中国结核病控制机构向国内流动人口提供结核病信息的作用：一项全国性横断面调查的多层次分析。

The role of tuberculosis control institutes in delivering tuberculosis information to domestic migrants in China: A multi-level analysis of a nationwide cross-sectional survey.

机构信息

Department of Medical Statistics, School of Public Health, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, People's Republic of China; Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, No. 74, Zhongshan Road Two, Yuexiu District, Guangzhou, People's Republic of China.

Center for Tuberculosis Control of Guangdong Province, No. 485, West of Huangpu Road, Guangzhou, People's Republic of China.

出版信息

Int J Infect Dis. 2019 Sep;86:94-101. doi: 10.1016/j.ijid.2019.06.021. Epub 2019 Jun 24.

DOI:10.1016/j.ijid.2019.06.021

PMID:31247342

Abstract

OBJECTIVES

The aim of this study was to understand how tuberculosis (TB) control institutes raise awareness of TB among domestic migrants in China, specifically whether migrants have received TB information and how they received it.

METHODS

This multi-level analysis included both county-level data and individual-level data covering 31 provinces in mainland China. Multi-level logistic models were used to explore the factors associated with receiving TB information.

RESULTS

This analysis included 205 990 migrants from 31 provinces and municipalities. Only 77 460 (37.60%) migrants reportedly received any TB information in mainland China. The center for disease control and prevention (CDC), the center for tuberculosis control (CTC), and the center for prevention and treatment of chronic diseases (CPTCD) were the most likely to provide TB information for migrants in comparison to other types of TB control institutes, such as general hospitals, specialized hospitals, and community healthcare centers. The odds ratios were calculated as: 1.563 (95% confidence interval (CI) 1.246-1.959) for CDCs, 1.385 (95% CI 1.063-1.804) for CTCs, and 1.723 (95% CI 1.424-2.085) for CPTCDs.

CONCLUSIONS

China has not achieved universal coverage of TB awareness. TB awareness levels are higher in regions with CDC, CTC, and CPTCD institutes. Domestic migrants who have moved to western areas are more likely to have received TB information.

摘要

目的

本研究旨在了解中国的结核病（TB）控制机构如何提高国内流动人口对 TB 的认识，特别是流动人口是否获得过 TB 信息以及如何获得。

方法

本多层次分析包括县级数据和覆盖中国大陆 31 个省的个人数据。采用多水平逻辑模型探讨与获得 TB 信息相关的因素。

结果

本分析纳入了来自中国大陆 31 个省和直辖市的 205990 名流动人口。据报道，只有 77460（37.60%）名流动人口在中国内地获得过任何 TB 信息。与其他类型的结核病控制机构（如综合医院、专科医院和社区卫生服务中心）相比，疾病预防控制中心（CDC）、结核病防治所（CTC）和慢性病预防与治疗中心（CPTCD）更有可能向流动人口提供 TB 信息。计算出的优势比分别为：CDC 为 1.563（95%置信区间（CI）1.246-1.959），CTC 为 1.385（95%CI 1.063-1.804），CPTCD 为 1.723（95%CI 1.424-2.085）。