Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (12): 103-109.doi: 10.6040/j.issn.1671-7554.0.2019.1077

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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

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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

CLC Number: 

  • 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.
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