肺结核病人社会经济情况调查课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,#,2000年全国结核病流行病学抽样调查,肺结核病人社会经济情况调查,Sociological&Economical Study on Pulmonary Tuberculosis,Nationwide Random Survey for the Epidemiology of Tuberculosis in 2000,2000年全国结核病流行病学抽样调查肺结核病人社会经济情况,1,内容 Content,患病率结果 Results of Prevalence,社会经济情况调查结果 Results of,Sociological&Economical Study,一般情况 General Situation,就诊及诊治情况Clinical Consultation,Diagnosis and Treatment,内容 Content ,2,三次流调患病率结果 Prevalence results of 3 surveys,三次流调患病率结果 Prevalence results,3,不同地区的患病率,Prevalence in different area,不同地区的患病率 Prevalence in diffe,4,登记率与患病率的比较Comparision between case rates and prevalence,登记率与患病率的比较Comparision between,5,卫V项目与非项目地区涂阳患病率的变化,Smear positive prevalence in project,area and non-project area,1990年 2000年 下降%,项目地区 142 93 36.1,Project area,非项目地区 130 126 3.1,Non-project area,全国,Nationwide,134 110 17.9,卫V项目与非项目地区涂阳患病率的变化Smear posit,6,一般情况General Situation,性别、年龄分布 Age and Gender,经济收入能力及文化程度 With or without occupational income and education background,家庭经济情况 Family Economical Situation,医疗保障状况 Medical Insurance Situation,一般情况General Situation 性别、年龄分,7,一般情况 General Situation,表1 性别、年龄分布,Tab1.Age and Gender Distribution,年龄 男 Male 女 Femal 合计 Total,Age No.%No.%No.%,0-22 2.5 14 3.4 36 2.8,10-41 4.7 31 7.5 72 5.6,20-65 7.5 49 11.9 114 8.9,30-93 10.6 57 13.8 150 11.7,40-115 10.7 58 14.0 173 13.5,50-144 16.6 59 14.3 203 15.9,60-199 23.0 70 17.0 269 21.0,70-163 18.8 59 14.3 222 17.4,80-24 2.7 15 3.6 39 3.1,小计 866 100.0 412 100.0 1278 100.0,男性病人多：为女性的2倍,青壮年病人多：20-59岁病人占50%,老年病人多：60岁以上病人占41%,一般情况 General Situation,8,经济收入能力及文化程度 Occupational income&Education background,表2 有经济收入能力的病人所占比例,Tab2.Proportion of patients who have occupational income,病人总数 有经济收入With income,No.of PTB 病人数No.%,男 Male 866 630 72.7,女 Female 412 197 47.8,合计 Total 1278 827 64.7,女性病人有经济收入能力的比例仅为47.8%，明显低于男性。,有经济收入能力的病人中，77.1%为农林牧渔从业者。(Countryside field workers,CFW),经济收入能力及文化程度 Occupational inco,9,1.Illiteracy 2.Primary school 3.Junior middle school 4.Senior middle school,1.Illiteracy 2.Primary schoo,10,家庭经济情况 Family Economical Situation,表3,病人家庭年人均收入及占当地年均收入的比例分布,Tab3.Family average income per person per year of PTB patients and the level in local areas,家庭年*,当地年均收入平均水平*无当地*,人均收入,以下 Lower 以上 Higher,资 料 合计,（元 Yuan）,No%No%可参考 Total,所有病人 All PTB 1307 976 78.0 276 22.0 26 1278,其中：,农林牧渔 CFW 941 502 80.0 126 20.0 10 638,*Family Average Income per person per Year,*Compare with that in the local areas,*No data for reference in the local area,家庭经济情况 Family Economical Situ,11,医疗保障状况 Medical Insurance Situation,1278例病人中，1175人无医疗保障，占92%。,The proportion of all PTB patients who have no medical insurance is 92%.,638例农林牧渔病人中，625人无医疗保障，占98%。,The proportion of CFW PTB patients who have no medical insurance is 98%.,医疗保障状况 Medical Insurance S,12,就诊及诊治情况Clinical Consultation,Diagnosis and Treatment,卫生宣教 Health Education,症状 Symptoms,就诊 Clinical Consultation,诊断 Diagnosis,转诊、登记及治疗 Transferring,Registry and Treatment,治疗状态 Treatment Situation,经济负担 Economic Burden,就诊及诊治情况Clinical Consultation,13,图2 病人在发病前接受TB 宣教的情况,Health education about TB received before illness,图2 病人在发病前接受TB 宣教的情况Health ed,14,图 3 症状分布 Distribution of symptomatic,图 3 症状分布 Distribution of symp,15,有症状就诊 Clinical Consultation Among Symptomatic,表4 有症状就诊情况,曾就诊 未就诊 合计,Consultation made Not made Total,No%No%No%,2000年 627 52.7 469 42.8 1096 100.0,1990年 1240 34.1 2393 65.9 3633 100.0,有症状就诊 Clinical Consultati,16,图4 初诊单位,Type of health clinics for first clinical consultation,图4 初诊单位 Type of health cli,17,表5 未就诊原因分析,Causes for delay of clinical consultation,原因,1.,自己,2.工作忙,3.经济,4.交通 5.就诊 6.服务态 其他 合计 Causes,不在乎,没时间,困难,不便 点太远 度不好 Other,No.259 15 175 6 1 0 13 4692000年%,55.2,3.2,37.3,1.3 0.2 0.0 2.8 100.0,No.366 36 169,未统计,37 2 42 6521990年%56.2 5.5 25.9 5.7 0.3 6.4 100.0,1.Not mind2.Had no time3.Financial problem4.Traffic problem5.The health unit is too far6.Bad service,表5 未就诊原因分析 Causes for delay,18,诊断 Diagnosis,627例就诊者，就诊期间接受过痰及X线检查的只有161人，占26.2%。,Among 627 patients who present consultation,161 patients had received sputum and X-ray examination at the same time(26.2%).,流调前，有378人已被确诊为肺结核，占60%。,378 patients(60%)had been confirmed as PTB before the survey.,诊断 Diagnosis 627例就诊者，就诊期间接受,19,转诊、登记及治疗,Transferring,Registry and Treatment,表6 转诊、登记及治疗,确诊病人数 转诊 登记 治疗 No.of Confirmed PTB Trans-Registry Treatment No%No%No%,结防机构 TB Dispensary,45 43 95.2 45 100.0,非结防机构Other health unit,333 44 13.2 50 15.0 329 98.8 合计 Total 378 90 23.8 374 97.9,转诊、登记及治疗Transferring,Regis,20,治疗状态 Situation of regular treatment,表8 治疗状态,1,.,规则治疗 2.中断、间断治疗 合计,No%No%Total A,结防机构,36,61.0,23 39.0 59 2000年 B,非结防机构,66,21.6,249 79.0 315,合计,Total 102 27.3 272 72.7 374,A,结防机构,255,55.5,204 44.1 4591990年 B,非结防机构,296,13.4,1906 86.6 2202,合计,Total 551 20.7 2110 79.3 26611.Regularly treated2.Intermittent and Interrupted TreatmentA.TB dispensaryB.Other health unit,治疗状态 Situation of regular,21,1278 肺结核病人,1096 有症状（86%）182 无症状（14%）,627 就诊（57%）469 未就诊（43%）,378,确诊（60%）,249 未确诊（40%）,333 在非结防 45 在结防,机构确诊（88%）机构确诊（12%）,283 未登记 50 43 2 未登记（4%）,（85%）,登记,93,病人发现率 Case Det