【摘要】：目的:探討社區(qū)高血壓患者血壓控制效果的社會決定因素。方法:選取上海市社區(qū)衛(wèi)生服務(wù)中心2014年1月-2015年5月納入管理的791名高血壓患者進(jìn)行面對面問卷調(diào)查。結(jié)果采用卡方檢驗和多因素Logistic回歸分析。結(jié)果:有效問卷772份,有效應(yīng)答率97.6%,血壓控制良好率為52.0%。多因素分析顯示,高血壓患者血壓控制效果受性別(OR=1.394,95%CI:1.018~1.908)、有無伴侶(OR=1.714,95%CI:1.011~2.903)等因素的影響。結(jié)論:性別、有無伴侶是社區(qū)高血壓患者血壓控制效果的社會決定因素,社區(qū)應(yīng)高度關(guān)注男性及無伴侶高血壓患者的健康教育及生活方式干預(yù),并通過開展同伴教育、發(fā)揮伴侶的積極影響、設(shè)置咨詢點(diǎn)(站)等不斷改善高血壓患者的生命質(zhì)量。
[Abstract]:Objective: to explore the social determinants of blood pressure control effect in community hypertensive patients. Methods: 791 hypertension patients in Shanghai Community Health Service Center from January 2014 to May 2015 were investigated with face to face questionnaire. Results chi-square test and multivariate Logistic regression analysis were used. Results: there were 772 valid questionnaires, the effective response rate was 97.6, and the blood pressure control rate was 52.0. Multivariate analysis showed that the blood pressure control effect in hypertensive patients was influenced by sex (OR1. 39495 CI: 1.018 / 1.908) and with or without a partner (OR1. 714 / 95 CI: 1.011 / 2.903). Conclusion: sex and partner are the social determinants of blood pressure control effect in community hypertension patients. The community should pay close attention to health education and lifestyle intervention of male and non-partner hypertensive patients, and carry out peer education. Give full play to the positive impact of partners, set up counseling points (stations) and continue to improve the quality of life of patients with hypertension.
【作者單位】： 復(fù)旦大學(xué)衛(wèi)生發(fā)展戰(zhàn)略研究中心;健康相關(guān)重大社會風(fēng)險預(yù)警協(xié)同創(chuàng)新中心;上海市嘉定區(qū)嘉定鎮(zhèn)社區(qū)衛(wèi)生服務(wù)中心;上海市長寧區(qū)疾病預(yù)防控制中心;上海市嘉定區(qū)疾病預(yù)防控制中心;
【基金】：十二五國家科技支撐計劃項目“基層常見多發(fā)病防治適宜技術(shù)評價與推廣研究”(編號:2014BAI08B01) 教育部創(chuàng)新團(tuán)隊項目(編號:IRT_13R11) 國家社科基金重點(diǎn)項目“健康國家建設(shè)和健康領(lǐng)域重大社會問題預(yù)測與治理研究”(編號:13AZD081) 上海市嘉定區(qū)衛(wèi)生和計劃生育委員會科研項目“社區(qū)高血壓高危人群篩查與管理適宜技術(shù)研究”(編號:2015-KY-18)
【分類號】：R544.1
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