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目的了解山东省肺结核病人自感健康状况及影响因素。方法采用分层随机抽样方法,共抽取山东省3个市6个县/区的819例本地常住人口肺结核病人和山东省7个市12个县/区的314例流动人口肺结核病人,分别于2007年12月和2008年7-9月利用自制问卷进行调查。采用SPSS16.0软件进行分析。结果52.2%的本地病人和51.3%的流动人口病人自感健康状况良好;多因素分析结果显示,肺结核病人自感健康状况的影响因素是病人经济条件、债务和治疗分类(P<0.05),债务和治疗分类对流动人口肺结核病人的影响最明显,OR值分别达17.471和26.012,远大于本地病人(OR值分别为3.937和2.471);受教育程度低是流动人口病人自感健康状况的危险因素(OR>1),低年龄组对本地病人自感健康状况是保护因素(OR<1)。结论病人的经济条件是影响其自感健康的重要因素,欠债病人的自感健康状况较差。
Objective To understand the self-inductance status and influencing factors of pulmonary tuberculosis patients in Shandong Province. Methods Stratified random sampling method was used to collect a total of 819 cases of pulmonary TB patients from 619 counties in 3 cities in Shandong Province and 314 cases of floating TB cases in 12 counties in 7 cities of Shandong Province in 2007 December and 2008 July-September using self-made questionnaire survey. Using SPSS16.0 software for analysis. Results 52.2% of local patients and 51.3% of floating population patients were in good health. Multivariate analysis showed that the factors influencing the self-perceived health status of TB patients were economic status, debt and treatment classification (P <0.05), debt And treatment classification had the most obvious impact on migrant pulmonary tuberculosis patients with odds ratios of 17.471 and 26.012, respectively, which were much higher than those of local patients (OR = 3.937 and 2.471, respectively). Low education level was a risk factor for self-perceived health status of floating population (OR> 1). The low age group was protective factor for local patients’ self-esteem status (OR <1). Conclusion The economic condition of patients is an important factor that affects their self-senses of health. The patients with debts owe their own feelings of poor health.