2014-2024年吉林省服务行业肺结核患者就诊延迟及影响因素分析

Objective To explore the influencing factorss of healthcare-seeking delay among service industry workers with pulmonary tuberculosis in Jilin Province from 2014 to 2024, and to provide a reference for improving the prevention and control strategies of tuberculosis in key places. Methods Data were extracted from the Tuberculosis Management Information System, a subsystem of the China Information System for Disease Control and Prevention. Descriptive statistics were used to analyze the status and trend of healthcare-seeking delay. Multivariable logistic regression was employed to analyze the influencing factorss. Results From 2014 to 2024, a total of 879 service industry workers with pulmonary tuberculosis were registered. Among them, 581 cases involved a delay in seeking healthcare, resulting in a delay rate of 66.10%. The median time to visit(interquartile range) was 28(9, 51) days. From 2014 to 2024, the delay rate generally showed a downward trend, and the difference was statistically significant(χ趋势2=18.932, P<0.05). Multivariable Logistic regression analysis showed that tuberculosis patients in the service industry with passive case detection were more likely to experience healthcare-seeking delay(OR=3.290, 95% CI:1.401～7.725, P<0.01). Conclusion Between 2014 and 2024, the rate of healthcare-seeking delay among pulmonary tuberculosis patients working in the service industry in Jilin Province was high but generally showed a decreasing trend. Delay in seeking healthcare was associated with the method of case detection. Active screening should be strengthened, and effective measures should be implemented to reduce the delay rate.