您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报 (医学版) ›› 2019, Vol. 57 ›› Issue (12): 103-109.doi: 10.6040/j.issn.1671-7554.0.2019.1077

• • 上一篇    

济南市平阴县农村成年居民高血压知晓现状及影响因素

国雪杰1,杨孝荣2,桑少伟2,刘兵艳1,吕明2,3   

  1. 1. 山东大学医药卫生管理学院, 山东 济南250012;2. 山东大学齐鲁医院科研处临床流行病学研究室, 山东 济南250012;3. 山东大学公共卫生学院流行病与卫生统计学系, 山东 济南250012
  • 发布日期:2022-09-27
  • 通讯作者: 吕明. E-mail:lvming@sdu.edu.cn
  • 基金资助:
    国家重点研发计划(2017YFC0907003)

Factors influencing awareness of hypertension among rural adults in Pingyin County of Jinan City

GUO Xuejie1, YANG Xiaorong2, SANG Shaowei2, LIU Bingyan1, LÜ Ming2,3   

  1. 1.School of Health Care Management, Shandong University, Jinan 250012, Shandong, China;
    2. Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    3. Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-27

PDF (PC)

10

摘要： 目的 了解济南市平阴县农村地区高血压知晓现状及其影响因素,为高血压的综合防治工作提供理论依据。 方法 2017年10月至12月采用整群抽样在济南市平阴县抽取2 283名18~90岁的成年农村居民进行问卷调查和体格检查。 结果 在济南市平阴县调查的2 283名成年居民中,高血压患者1 489例,高血压粗患病率为65.22%,标化患病率为45.85%。其中知晓自身患有高血压491例,知晓率32.98%。按照性别相同、年龄相差不超过2岁进行1∶1匹配后,482例高血压知晓者成功匹配。单因素条件Logistic回归分析发现,不同睡眠质量、饮酒史、高血压家族史、糖尿病或高血糖既往史、心脑血管疾病既往史、体质量指数、中心性肥胖、自评健康状况的居民高血压知晓率均差异有统计学意义(P<0.05)。多因素条件Logistic回归分析结果显示,睡眠质量比较差、已经戒酒、有高血压家族史、有糖尿病或高血糖既往史、有心脑血管疾病既往史、超重、肥胖、自评健康状况良好、自评健康状况一般、自评健康状况差的济南市平阴县农村成年居民的高血压知晓率较高(P<0.05)。 结论 济南市平阴县农村成年居民高血压患病率较高,知晓率较低,高血压已成为危害该地区居民生命健康的重要公共卫生问题,采取有效措施提升该地区高血压的综合管理水平迫在眉睫。

关键词: 高血压, 知晓率, 影响因素, 农村地区, 成年人

Abstract: Objective To investigate the awareness rate of hypertension and its influencing factors in rural areas of Pingyin County of Jinan City, and to provide reference for the prevention and control of hypertension. Methods During Oct. and Dec. 2017, 2 283 adult rural residents aged 18-90 years were selected by cluster sampling. They then received a questionnaire survey and physical examination. Results Of the 2 283 subjects, 1 489 were hypertensive. The crude prevalence rate of hypertension was 65.22%, and standardized prevalence rate was 45.85%. Among the hypertensive patients, 491 knew that they had hypertension, and the awareness rate was 32.98%. After 1∶1 match was made according to the same gender and age difference of no more than 2 years old, 482 hypertension knowers were successfully matched. Univariate Logistic regression analyses showed that the awareness rates of hypertension among subjects with different sleep quality, drinking history, family history of hypertension, history of diabetes, hyperglycemia or cardiocerebrovascular diseases, body mass index, central obesity and self-rated health status were significantly different(P<0.05). Multivariate Logistic regression analyses showed that subjects with poor sleep quality, alcohol withdrawal, positive family history of hypertension, positive history of diabetes, hyperglycemia or cardiocerebrovascular diseases, and 山 东 大 学 学 报 (医 学 版)57卷12期 -国雪杰,等.济南市平阴县农村成年居民高血压知晓现状及影响因素 \=-poor self-rated health status had relatively high awareness rate of hypertension(P<0.05). Conclusion The prevalence of hypertension among rural adults in Pingyin County of Jinan City is high, while the awareness rate is low. Hypertension has become an important public health hazard in this area. Effective measures should be taken to improve the comprehensive management of hypertension.

Key words: Hypertension, Awareness, Influencing factors, Rural areas, Adults

中图分类号: 

  • R544.1
[1] World Health Organization. A global brief on hypertension: silent killer, global public health crisis: World Health Day 2013[M/OL]. Geneva: WHO Press, 2013[2019-09-10]. http://www.thehealthwell.info/node/466541.
[2] Prabhakaran D, Anand S, Gaziano TA, et al. Disease control priorities, third edition[J]. World Bank Publications, 2017, 385(9983): 2209.
[3] Mozaffarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics-2015 update a report from the american heart association[J]. Circulation, 2015, 131(4): 329-322.
[4] 刘力生.中国高血压防治指南2010[J].中华高血压杂志, 2011, 19(8): 701-743. LIU Lisheng. 2010 Chinese guidelines for the management of hypertension[J].Chinese Journal of the Frontiers of Medical Science(Electronic Version), 2011, 19(8): 701-743.
[5] Wang Z, Chen Z, Zhang L, et al. Status of hypertension in China: results from the China hypertension survey, 2012-2015[J]. Circulation, 2018, 137(22): 2344-2356.
[6] National Center for Health Statistics(US). Health, United States, 2013: with special feature on prescription drugs[M/OL]. Washington: U.S. Government Printing Office, 2014[2019-09-15].http://europepmc.org/abstract/med/24967476.
[7] 刘鑫,王燕,邵双双,等.2013年吉林省高血压患病知晓人群特征及影响因素分析[J].实用预防医学, 2018, 25(2):137-139. LIU Xin, WANG Yan, SHAO Shuangshuang, et al. Characteristics of hypertension awareness in hypertensive residents and its influencing factors in Jilin Province, 2013[J]. Practical Preventive Medicine, 2018, 25(2): 137-139.
[8] 胡建英, 王嵘, 马玲. 自我管理模式应用于高血压病人的效果评价[J]. 护理研究, 2014, 28(6): 723-724. HU Jianying, WANG Rong, MA Ling. Evaluation on effect of self-management mode applied in hypertension patients[J]. Chinese Nursing Research, 2014, 28(6): 723-724.
[9] Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans [J]. JAMA, 2018, 320(19): 2020-2028.
[10] 中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南(节录)[J].营养学报, 2004, 26(1):1-4.
[11] Schwalm JD, McCready T, Lopez-Jaramillo P, et al. A community-based comprehensive intervention to reduce cardiovascular risk in hypertension(HOPE 4): a cluster-randomised controlled trial[J]. Lancet, 2019, 394(10205): 1231-1242.
[12] 张树芳, 庄丽娟, 戴宇明, 等.高血压自我管理方法对高血压患者血压控制的效果分析[J]. 大理大学学报, 2018, 3(10):83-86. ZHANG Shufang, ZHUANG Lijuan, DAI Yuming, et al. Effect analysis of hypertension self-management of blood pressure control in patients with hypertension[J]. Journal of Dali University, 2018, 3(10): 83-86.
[13] 李娟丽, 吴炳义, 董惠玲. 2016年山东省成人高血压患病状况及影响因素研究[J].中国初级卫生保健, 2019, 33(4): 37-40. LI Juanli, WU Bingyi, DONG Huiling. Study on the prevalence status and influencing factors of hypertension in adults in Shandong Province in 2016[J].Chinese Primary Health Care, 2019, 33(4): 37-40.
[14] 王梦茹,张华,柴强,等.济南市居民高血压患病率、知晓率、治疗率、控制率现状分析[J].心脑血管病防治,2018,18(4): 275-278. WANG Mengru, ZHANG Hua, CHAI Qiang, et al. Survey on the prevalence, awareness, treatment, and control rates of hypertension among residents in Jinan[J]. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 2018, 18(4): 275-278.
[15] 戴璟,杨云娟.地区经济发展不平衡对高血压患病、知晓及治疗的影响研究[J].中国卫生经济, 2014, 33(12):72-74. DAI Jing, YANG Yunjuan. Study on the impacts of regional unbalanced economic development on prevalence, awareness and treatment of hypertension[J]. Chinese Health Economics, 2014, 33(12): 72-74.
[16] 王琨,宋姌,朱昭红.西安市成年人的情绪状态和睡眠质量及其关系[J].中国健康心理学杂志,2016,24(7): 1100-1105. WANG Kun, SONG Ran, ZHU Zhaohong. Investigation of emotional state and sleep quality for adult in Xian City[J]. China Journal of Health Psychology, 2016, 24(7): 1100-1105.
[17] 刘文龙, 刘维军. 心血管常见疾病与睡眠质量的关系研究[J].世界最新医学信息文摘, 2019, 19(43): 116.
[18] 吴德兵. 健康教育在高血压防治工作中的应用价值研究[J]. 医学美学美容(中旬刊), 2014(9): 200.
[19] 王俊东, 夏平. 健康体检中健康教育对心血管疾病预防的意义[J].中国卫生产业, 2013, 10(3):17.
[20] 田爱红, 田蕊, 张润华, 等. 北京市石景山社区居民高血压知晓率、治疗率和控制率及影响因素的相关研究[J].中国卒中杂志, 2017, 12(9):794-799. TIAN Aihong, TIAN Rui, ZHANG Runhua, et al. Correlation study on the awareness, treatment, control rate of hypertension and its influential factors in Shijingshan district, Beijing[J]. Chinese Journal of Stroke, 2017, 12(9): 794-799.
[21] 李会敏,苏长龙,秘子涵,等.大庆市龙凤社区居民高血压患病率、知晓率、治疗率、控制率及患病影响因素分析[J].中国公共卫生, 2017, 33(3):396-400. LI Huimin, SU Changlong, MI Zihan, et al. Prevalence, rates of awareness, treatment, and control and risk factors of hypertension among community residents of Longfeng community in Daqing City[J]. Chinese Journal of Public Health, 2017, 33(3):396-400.
[22] Rajati F, Hamzeh B, Pasdar Y, et al. Prevalence, awareness, treatment, and control of hypertension and their determinants: results from the first cohort of non-communicable diseases in a Kurdish settlement[J]. Sci Rep, 2019, 9(1):12409.
[23] Khader Y, Batieha A, Jaddou H, et al. Hypertension in Jordan: prevalence, awareness, control, and its associated factors[J]. Int J Hypertens, 2019:3210617. doi: 10.1155/2019/3210617.
[24] 陈从发, 姜华. 东明县高血压患者知晓率影响因素调查与分析[J].医学理论与实践, 2010, 23(9):1165-1166.
[25] 张永青, 苏建, 吕淑荣, 等. 江苏省城乡居民高血压患病知晓率及其影响因素[J].中国慢性病预防与控制, 2014, 22(3): 263-266. ZHANG Yongqing, SU Jian, LV Shurong, et al. Analysis on hypertension awareness and its influential factors of urban and rural residents in Jiangsu Province[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2014, 22(3):263-266.
[26] Hoo-Yeon L. Socioeconomic Disparities in the prevalence, diagnosis, and control of hypertension in the context of a universal health insurance system[J]. Korean Med Sci, 2017, 32(4):561-567.
[27] Muntner P, Gu D, Wu X, et al. Factors associated with hypertension awareness, treatment, and control in a representative sample of the Chinese population[J]. Hypertension, 2004, 43(3): 578-585.
[28] 高浩, 孙宏, 吴群红, 等. 2013年黑龙江省老年人口医疗服务利用的影响因素分析[J]. 中国卫生资源, 2016, 19(6): 503-506. GAO Hao, SUN Hong, WU Qunhong, et al. Analysis on the influencing factors of medical service utilization of the elderly population in Heilongjiang Province in 2013[J]. Chinese Health Resources, 2016, 19(6): 503-506.
[1] 吴逸南 葛志明 李方 贺红 姜虹 张运. 自发性高血压大鼠肾脏血管紧张素转换酶2的表达[J]. 山东大学学报(医学版), 2209, 47(6): 5-.
[2] 胥凯,韩超,丁守銮,丁璇,邢德广,王成伟. 181例高分级动脉瘤性蛛网膜下腔出血患者术前再出血的影响因素[J]. 山东大学学报 (医学版), 2022, 60(9): 97-101.
[3] 许小芬,朱晓,马伟,李娜. 123例癌症患者癌性疼痛管理障碍的影响因素[J]. 山东大学学报 (医学版), 2022, 60(9): 119-124.
[4] 邬雨洁,张明泉,纪永利,赵璐,王越,陈沙沙. 寒痉汤及其拆方对寒凝证高血压大鼠血清炎症因子、血管内皮功能及纤维化的影响[J]. 山东大学学报 (医学版), 2022, 60(6): 10-18.
[5] 侯茹男,邵頔,秦廷廷,尚美美,申玉珍,孙晓杰. 山东省癌症患者烟草使用情况及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(6): 102-106.
[6] 赵思博,彭立,凌鸿翔. 农村老年人医疗保险参与和自杀风险的关系[J]. 山东大学学报 (医学版), 2022, 60(4): 113-118.
[7] 韩璇,孙秀彬,刘铱,王淑康,刘静,袁中尚,张涛,李秀君,薛付忠,刘云霞. 预防医学专业学生《卫生统计学》学习满意度评价[J]. 山东大学学报 (医学版), 2022, 60(3): 109-113.
[8] 苏永刚,王睿,杨同卫. 健康中国视域下老年人群自杀的影响因素及预防对策[J]. 山东大学学报 (医学版), 2022, 60(2): 8-13.
[9] 宋钰峰,宁豪,姚志刚,吴海虎,刘非凡,吕家驹. 肾上腺海绵状血管瘤临床及影像特征[J]. 山东大学学报 (医学版), 2022, 60(2): 37-42.
[10] 吕岩红,张志勉. 2 809名体检人群中高血压与幽门螺杆菌感染的关联性[J]. 山东大学学报 (医学版), 2022, 60(2): 43-47.
[11] 王超,张艺琳,邹广顺,吕军城. 686名医学生有无自杀意念调查及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(1): 78-85.
[12] 王春霞,贺梦璐,王海鹏,李慧. 山东省农村地区多重慢病患者多重用药现状及影响因素分析[J]. 山东大学学报 (医学版), 2022, 60(1): 93-100.
[13] 毕凤英,闫冬勤,陈曦,罗丹. HIV感染者/艾滋病患者自杀死亡危险因素理论框架构建——基于扎根理论的定性研究[J]. 山东大学学报 (医学版), 2022, 60(1): 109-117.
[14] 张艺琳,王超,邹广顺,吕军城. 医学生生命意义感与自杀意念的关系[J]. 山东大学学报 (医学版), 2021, 59(11): 93-99.
[15] 贾明旺,廖广园,熊明媚,徐文婷,王银玲,王懿春. 84例妊娠合并肺高血压患者预后的临床分析[J]. 山东大学学报 (医学版), 2021, 59(1): 34-39.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发