上海市成人自报高血压患者治疗控制情况及其影响因素

程旻娜; 吴菲; 严青华; 王玉恒; 施燕

doi:10.19428/j.cnki.sjpm.2019.18931

上海市成人自报高血压患者治疗控制情况及其影响因素

Influencing factors and control rate of self-reported adult hypertension in Shanghai

摘要

摘要:
目的分析上海市18岁及以上自报高血压患者治疗控制情况及其影响因素。
方法使用2013年上海市慢性病及其危险因素监测数据。分析接受治疗的自报高血压患者血压控制情况及其影响因素。
结果对6 768名接受高血压治疗的自报高血压对象进行分析，60岁及以上年龄占67.46%，男性40.93%。治疗控制率为37.69%。影响血压控制的相关因素包括男性、年龄大、文化程度低、农业职业人群以及农村人口等社会因素，超重/肥胖、腰围超标、有高血压家族史、患有糖尿病等疾病因素，饮酒频率高、蔬菜摄入不足，以及血压监测频率低等行为因素。
结论上海市自报高血压患者治疗控制率低，在疾病管理中应当细分对象需求，加强生活方式的干预，大力推广血压自我监测。

Abstract:
ObjectiveTo analyze the influencing factors for the control rate of self-reported hypertension patients aged 18 and older in Shanghai.
MethodsThe data on Shanghai Non-communicable and Chronic Disease (NCD) Surveillance in Shanghai in 2013 were used to analyze the influencing factors and control rate of self-reported hypertension in Shanghai.
ResultsA total of 6 768 self-reported hypertensions were analyzed.Those at the age of 60 years and above accounted for 67.46%, with 40.93% of them being male.The control rate of treatment was 37.69% (95%CI).It was found that the impact factors associated with blood pressure control included socioeconomic factors such as male sex, older age, less educated, agricultural professionals and rural population, and diseases factors as overweight/obese, excess waist circumference, family history of hypertension, diabetes, lifestyle as high drinking frequency, insufficient vegetable intake, and low frequency of blood pressure monitoring.
ConclusionThe control rate of treatment for hypertension patients in Shanghai is low.In the disease management, we should subdivide the needs of the object, strengthen the intervention of life style, and promote the self-monitoring of blood pressure.

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