河南省高血压防治效果及高血压 控制率的影响因素分析

目的 了解河南省高血压患病、治疗和控制情况的变化趋势以及高血压控制率的影响因素，为改进高血压防控方案提供科学依据。方法 利用2013年和2018年河南省卫生服务调查数据，分析高血压防控相关指标的变化趋势以及高血压控制率的影响因素。结果 河南省2018年居民高血压患病率、治疗率和控制率分别为22.43%、63.86%和55.15%，与2013年（患病率、治疗率和控制率分别为15.63%、66.56%和62.05%）相比，高血压患病率上升，治疗率和控制率均下降（ P 值<0.05）；女性（ OR =1.255，95% CI :1.089~1.446）、文化水平高（小学: OR =1.222，95% CI :1.015~1.471；初中: OR =1.425，95% CI :1.164~1.743；高中及技校: OR =1.936，95% CI :1.497~2.503；大专及大学以上: OR =3.854，95% CI :2.296~6.469）、自评健康状况良好（一般: OR =1.54，95% CI :1.320~1.797；良好: OR =1.977，95% CI :1.567~2.493）和非贫困（ OR =1.231，95% CI :1.024~1.480）是高血压控制率的积极因素（ P 值<0.05），农村（ OR =0.663，95% CI :0.576~0.764）是高血压控制率的危险因素。结论 河南省2018年高血压患病率仍较高，高血压防治效果不明显，应加大高血压综合防控力度，并且重点关注农村、男性、文化水平低和贫困人群的高血压防治工作。

The effectiveness of hypertension prevention and treatment and the influencing factors of hypertension control rate in Henan

Objective To understand the trend of changes in the prevalence, treatment and control of hypertension in Henan Province, and the influencing factors of the rate of hypertension control, so as to provide a scientific basis for improving hypertension prevention and control programs.]Methods The 2018 and 2013 Henan Provincial Health Service Survey data were used, the trend of changes in related indicators for the prevention and control of hypertension and the influencing factors of the rate of hypertension control were analyzed.]Results The prevalence, treatment and control rates of hypertension among residents of Henan Province in 2018 were 22.43%, 63.86%, and 55.15%, respectively. The prevalence, treatment and control rates of hypertension among residents in 2013 were 15.63%, 66.56% and 62.05%, respectively. Compared with 2013, the prevalence of hypertension has increased, and the treatment and control rates have decreased (P value<0.05). Women(OR=1.255, 95%CI=1.089-1.446), high educational level(primary school: OR=1.222, 95%CI=1.015-1.471; junior school: OR=1.425, 95%CI=1.164-1.743; High school and technical school: OR=1.936, 95%CI=1.497-2.503; University or above: OR=3.854, 95%CI=2.296-6.469), self-rated health(common: OR=1.54, 95%CI=1.320-1.797; excellent: OR=1.977, 95%CI=1.567-2.493) and non-poverty(OR=1.231, 95%CI=1.024-1.480) were positive factors for the rate of hypertension control (P value<0.05). Rural areas (OR=0.663, 95%CI=0.576-0.764) is the risk factors of hypertension control rate.]Conclusion The prevalence of hypertension in Henan Province in 2018 is still high, and the effect of hypertension prevention and control is not obvious. The comprehensive prevention and control of hypertension should be strengthened, and focus should be placed on rural areas, men, low education level, and high populations in poverty. Blood pressure prevention and control work.