蒙古族高血压前期人群健康行为状况及其影响因素研究  

Health behaviors and relevant influencing factors in Mongolian prehypertensive population

作　　者：鲁华鹏 李乾 郝鸿艳 马梅 薛峰[1] 冯爱芳[1] 杨勤玲[1] 辛霞[1] 郑雪梅[1] Lu Huapeng;Li Qian;Hao Hongyan;Ma Mei;Xue Feng;Feng Aifang;Yang Qinling;Xin Xia;Zheng Xuemei(The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,Shanxi,China;Ulan Mulun Central Health Hospital,Ordos 017209,Inner Mongolia,China;Xi’an Jiaotong University,Xi’an 710061,Shanxi,China)

机构地区：[1]西安交通大学第一附属医院,陕西西安710061 [2]乌兰木伦中心卫生院,内蒙古鄂尔多斯017209 [3]西安交通大学,陕西西安710061

出　　处：《右江民族医学院学报》2021年第2期247-251,共5页Journal of Youjiang Medical University for Nationalities

基　　金：西安交通大学第一附属医院基金项目(2017HL-04)。

摘　　要：目的探讨鄂尔多斯地区蒙古族高血压前期人群健康行为状况及其影响因素,为高血压三级预防提供依据。方法研究采用横断面调查研究方法,利用目的抽样法选取内蒙古鄂尔多斯市10个社区蒙古族高血压前期居民作为研究对象,采用一般资料调查表、健康促进生活方式量表中文修订版收集数据,SPSS 23.0统计分析。结果共调查302例蒙古族高血压前期患者,健康行为总分(108.65±21.19)分。影响因素分析显示蒙古族高血压前期人群健康行为的影响因素为婚姻状况、职业、医疗费用承担方式、是否吸烟、是否有高血压家族史,已婚健康行为低于未婚者(β=-9.746,95%CI:18.918~0.573),医务人员健康行为高于其他(包括无业)(β=19.697,95%CI:5.772~33.622),行政管理人员健康行为高于其他(包括无业)(β=26.132,95%CI:12.418~39.846),城镇居民医疗保险人员健康行为高于其他(自费)(β=12.587,95%CI:0.874~24.300),农村居民医疗保险人员健康行为高于其他(自费)(β=16.722,95%CI:4.436~29.008),不吸烟人员健康行为高于吸烟(β=13.407,95%CI:6.758~20.056),无高血压家族史人员健康行为低于高血压家族史(β=17.400,95%CI:27.418~7.382)。结论蒙古族高血压前期人群健康行为影响因素为婚姻状况、职业、医疗费用承担方式、是否吸烟、是否有高血压家族史。Objective To investigate the health behaviors and influencing factors of Mongolian prehypertensive population in Ordos area,so as to provide evidence for tertiary prevention of hypertension.Methods The cross-sectional survey was adopted in this study.The purpose sampling method was used to select Mongolian residents with prehypertension as the subjects of investigation from 10 communities in Ordos City of Inner Mongolia.Their data were collected by the General Data Questionnaire and a revised Chinese version of the Health-promoting Lifestyle Profile.SPSS 23.0 was used for statistical analysis of the data.Results A total of 302 Mongolian prehypertensive patients were investigated.Their total score of health behaviors was(108.65±21.19).The analysis showed that the influencing factors of their health behaviors included marital status,occupation,the way of paying medical expenses,smoking or not,having a family history of hypertension or not.The health behavior score of the married was lower than that of the unmarried(β=9.746,95%CI:18.918~0.573).The health behavior score of medical personnel was higher than that of others(β=19.697,95%CI:5.772~33.622).The administrative personnel had higher health behavior score than other occupations(including unemployed)(β=26.132,95%CI:12.418~39.846).The urban residents with medical insurance had a higher score than those without urban medical insurance(β=12.587,95%CI:0.874~24.300).The health behavior score of the rural residents with medical insurance was higher than that of those without rural medical insurance(self-paid)(β=16.722,95%CI:4.436~29.008).Non-smokers got a higher score than smokers(β=13.407,95%CI:6.758~20.056).Those without a family history of hypertension had a lower score than those with a family history of hypertension(β=-17.400,95%CI:27.418~7.382).Conclusion The influencing factors of health behaviors of Mongolian prehypertensive population include marital status,occupation,the way of paying medical expenses,smoking or not,and having a family history of hype

关 键 词：蒙古族 高血压前期 健康行为 

分 类 号：R544.1[医药卫生—心血管疾病]