论文部分内容阅读
目的了解山东省流动人口肺结核病人对结核病防治机构的利用程度及影响因素,为山东省结核病防治工作提出相关建议。方法采用分层随机抽样方法,共抽取山东省7个地市12个县/区314例流动人口肺结核病人,于2008年7-9月利用自制调查问卷进行调查,采用SPSS 16.0软件进行分析。结果调查的314例流行人口肺结核病人初次就诊时选择结核病防治机构的仅占18.5%,但74.8%的病人在结防机构确诊;流动人口初次就诊选择的影响因素是病人家庭总收入、家庭人口数、从现居住地到最近的卫生院所需时间(P<0.05);其中,家庭总收入较低为病人初诊选择结防机构的保护性因素(OR>1),家庭人口较少和到卫生院所需较少时间为危险因素(OR<1)。结论加大宣传力度和经费投入,贯彻免费查痰、体检措施,完善基层医疗卫生机构的转诊和激励制度,有助于提高流动人口结核病的发现率。
Objective To understand the degree of utilization and influencing factors of tuberculosis prevention and control institutions among floating population in Shandong Province and to provide some suggestions for tuberculosis prevention and control in Shandong Province. Methods Stratified random sampling method was used to collect 314 cases of TB patients from 12 counties / districts of 7 cities in Shandong Province. The questionnaires were used to investigate the cases from July to September in 2008. The data were analyzed by SPSS 16.0 software. Results Of the 314 POPs surveyed, only 18.5% chose tuberculosis prevention and treatment organizations on the first visit, but 74.8% of the patients were diagnosed at the prevention and treatment institutions. The factors influencing the first choice of floating population were total family income, number of family members , The time from the place of residence to the nearest hospital (P <0.05). Among them, the lower total family income was the protective factor (OR> 1) The hospital required less time as a risk factor (OR <1). Conclusion Increasing publicity and funding, implementing sputum screening and physical examination measures free of charge, and improving referral and incentive systems for primary medical and health institutions can help increase the detection rate of tuberculosis among floating population.