Objective: To analyze the epidemiological characteristics, trend and related factors of tuberculosis patients that delayed for care, in Wuhan from 2008 to 2017. Methods: Data regarding tuberculosis (TB) patients was collected from the tuberculosis management information system (TMIS), a part of the China information system for disease control and prevention from 2008 to 2017. A total of 64 208 tuberculosis patients, aged 0 to 95 years were included for the analysis. Unconditional logistic regression method was used to estimate those factors that associated with this study. Results: Days of delay among TB patients appeared as M=10 (P(25)-P(75): 3-28) day, in Wuhan, 2008-2017. The prevalence of the delay was 52.5% (33 703/64 208), presenting a downward trend from 2008 to 2017 (trend χ(2)=10.64, P<0.001), but the proportions of women and ≥65 year-olds were gradually increasing. Results from the multivariate logistic regression analysis showed that factors as: patients living far away from the city vs. near the city (OR=1.29, 95%CI: 1.25-1.35), and age above 45 years vs. younger than 25 years (the age 45-64 years group vs. aged less than 25 years group, OR=1.22, 95%CI: 1.15-1.29; the age 65 or above group vs. aged less than 25 years group, the OR=1.30, 95%CI: 1.22-1.39) were under higher risk on the delay of seeking care. Occupation, way of case-finding and classification of tuberculosis patients also appeared as influencing factors on this issue. Conclusions: Prevalence on the delay of care was 52.5% among tuberculosis patients in Wuhan, 2008-2017, but with an annual decrease. Attention should be paid to female, wrinkly or elderly tuberculosis patients regarding the delay of care on TB, in Wuhan.
目的： 分析2008－2017年武汉市结核病患者就诊延迟行为特征、变化趋势及其影响因素，为结核病防治提供依据。 方法： 利用中国疾病预防控制信息系统结核病管理信息系统，收集2008－2017年武汉市64 208例0~95岁结核病患者病案信息，采用非条件多因素logistic回归模型分析结核病患者就诊延迟的影响因素。 结果： 2008－2017年武汉市结核病患者的就诊天数为M=10（P(25)~P(75)：3~28）d，就诊延迟率为52.5%（33 703/64 208），总体呈下降趋势（趋势χ(2)=10.64，P<0.001）。结核病就诊延迟者主要为男性，女性、≥65岁组所占的构成比逐渐增长。多因素logistic回归分析结果显示，远城区（与近城区相比，OR=1.29，95%CI：1.25~1.35）、≥45岁组（45~、≥65岁组与<25岁组相比，OR=1.22，95%CI：1.15~1.29；OR=1.30，95%CI：1.22~1.39）是结核病患者就诊延迟的危险因素，职业、患者来源和患者分类也是结核病患者就诊延迟的影响因素。 结论： 2008－2017年武汉市结核病患者的就诊延迟率总体呈下降趋势。应重点关注结核病患者中的女性和中老年就诊延迟者。.
Keywords: Influencing factors; Patient delay; Tuberculosis.