机构地区:[1]山西医科大学公共卫生学院,山西太原030001
出 处:《预防医学》2023年第7期563-569,共7页CHINA PREVENTIVE MEDICINE JOURNAL
基 金:中国-盖茨基金会农村基本卫生保健项目-山西省子项目(PHC-104);中国-盖茨基金会农村基本卫生保健项目(CSSX202103)。
摘 要:目的了解山西省农村居民高血压防治知识、态度和行为水平并分析其影响因素,为开展农村居民高血压防治健康教育提供依据。方法于2020年11月—2021年7月,采用多阶段整群随机抽样方法抽取山西省阳曲县、大宁县和永和县农村居民7403人进行问卷调查,收集一般情况,高血压防治知识、态度和行为资料,测量身高、体重和血压等;采用广义线性模型分析高血压防治知识、态度和行为的影响因素。结果发放问卷7403份,回收有效问卷7031份,问卷有效率为94.98%。男性3035人,占43.17%;女性3996人,占56.83%;年龄为(58.45±13.75)岁。高血压知识、态度和行为得分M(QR)分别为5(4)分、16(5)分和14(7)分,得分率分别为48.40%、80.55%和54.41%。广义线性模型分析结果显示:初中及以上学历、家庭人均年收入≥4000元、有高血压家族史、家人/朋友患高血压、超重/肥胖和有抑郁情绪的居民高血压防治知识得分较高;家庭人均年收入≥10000元、有高血压家族史、家人/朋友患高血压、轻度/重度失眠和有抑郁情绪的居民高血压防治态度得分较高,≥65岁、血压≥140/≥90 mmHg的居民高血压防治态度得分较低;女性、≥45岁、初中及以上学历、血压≥140/≥90 mmHg、有高血压家族史、家人/朋友患高血压和超重/肥胖的居民高血压防治行为得分较高,低体重的居民高血压防治行为得分较低(均P<0.05)。结论山西省农村居民高血压防治态度较好,但知识和行为水平较差,需加强高血压健康教育,并针对文化程度低、收入低等重点人群实施个性化健康教育。Objective To investigate the current status and influencing factors of knowledge,attitude,and practice of hypertension prevention and control among rural residents in Shanxi Province,so as to provide insights into implementation of health education pertaining to hypertension control in rural areas.Methods A total of 7403 residents were sampled using a multi-stage cluster random sampling method from rural areas of Yangqu,Daning,and Yonghe counties of Shanxi Province from November 2020 to July 2021 for face-to-face questionnaire surveys and physical examinations.Residents'basic characteristics,knowledge,attitude,and practice of hypertension prevention and control,and height,weight,blood pressure were collected,and factors affecting knowledge,attitude,and practice of hypertension prevention and control were identified using a generalized linear model.Results A total of 7403 questionnaires were allocated,and 7031 effective questionnaires were recovered,with an effective response rate of 94.98%.The respondents included 3035 men(43.17%)and 3996 women(56.83%),and had a mean age of(58.45±13.75)years.The median scores of hypertension prevention and control knowledge,attitude and practice were 5(interquartile range,4),16(interquartile range,5)and 14(interquartile range,7)points,with scoring percentages of 48.40%,80.55%and 54.41%,respectively.Generalized linear model analysis showed that an educational level of junior high school and above,annual family income per capita of≥4000 RMB,family history of hypertension,development of hypertension among family members or friends,overweight/obesity and presence of depression resulted in high scores for hypertension prevention and control knowledge;annual family income per capita of≥10000 RMB,family history of hypertension,presence of hypertension among family members or friends,mild/severe insomnia and presence of depression resulted in high scores for hypertension prevention and control attitude,while age of≥65 years and blood pressure of≥140/≥90 mmHg resulted in low sc
分 类 号:R195[医药卫生—卫生统计学]
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