Factors affecting patient delay of diagnosis and completion of Direct Observation Therapy, Short-course (DOTS) among the migrant population in Shandong, China
Factors affecting patient delay of diagnosis and completion of Direct Observation Therapy, Short-course (DOTS) among the migrant population in Shandong, China
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DOI：
10.5582/bst.2013.v7.3.122
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发表时间：
2013-01-01
影响因子：
5.5
通讯作者：
Wang, Xingzhou
中科院分区：
文献类型：
--
作者：
Tobe, Ruoyan Gai;Xu, Lingzhong;Wang, Xingzhou
在中国，流动人口的流行病学和社会经济状况表明，结核病（TB）控制应优先考虑易感人群。采用结构式问卷对山东省12个县314名外来人口涂阳肺结核患者进行面对面调查。结果显示，患者延误诊断的病例占40.8%，短期直接观察治疗（DOTS）完成率低至67.2%。首诊漏诊率为47.1%。影响发现和治疗的因素存在于他们的社会经济地位、工作方式和相关结核病护理的可及性。结果表明，流动人口结核病患者存在诊断延迟、病例发现率低和DOTS完成率低的问题。改善移民的工作条件和获得专业结核病护理至关重要，预计将导致更好的病例发现和治疗完成。
In China, the epidemiological and socioeconomic status of the migrant population suggests that the vulnerable population should be prioritized for tuberculosis (TB) control. A face-to-face interview using a structured questionnaire was performed on a total of 314 smear-positive pulmonary TB patients among the migrant population of 12 randomly selected counties in Shandong Province, China. From the results, the cases of patient delay of diagnosis accounted for 40.8%, and the completion rate of Direct Observation Therapy, Short-course (DOTS) was as low as 67.2%. There were 47.1% missed cases in the first diagnosis. Factors affecting detection and treatment were present in their socioeconomic status, working style, and the accessibility to related TB care. The findings indicated that migrant TB patients suffer delayed diagnosis, a low case detection rate and a low completion DOTS rate. Improvement of migrants' working conditions and accessibility to specialized TB care is essential and is expected to lead to better case detection and treatment completion.