| 六安市城乡社区老年人高血压服药现状及影响因素分析 |
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| 引用本文： | 赵佳宁,杨林胜,张冬梅,鲍远松,曹洪娟,李开春,解少煜,陶芳标,刘安诺,王取南,刘开永,马颖.六安市城乡社区老年人高血压服药现状及影响因素分析[J].中华疾病控制杂志,2017,21(10):979-982. |
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| 作者姓名： | 赵佳宁 杨林胜 张冬梅 鲍远松 曹洪娟 李开春 解少煜 陶芳标 刘安诺 王取南 刘开永 马颖 |
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| 作者单位： | 1. 安徽医科大学卫生管理学院, 安徽 合肥 230032; |
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| 基金项目： | 安徽省高校领军人才团队引进资助重点项目，安徽省高校自然科学基金 |
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| 摘 要： | 目的 了解城乡社区老年人高血压服药情况及其影响因素。方法 选取安徽省六安市城乡两个社区共1 080名老年人为研究对象进行问卷调查和体检。结果 1 080名老年中共分析了1 029例血压测量完整资料，其中高血压患者669例，高血压服药率为43.6%（292/669），知晓率为68.9%（461/669），知晓中的服药率为63.3%（292/461）。城市高血压患者的服药率高于农村，差异具有统计学意义（χ2=216.267，P<0.001）；男女高血压患者服药率差别无统计学意义（χ2=0.122，P=0.727）；高血压患者服药率随年龄的增长而升高，差别无统计学意义（χ2=5.581，P=0.061）。多元Logistic回归分析显示，城市患者服药的可能性是农村患者的8.290倍（95%CI:4.809~14.290，P<0.001），国企和专业技术人员、商业和服务人员患者服药的可能性分别是农林人员的1.959倍（95%CI:1.067~3.597，P=0.030）和2.906倍（95%CI:1.297~6.513，P=0.010），有高血压家族史患者服药的可能性是无高血压家族史患者的1.571倍（95%CI:1.053~2.343，P=0.027）。结论 城乡社区老年高血压患者服药率偏低，特别是无高血压家族史和农村的老年患者。应重点干预他们进而提高其服药率。
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| 关 键 词： | 高血压 职业作用 流行病学方法 |
| 收稿时间： | 2017-05-15 |
The prevalence and associated factors of antihypertensive medication use in urban and rural community-dwelling elderly with hypertension in Lu'an City |
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| ZHAO Jia-ning,YANG Lin-sheng,ZHANG Dong-mei,BAO Yuan-song,CAO Hong-juan,LI Kai-chun,XIE Shao-yu,TAO Fang-biao,LIU An-nuo,WANG Qu-nan,LIU Kai-yong,MA Ying.The prevalence and associated factors of antihypertensive medication use in urban and rural community-dwelling elderly with hypertension in Lu'an City[J].Chinese Journal of Disease Control & Prevention,2017,21(10):979-982. |
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| Authors: | ZHAO Jia-ning YANG Lin-sheng ZHANG Dong-mei BAO Yuan-song CAO Hong-juan LI Kai-chun XIE Shao-yu TAO Fang-biao LIU An-nuo WANG Qu-nan LIU Kai-yong MA Ying |
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| Affiliation: | 1. School of Health Services Management, Anhui Medical University, Hefei 230032, China;2. School of Public Health, Anhui Medical University, Hefei 230032, China;3. Lu'an Center for Disease Control and Prevention, Lu'an 237008, China;4. School of Nursing, Anhui Medical University, Hefei 230032, China |
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| Abstract: | Objective To investigate the prevalence and associated factors of antihypertensive medication use in urban and rural community-dwelling elderly with hypertension.Methods A total of 1 080 elderly people from two communities in urban and rural areas in Lu'an City,Anhui Province were invited to participate in the questionnaire and physical examination.Results Of 1 080 elderly people,1 029 with complete data were analyzed,including 669 patients with hypertension.The prevalence of antihypertensive medication use was 43.6％ (292/669),and 68.9％ (461/669) patients knew they had suffered from hypertension,of which the prevalence of antihypertensive medication use was 63.3％ (292/461).The prevalence of antihypertensive medication use among hypertensive patients was higher in urban community than in rural community,and the difference was statistically significant (x2 =216.267,P ＜0.001).No statistically significant difference was found between males and females in the prevalence of antihypertensive medication use (x2 =0.122,P =0.727).Although there was a trend of increasing prevalence with age for antihypertensive medication use,no statistically significance was observed (x2 =5.581,P =0.061).The multivariate Logistic regression analysis showed that the possibility of antihypertensive medication use among elderly patients in urban community was 8.290 times (95％ CI:4.809-14.290,P ＜ 0.001) campared with patients with hypertension in rural community.Compared to the agricultural or forestry personnels,the possibility of antihypertensive medication use among elderly from state-owned enterprises or professional and technical personnels and commercial and service personnels was 1.959 times (95％ CI:1.067-3.597,P =0.030) and 2.906 times (95％ CI:1.297-6.513,P =0.010).Compared to patients without family history of hypertension,the possibility of antihypertensive medication use among patients with family history of hypertension was 1.571 times (95％ CI:1.053-2.343,P =0.027).Conclusions The prevalence of antihypertensive medication use among urban and rural community-dwelling elderly with hypertension is low,especially for elderly without family history of hypertension or from rural community.More attention should be paid to improving their prevalence of antihypertensive medication use. |
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| Keywords: | Hypertension Professional role Epidemiological methods |
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