与中国江苏省结核病诊断延迟相关的风险因素 (2011-2021):时空数据库分析研究
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
概括
在中国,结核病 (TB) 诊断延迟受到个人和空间因素的影响. 干预措施应针对高风险群体和环境,以改善结核病控制工作.
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:
- 结核病 (TB) 仍然是一个重大的全球公共卫生挑战.
- 结核病诊断的延迟阻碍了有效的控制策略,尽管诊断工具的进步.
研究的目的:
- 为了研究结核病诊断延迟的时空模式.
- 在中国江苏省 (2011-2021) 确定结核病诊断延迟的个人和空间风险因素.
主要方法:
- 利用了江苏省332,091名结核病患者 (2011-2021) 的数据.
- 诊断延迟定义为从症状发作到诊断的时间>28天.
- 用于个别因素的物流回归和贝叶斯的时空β模型进行空间分析. 面板格兰杰因果关系探索时间动态.
主要成果:
- 老年人,农业工人,移民和临床诊断的病例显示延迟的几率更高.
- 男性患者和教育工作者延迟的几率较低.
- 从2015年开始,观察到结核病诊断延迟率的显著空间聚类. 当地患者比例增加和居民人口规模增加与延迟率降低相关.
结论:
- 结核病诊断延迟是由个体特征和空间决定因素的组合形成的.
- 当地患者的比例和人口密度是结核病诊断延迟的空间时间变化的关键因素.
- 针对高风险人群和医疗保健机构的有针对性的干预措施对于减轻结核病诊断延迟至关重要.
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