中国,江蘇省における結核診断の遅延に関連したリスク要因 (2011-2021): 時空データベース分析研究
Yifan Tang1,2, Cheng Chen3, Mingming Chen1
1Department of Biostatistics, Academy of Pharmacy, Xi'an Jiaotong-Liverpool University, Suzhou, China.
JMIR public health and surveillance
|February 17, 2026
まとめ
結核 (TB) 診断の遅延は,中国の個人および空間的要因の影響を受けています. 介入は,結核対策の取り組みを改善するために,高リスクグループや環境をターゲットにすべきです.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 空間分析とは,空間分析のことです.
背景:
- 結核 (TB) は,世界的な公衆衛生上の重要な課題であり続けています.
- 結核の診断の遅延は,診断ツールの進歩にもかかわらず,効果的な制御戦略を妨げています.
研究 の 目的:
- TB診断の遅延の空間時間的なパターンを調査するために.
- 中国の江蘇省 (2011-2021) で結核診断の遅延の個別的および空間的リスク要因を特定する.
主な方法:
- 江蘇省の332,091人の結核患者 (2011年-2021年) のデータを活用した.
- 診断の遅延は,症状の発症から診断までの28日以上です.
- 個々の因子に対するロジスティック回帰と空間分析のためのベイジアン空間時間ベータモデルを使用した. パネル・グレンジャーの因果関係は,時間の動態を調査した.
主要な成果:
- 高齢者,農業従事者,移住者,臨床診断された症例は,遅延の確率が高いことが示されました.
- 男性の患者や教育者は,遅延の確率が低いという.
- 2015年以降,結核の診断遅延率の有意な空間的クラスタリングが観察されました. 地元患者の割合と住民の人口の大きさの増加は,遅延率の減少と相関しています.
結論:
- 結核診断の遅延は,個々の特徴と空間的決定因子の組み合わせによって形成されます.
- 地元の患者の割合と人口密度は,TB診断の遅延の空間時間的変動の重要な要因です.
- 高リスク集団と医療環境に対する標的型介入は,結核の診断の遅延を軽減するために極めて重要です.
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