Department of Health Management and Maternal and Child Healthcare, School of Public Health, Shandong University, Ji'nan, China.
Biosci Trends. 2013 Jun;7(3):122-8.
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.
在中国，流动人口的流行病学和社会经济学地位表明，弱势群体应作为结核病（TB）控制的优先对象。采用面对面访谈和结构化问卷的方式，对山东省 12 个随机选定的县的 314 名涂片阳性的流动人口肺结核患者进行了调查。结果显示，患者的诊断延迟率占 40.8%，直接观察短程化疗（DOTS）的完成率仅为 67.2%。在初次诊断中，有 47.1%的漏诊病例。影响检测和治疗的因素包括他们的社会经济地位、工作方式以及获得相关 TB 护理的便利性。研究结果表明，流动人口结核病患者的诊断存在延迟，检出率和 DOTS 完成率均较低。改善流动人口的工作条件和获得专业 TB 护理的便利性至关重要，有望提高病例检出率和治疗完成率。
