分析中国东部青少年和年轻人的结核病时间延迟
Rui Ge1, Guoying Zhu1, Min Tian2
1Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang, China.
Frontiers in public health
|April 23, 2024
概括
结核病 (TB) 延迟在青少年和年轻成年人中持续存在,尽管报告率下降. 性别和医院水平等因素影响寻求护理和诊断时间,需要改进结核病策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战.
- 缺乏对结核病青少年和年轻成年人的延迟指标和影响因素的全面评估.
研究的目的:
- 分析青少年和年轻成年人肺结核 (PTB) 病例的患者和卫生系统延迟.
- 确定影响这些延迟的因素,并探索COVID-19大流行的影响.
主要方法:
- 利用来自中国结核病信息管理系统 (2005-2022) 的数据,对嘉兴市的5282例PTB病例进行了分析.
- 使用后勤回归来确定与患者和卫生系统延迟相关的因素.
- 研究了COVID-19大流行对延迟时间的影响.
主要成果:
- 女性性别,带有肺外结核的PTB,被动病例发现和重新治疗与更高的患者延迟有关.
- 少数群体和非学生体验到较低的卫生系统延迟.
- 转诊,县医院和阳性病因学结果显示,与患者和卫生系统延迟的相关性各不相同.
- 在COVID-19大流行期间,与大流行前时期相比,延迟明显较低.
结论:
- 虽然PTB通知率下降,但患者和卫生系统的延迟没有显示出类似的趋势.
- 性别,病例发现方法和医院水平是影响医疗保健寻求和诊断时间表的关键因素.
- 研究结果为改善年轻人群的结核病预防和治疗策略提供了见解.
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