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Journal of Tuberculosis and Lung Disease ›› 2025, Vol. 6 ›› Issue (6): 725-730.doi: 10.19983/j.issn.2096-8493.20250138

• Original Articles • Previous Articles     Next Articles

Analysis of treatment outcomes and influencing factors among student pulmonary tuberculosis patients in Chongqing from 2020 to 2023

Liao Wenping1, Zhang Liyi2, Zhang Wen1(), Su Qian3()   

  1. 1Department of Medical Education,Chongqing Tuberculosis Control and Prevention Institution, Chongqing 400050, China
    2Party Affairs Office, Chongqing Tuberculosis Control and Prevention Institution, Chongqing 400050, China
    3Department of Comprehensive Prevention and Control,Chongqing Tuberculosis Control and Prevention Institution, Chongqing 400050, China
  • Received:2025-09-04 Online:2025-12-20 Published:2025-12-08
  • Contact: Zhang Wen,Email:zhanghenwen@163.com;Su Qian,Email:23527986@qq.com
  • Supported by:
    Chongqing Jiulongpo District Science and Technology Plan Project(2024-04-023-Y);Chongqing Jiulongpo District Science and Technology Plan Project(2024-04-002-Z);The First Batch of Key Public Health Disciplines (Specialties) in Chongqing City

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Abstract:

Objective: To analyze the treatment outcomes and influencing factors among student pulmonary tuberculosis (PTB) patients in Chongqing from 2020 to 2023, and to provide a reference for further improving TB prevention and control in schools. Methods: Data of student PTB patients in Chongqing from 2020 to 2023 were collected through the Tuberculosis Management Information System of the China Disease Control and Prevention Information System. Descriptive methods were used to analyze the registration and treatment outcomes of student PTB patients, and binary logistic regression was employed to identify factors influencing their treatment outcomes. Results: A total of 4021 student PTB patients were registered in Chongqing from 2020 to 2023, with an average annual registration rate of 17.04/100000 (4021/23599456). The registration rate decreased from 23.43/100000 (1367/5834206) in 2020 to 13.74/100000 (810/5897039) in 2023, showing a significant downward trend ($\chi_{\text {trend }}^2$=200.302, P<0.001). Among these cases, 3968 were successfully treated, with a success rate of 98.68% (3968/4021). 53 cases had unsuccessful outcomes, with an incidence of 1.32% (53/4021). Multivariate logistic regression analysis revealed that ethnic minorities (OR=3.55, 95%CI: 1.99-6.33), retreatment (OR=5.24, 95%CI: 1.54-17.82), and not being included in community-based health-care management (OR=4.31, 95%CI: 1.98-9.40) were risk factors for unsuccessful outcomes in student PTB patients. Conclusion: The registration rate of student PTB patients in Chongqing shows a declining trend, and overall treatment outcomes were favorable. It is recommended to focus on student patients who are ethnic minorities, retreatment, or not enrolled in community-based management. Strengthening tuberculosis health education, improving patient adherence, ensuring all identified student pulmonary tuberculosis patients are incorporated into community-based management, and enhanced supervision, are essential to further increase the treatment success rate.

Key words: Tuberculosis,pulmonary, Students, Treatment outcome, Factor analysis, statistical

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