上海市嘉定区华亭镇高血压高危人群知识知晓现状分析  

Knowledge status and influencing factors in hypertension high-risk population in Huating Town,Jiading District of Shanghai

作　　者：严小玲 谢臣晨 吕军[2,3] 李程跃[2,3] 袁红[4] 张一英[4] 归德兴 YAN Xiao-ling;XIE Chen-chen;L Jun;LI Cheng-yue;YUAN Hong;ZHANG Yi-ying;GUI De-xing(Community Health Service Center,Huating Town,Jiading District,Shanghai 201816,China;Center for Research on Health Development Strategy of Fudan University,Shanghai 200032,China;Health Related Major Social Risk Early Warning Collaborative Innovation Center,Shanghai 200032,China;Jiading District Center for Disease Prevention and Control,Shanghai 201899,China)

机构地区：[1]上海市嘉定区华亭镇社区卫生服务中心,上海201816 [2]复旦大学卫生发展战略研究中心,上海200032 [3]复旦大学健康相关重大社会风险预警协同创新中心,上海200032 [4]上海市嘉定区疾病预防控制中心,上海201899

出　　处：《上海预防医学》2019年第5期385-390,共6页Shanghai Journal of Preventive Medicine

基　　金：国家自然科学基金项目(71774031,71303058);“十二五”国家科技支撑计划子课题(2014BAI08B01);上海市嘉定区卫生系统科研项目(2015-KY-18)

摘　　要：【目的】分析上海市嘉定区华亭镇高血压高危人群高血压相关知识的知晓情况及其影响因素。【方法】在上海市嘉定区华亭镇随机抽取三个居(村)委会,通过自行设计的筛查问卷进行筛查,并对筛查获得的321名高血压高危居民进行问卷调查,调查内容包括一般人口学特征及高血压防治知识的知晓情况。采用非条件logistic回归分析高危人群高血压知识知晓情况的影响因素。【结果】共调查高血压高危居民321人,高血压相关知识合格(回答正确>12题)者为150人,占46.7%;知识知晓情况中,对于“高血压可能进展为肿瘤”以及“高血压可能进展为肾功能不全”的知晓率最低,分别为5.3%和25.2%;多因素分析的结果显示,年收入在4.0~7.9万者(OR=2.283,95%CI:1.308~3.986)高血压相关知识合格率更高。【结论】现阶段社区高血压高危人群在不同类型的高血压知识上的知晓情况不同,年收入较低的高危人群对于高血压相关知识的知晓情况欠佳。社区工作人员应针对不同高危人群的特点采取不同方式与内容的健康教育,帮助高血压高危人群掌握基本的高血压相关知识,从而减少高血压病的发生。[Objective]To make analysis on the awareness of hypertension related knowledge and its influencing factors in high risk population in Shanghai,and to provide reference for effective prevention and control of high risk population in community.[Methods]In Huating Town,Jiading District,Shanghai,screened by self-designed screening questionnaire,321 people at high risk of hypertension were investigated.The contents of the survey included general demographic characteristics and related knowledge about hypertension and its prevention and control.Logistic regression analysis was used to analyze the influencing factors of hypertension knowledge awareness in high-risk groups.[Results]A total of 321 cases of high risk of hypertension were investigated.The number of people who obtained eligible scores of information(correct answer>12 questions)was 150,accounting for 46.7%of the total.As to knowledge awareness,"hypertension may be progressing to tumor"and"hypertension may be progressing to renal insufficiency"was the lowest with the rate being 5.3%and 25.2%.The results of multifactor analysis showed that those with annual income of 40-79 thousand(OR=2.283,95%CI:1.308~3.986)were more likely to have a higher awareness of hypertension-related knowledge.[Conclusion]The awareness of different types of hypertension related knowledge in high-risk people is different at the present stage.The awareness of hypertension related knowledge in those with low annual income is not good.The community staff should take the characteristics of different high-risk groups into consideration and conduct health education in different ways and different contents.As such,actions can help high risk population of hypertension obtain basic hypertension related knowledge,thereby reducing the prevalence of hypertension in the community.

关 键 词：高血压 高危人群 知识知晓 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]