分析从中国东部的监测和认识调查中结核病的空间延迟
Dan Luo1, Xinyi Chen2, Min Wang3
1School of Public Health, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Scientific reports
|August 26, 2024
概括
在江省的特定地区,肺结核 (PTB) 诊断的延迟较长. 改善公共卫生教育和医疗保健系统对于减少这些延迟和改善结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 肺结核 (PTB) 诊断和治疗延迟仍然是一个重大的公共卫生挑战.
- 空间模式和PTB延迟的决定因素未得到充分探索,特别是在江省.
研究的目的:
- 调查空间分布并确定肺结核病患者和诊断延迟的集群.
- 探索公众意识与PTB病例的长期患者延迟之间的相关性.
主要方法:
- 利用空间自相关性分析和空间时间扫描统计数据对151,799个报告的PTB病例进行了分析.
- 采用曼特尔测试来评估公众意识与长期患者延迟之间的关系.
主要成果:
- 在江西南部和东北部发现了长期患者延迟 (LPD) 和长期诊断延迟 (LDD) 的显著空间集群.
- 患者的中位延迟时间为15天,诊断的中位延迟时间为2天.
- 在2018年,公众对症状的认识和LPD之间观察到温和的正相关性.
结论:
- 空间分析揭示了PTB延迟的地理差异,突出了需要有针对性的干预的领域.
- PTB延迟表明公共卫生教育和医疗保健提供系统的潜在弱点.
- 提高公众意识和将知识转化为行为变化对于减少PTB患者延迟和改善江的健康结果至关重要.
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