基于性别差异的高血压患者自测健康与BMI关系研究  

A Study of Gender Differences in the Relationship between Self-rated Health and BMI in Hypertensive Patients

作　　者：丰志强 尹文强 孙艳[2,3,4] 李翠玉 陈钟鸣 李秋莎 Feng Zhiqiang;Yin Wenqiang;Sun Yan(School of Public Health and Management,Weifang Medical University 261053,Weifang)

机构地区：[1]潍坊医学院公共卫生学院,261053 [2]“健康山东”重大社会风险预测与治理协同创新中心 [3]国民健康社会风险预警协同创新中心 [4]潍坊医学院管理学院

出　　处：《中国卫生统计》2022年第4期509-512,517,共5页Chinese Journal of Health Statistics

基　　金：山东省自然科学基金项目(ZR2019MG010);国家卫生健康委卫生技术评估重点实验室开放基金课题(FHTA2019-09);潍坊医学院科技创新团队支持计划。

摘　　要：目的描述高血压患者自测健康与BMI现状,进一步探讨高血压患者自测健康与BMI间的性别差异。方法选取1219名高血压患者,应用自测健康评定量表对高血压人群健康状况进行测量,使用描述性分析、t检验或方差分析进行人群差异分析,运用多元线性回归分析高血压患者自测健康和BMI的关系。结果高血压患者自测健康总分为(73.71±4.87)分,且男性自测健康水平高于女性。BMI正常组的自测健康总分及子量表得分均高于体重过轻组、超重组和肥胖组。回归分析结果显示,与正常体重相比,体重过轻对男性(β=-2.26,P<0.001)和女性(β=-1.59,P<0.001)自测健康水平均有负向影响,超重(β=-0.90,P<0.01)和肥胖(β=-2.14,P<0.001)均对女性具有负向影响,而肥胖(β=0.63,P<0.05)对男性有正向影响。结论高血压患者自测健康和BMI的关系存在性别差异,在未来高血压干预过程中应适当考虑基于性别差异的相关措施。Objective To describe the current status of self-rated health and BMI in hypertensive patients,and further explore gender differences between self-rated health and BMI in hypertensive patients.Methods 1219 hypertensive patients were selected,and a multiple-item self-rated health measurement scale was applied to measure the health status of the population.descriptive analysis,t-test,or ANOVA was used for population differences,and multiple linear regression analysis was used to analyze the relationship between self-rated health and BMI in hypertensive patients.Results The total self-rated health score of hypertensive patients was 73.71±4.87,and the self-rated health level was better in men than in women.The total self-rated health score and subscale scores were higher in the normal BMI group than in the underweight,overweight and obese groups.The results of regression analysis showed that compared to normal weight,being underweight had a negative effect on the self-assessed health level in both men(β=-2.26,P<0.001)and women(β=-1.59,P<0.001),overweight(β=-0.90,P<0.01)and obesity(β=-2.14,P<0.001)had a negative effect on women,and obesity(β=0.63,P<0.05)had a positive effect on men.Conclusion There are gender differences in the relationship between self-rated health and BMI in hypertensive patients,and the relevant measures based on gender differences should be considered in the intervention process.

关 键 词：性别 体质指数 自测健康评定量表 高血压 肥胖 

分 类 号：R195[医药卫生—卫生统计学]