摘要
目的了解浙江省农村居民高血压患病知晓与控制情况及其影响因素,为农村居民有效防控高血压提供参考依据。方法采用整群抽样方法,对浙江省农村地区6454名高血压患者进行问卷调查、体格检查及实验室检测,分析高血压患病知晓和控制情况,并应用多因素logistic回归模型分析其可能的影响因素。结果浙江省农村地区高血压患病的总知晓率和控制率分别是67.62%、7.01%。多因素logistic回归分析显示,体质指数>28者的高血压患病知晓率比体质指数正常者高(OR=1.571,95%CI=1.242~1.972),轻体力活动者的高血压患病知晓率比中、重体力活动者高(OR=0.422,95%CI=0.344~0.513;OR=0.832,95%CI=0.686~0.994),有糖尿病病史者的高血压患病知晓率比无糖尿病病史者高(OR=1.644,95%CI=1.253~2.141)。海岛地区的高血压控制率比内陆地区高(OR=0.115,95%CI=0.083~0.162)。结论体质指数<28 kg/m^(2)、糖尿病前期、中、重体力活动人群的高血压患病知晓率较低,内陆地区高血压患者的血压控制情况较海岛地区低。建议对重点人群和地区加强宣传,规范体检,提高高血压患者的知晓率和血压控制率,从而提高浙江省农村居民高血压防治水平。
Objective To explore the awareness and control of high blood pressure among rural residents in Zhejiang Province and its influencing factors,and to provide reference for effective control and prevention of high blood pressure.Methods Cluster sampling was adopted to select 6454 high blood pressure patients from the rural areas of Zhejiang Province for a questionnaire survey,physical examination,and laboratory testing.An analysis was made of the awareness and control of high blood pressure and multivariate logistic regression model was used to analyze the influencing factors.Results The total awareness and control rates of hypertension were 67.62%,7.01%,respectively in the rural areas of Zhejiang Province.Multivariate logistic regression analysis results showed that there were higher awareness rates of hypertension in patients whose body mass index was higher or equal to 28 than in patients with normal body mass index(OR=1.571,95%CI=1.242~1.972),in patients with mild physical activities than in patients with intense physical activities(OR=0.422,95%CI=0.344~0.513;OR=0.832,95%CI=0.686~0.994),and in patients complicated with diabetes than in patients without(OR=1.644,95%CI=1.253~2.141).The control rate in islands was higher than that in inland areas(OR=0.115,95%CI=0.083~0.162).Conclusions The awareness rate of hypertension is relatively low among residents whose body mass index is lower than 28 kg/m^(2),who are pre-diabetic patients,and who take medium or intense physical activities.Hypertensive control is worse in inland areas than in islands.It is suggested that publicity should be strengthened among focus population and areas,physical examinations be standardized,and the awareness rate and hypertensive control rate be improved,thereby improving the level of high blood pressure prevention and treatment among rural residents in Zhejiang Province.
作者
伍丽
陈倩楠
朱婧涵
王璐
张旭慧
WU Li;CHEN Qiannan;ZHU Jinghan;WANG Lu;ZHANG Xuhui(Zhejiang University of Traditional Chinese Medicine,Hangzhou,Zhejiang 310053,China;Hangzhou Center for Disease Control and Prevention,Hangzhou,Zhejiang 310021,China;Southern Medical University,Guangzhou,Guangdong 510515,China)
出处
《中国农村卫生事业管理》
2023年第1期63-69,共7页
Chinese Rural Health Service Administration
基金
杭州市科技局社会发展科研引导项目(20171226Y27)
浙江省卫生健康科技计划面上项目(2021KY268)。
作者简介
通信作者:张旭慧,E-mail:994028847@qq.com。
