城市社区居民对高血压和糖尿病危险因素知晓情况的分析  

Analysis of the awareness of risk factors for hypertension and diabetes among urban community residents

作　　者：政晓果[1] 郭艾利 宋妍[1] 尹德卢[1] 肖峰[1] 丁小燕 李瑞莉[1] 殷涛[1] 杨慧敏[1] 辛倩倩[1] 王利红[1] 陈博文[1] 刘开泰[3] 

机构地区：[1]首都儿科研究所卫生发展研究室,北京100020 [2]中国社区卫生协会,北京100020 [3]中国疾病预防控制中心营养与健康所,北京100050

出　　处：《中华疾病控制杂志》2016年第7期656-658,662,共4页Chinese Journal of Disease Control & Prevention

基　　金："十二五"国家科技支撑计划(2013BAI06B03)

摘　　要：目的了解城市社区居民对高血压和糖尿病危险因素的知晓情况及其影响因素,为进一步开展健康教育及健康促进、研发社区健康教育相关的适宜技术和资料提供依据和参考。方法按照方便抽样的方法,选择全国12省市的14家社区卫生服务中心,在知情同意的原则下,对来社区卫生服务中心就诊的社区居民进行问卷调查。结果在调查的6 620名社区居民中,随着年龄的增大,社区居民对高血压和糖尿病危险因素的知晓率下降(x^2=131.382,P<0.001);患有高血压或糖尿病的社区居民较未患的知晓率高,差异有统计学意义(x^2=8.962,P=0.003);多因素非条件Logistic回归分析显示家庭月收入、工作状态和是否患有高血压或糖尿病这3个变量进入回归方程。结论社区老年人群对高血压和糖尿病危险因素的知晓率较低,应该加强社区老年居民的健康教育,研发社区健康教育相关的适宜技术尤为重要。Objective To understand the awareness of risk factors for hypertension and diabetes among urban community residents and it＇ s influencing factors, in order to further provide basis and references for health education and health promotion based on community centers. Methods Fourteen community health service centers were selected from twelve provinces in China using convenience sampling method. Informed written consent was also obtained from all partici- pants involved in this study. Results Of 6 620 residents, the higher age of community residents had the lower awareness rate of risk factors for hypertension and diabetes（ %2 = 131. 382 ,P 〈 O. 001 ）. The awareness rate was much higher among residents with hypertension or diabetes than those without disease （ χ2 = 8. 962, P = 0. 003 ）. Moreover, multivariate Logis- tic analysis indicated that monthly family income, work status and suffering hypertension or diabetes were important determinants of the awareness. Conclusions The awareness rate of risk factors for hypertension and diabetes among community residents was low, and it＇ s very crucial to strengthen the health education to elderly in community.

关 键 词：慢性病 危险因素 流行病学方法 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]