怒族老年高血压患者知晓、治疗和控制现状及影响因素

目的 了解怒族老年高血压人群的高血压知晓、治疗和控制现状,探讨其影响因素.方法 采用多阶段抽样方法随机抽取1 080名怒族老年人,采用问卷调查和体格检查方法进行现况调查.结果 1 080名调查对象中检出高血压患者319例,其高血压知晓率、治疗率和控制率分别为38.6％、25.7％和10.3％.其中,男性分别为44.4％...

Awareness,treatment and control of high blood pressure and its determinants in the aged patients with hypertension of Nu ethnic group: a multilevel model analysis

Objective To identify the status of awareness, treatment and control of high blood pressure in the aged patients with hypertension of Nu ethnic group, and to determine the associated determinants. Methods A sample of 1 080 persons, which was sampled by the multiple-stage sampling method from the aged population of Nu ethnic group, was investigated and examined cross-sectionally. Results There were 319 patients with hypertension in the 1 080 participants. The rate of awareness, treatment and control of high blood pressure in the whole patients was 38.6%, 25.7% and 10.3%;that in male patients was 44.4%, 30.0% and 15.0%;that in female patients was 32.7%, 21.4% and 5.7%;that in the middle-economic level area was 48.9%, 33.2% and 14.2%;and that in the low-economic level area was 23.3%, 14.7% and 4.7%, respectively. Comparison to the control groups, the aged patients with hypertension resided in the middle-economic area and those with middle medical burden had a higher awareness rate(48.9% vs. 23.3%, 42.9% vs.27.1%), treatment rate(33.2% vs.14.7%, 30.0% vs.12.9%) and control rate(14.2% vs. 4.7%, 12.9% vs.2.9%);the male patients with hypertension had a greater awareness rate and control rate(44.4% vs.32.7%, 15.6% vs.15.0%);the patients with dyslipidemia and hypertension had a larger awareness rate and treatment rate(100.0% vs.36.4%, 54.6% vs.24.70%). The results of covariate-adjusted multilevel logistic regression model indicated that there was cross-level interaction, which was between economic level and male, on the rates of awareness, treatment and control(all P<0.05). Dyslipidemia, which was an individual covariate, had a positive effect on the rate of awareness(OR=5.191, 95% CI: 3.141-8.578, P=0.042), treatment(OR=6.101, 95% CI: 3.120-11.930, P=0.043) and control(OR=6.699, 95% CI: 4.625-9.702, P=0.047), respectively. Low salt diet, however, had a negative effect on the rate of awareness(OR=0.329, 95% CI: 0.134-0.810, P=0.019). Conclusions The rates of awareness, treatment and control of high blood pressure in the aged patients with hypertension of Nu ethnic group were lower than those of national population. The dominant determinants were male, economic level, dyslipidemia and low salt diet, etc.