辽宁省≥40岁农村高血压患者知晓率、治疗率和控制率现状及其影响因素分析  

Awareness, treatment and control of hypertension and their influencing factors among 40 years old and above hypertensive patients in rural regions of Liaoning province

作　　者：郭薇[1] 田园梦 井丽 林敏 杜志 刘爽[3] 董颖娜 石雷[5] 孙继绪 杨佐森 邢立莹[1] GUO Wei;TIAN Yuan-meng;JING Li(Institute of Non-communicable Chronic Disease Control and Prevention,Liaoning Provincial Center for Disease Control and Prevention,Shenyang,Liaoning Province 110005,China;不详)

机构地区：[1]辽宁省疾病预防控制中心慢性非传染性疾病预防控制所,沈阳110005 [2]本溪市中心医院 [3]中国医科大学附属第一医院 [4]朝阳市中心医院 [5]辽阳市疾病预防控制中心 [6]丹东市卫生健康服务中心

出　　处：《中国公共卫生》2021年第10期1546-1551,共6页Chinese Journal of Public Health

基　　金：辽宁省重点研发项目(2018225066);辽宁省“百千万人才工程”资助项目(辽人社[2018]47号)。

摘　　要：目的了解辽宁省≥40岁农村高血压患者知晓率、治疗率和控制率现状及其影响因素,为高血压的预防控制提供参考依据。方法于2017年9月—2018年5月采用分层整群随机抽样方法在辽宁省朝阳县、凌源市、辽阳县和东港市抽取10926名≥40岁农村常住居民进行问卷调查、体格检查和实验室检测,对其中6623例高血压患者的知晓率、治疗率和控制率及其影响因素进行分析。结果辽宁省6623例≥40岁农村高血压患者的知晓率、治疗率和控制率分别为47.50%、35.41%和3.59%,标化率分别为44.25%、31.34%和3.18%;多因素非条件logistic回归分析结果显示,女性、年龄≥50岁、超重/肥胖、缺乏锻炼、有高血压家族史、有糖尿病病史和高甘油三酯血症高血压患者的知晓率和治疗率均较高,家庭年均收入5000~9999元高血压患者的知晓率及低高密度脂蛋白胆固醇血症高血压患者的治疗率亦较高,年龄50~69岁、缺乏锻炼和有高血压家族史高血压患者的控制率较高,现在饮酒和高总胆固醇血症高血压患者的知晓率、治疗率和控制率均较低,家庭年均收入≥20000元高血压患者的治疗率亦较低。结论辽宁≥40岁农村高血压患者的知晓率、治疗率和控制率均较低,性别、年龄、家庭年均收入及是否现在饮酒、缺乏锻炼、有高血压家族史、有糖尿病病史、超重/肥胖、高总胆固醇血症、高甘油三酯血症、低高密度脂蛋白胆固醇血症是该地区≥40岁农村高血压患者知晓率、治疗率和控制率的主要影响因素。Objective To examine the awareness, treatment and control of hypertension and their influencing factors among hypertensive patients aged ≥ 40 years in rural regions of Liaoning province and to provide references for the prevention and control of hypertension. Methods Using stratified random cluster sampling, we carried out a survey including questionnaire interview, physical examination and laboratory test among 10 926 permanent residents aged ≥ 40 years in 19 administrative villages of 4 counties, Liaoning province from September 2017 to May 2018. The awareness,treatment and control of hypertension and their correlates in 6 623 hypertensive patients identified from the participants of the survey were analyzed. Results Among the 6 623 hypertensive patients, the crude and standardized rate were 47.50% and44.25% for hypertension awareness, 35.41% and 31.34% for hypertension treatment, and 3.59% and 3.18% for hypertension control, respectively. Unconditional multivariate logistic regression analysis revealed that the patients with following characteristics were more likely to have higher hypertension awareness and treatment rate: female gender, aged ≥ 50 years,overweight/obesity, lack of physical exercise, family history of hypertension, history of diabetes, and high triglyceridemia;the patients with an average annual household income of 5 000 to 9 999 yuan RMB were more likely to have a high hypertension awareness rate;the patients with low serum high-density lipoprotein cholesterol were more likely to have a high hypertension treatment rate;the patients aged 50 – 69 years, lack of exercise, with family hypertension history were more likely to have a high hypertension control rate;whereas, the patients being current alcohol drinkers and with high serum total cholesterol were more likely to have low hypertension awareness, treatment and control rate;the patients with an average annual income of ≥ 20 000 yuan RMB were more likely to have a low hypertension control rate. Conclusion The rate of hypertension a

关 键 词：高血压患者 知晓率 治疗率 控制率 影响因素 农村 

分 类 号：R193[医药卫生—卫生事业管理]