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Outline
To systematically evaluate the factors influencing delayed detection and health-seeking of pulmonary tuberculosis among Chinese mainland students.
Literature was searched from CNKI, CBM, VIP, WanFang Data, Embase, Scopus, PubMed, Web of science, Cochrane library, and CINAHL Complete up to May 8, 2025. Registered on PROSPERO (CRD420251058065).
22 papers involving 123 802 tuberculosis students were included. Meta-analysis showed that junior high school (OR=0.795, 95% CI=0.674-0.936), onset in the fourth quarter (OR=0.806, 95% CI=0.702~0.926), pathogenetic positivity (OR=1.599, 95% CI=1.166-2.192), and tuberculous pleurisy (OR=1.611, 95% CI=1.447-1.794) influenced delayed detection; female (OR=1.092, 95% CI=1.005-1.187), pathogenetic positivity (OR=1.220, 95% CI=1.092~1.362), no pathogenetic result (OR=0.482, 95% CI=0.351-0.664), tuberculous pleurisy(OR=1.181, 95% CI=1.041-1.341), passive detection(OR=2.348, 95% CI=1.891~2.916), consultation due to disease (OR=3.743, 95% CI=2.531-5.535), referral due to disease (OR=3.591, 95% CI=3.074-4.196), and referral (OR=2.914, 95% CI=2.716-3.127), follow-up (OR=4.163, 95% CI=3.389-5.115), other routes (OR=2.790, 95% CI=2.379-3.272), serious illness (OR=1.127, 95% CI=1.049-1.210), and general hospital (OR=0.540, 95% CI=0.372-0.783) influenced delayed health-seeking.
Student tuberculosis delays are multifactorial, necessitating targeted interventions including campus symptom monitoring and cross-departmental referral channels.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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