically significant (P 0.05). Conclusion The first diagnosis delay rate of tuberculosis patients in Macheng City is high, some effective measures should be taken to minimize the first visit of TB patients.