中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2015年
5期
424-428
,共5页
苏丹婷%胡如英%方乐%张洁%王浩%何青芳%王立新%赵鸣%俞敏
囌丹婷%鬍如英%方樂%張潔%王浩%何青芳%王立新%趙鳴%俞敏
소단정%호여영%방악%장길%왕호%하청방%왕립신%조명%유민
高血压%社会经济因素%血压控制%横断面研究
高血壓%社會經濟因素%血壓控製%橫斷麵研究
고혈압%사회경제인소%혈압공제%횡단면연구
Hypertension%Socioeconomic factors%Blood pressure control%Cross-sectional studies
目的:分析社会经济状况(SES)与高血压患者血压控制之间的关联,以确定高血压管理重点人群。方法采用2010年浙江省代谢综合征调查数据,对其中确诊高血压患者情况进行分析。采用描述性统计分析方法比较理想控制血压组与非理想控制血压组患者在年龄、性别、婚姻状况、病程、BMI、教育程度、家庭收入、吸烟、饮酒、蔬果摄入等因素中的差异。高血压患者SES分别采用教育程度和家庭人均收入两个指标来衡量,采用单因素及多因素logistic回归分析两个SES指标与血压控制的关联,并进行趋势分析。结果共有2394例高血压患者纳入本研究,年龄为(61.5±10.6)岁。1334例患者病程≤5年,占55.7%;实现理想血压控制的患者为1090例,占45.5%。1676例患者教育水平在小学及以下,占70.1%;401例患者家庭年收入<5000元,占29.4%;690例患者收入为<5000元,占50.5%。吸烟率为17.4%(416例),饮酒率为22.6%(541例)。单因素分析发现,年龄、婚姻状况、高血压病程、BMI、是否吸烟、是否饮酒在理想控制血压组和非理想控制血压组间差异均有统计学意义(统计学检验值分别为4.57,5.44,6.40,6.21,5.99,3.98,P值均<0.05),理想控制血压组教育程度较高(χ2=12.65,P<0.001),而家庭人均年收入与血压控制情况相关性无统计学意义(χ2=2.78,P=0.249)。多因素logistic回归结果表明,教育程度与血压控制情况相关:与小学及以下教育程度组相比,初中及以上组实现理想控制血压的OR值为1.40(95%CI:1.09~1.81)。家庭人均年收入与血压控制等级分布之间无统计学趋势相关:与家庭人均年收入<5000元组相比,5000~14999元组和≥15000元组实现理想血压控制的OR值分别为0.93(95%CI:0.72~1.20)和1.04(95%CI:0.83~1.31)。教育程度越高,血压控制水平越好(χ2趋势=12.74,P=0.002)。结论在高血压患者中,教育程度较低的对象血压控制情况更差,应为健康教育及规范化管理的重点人群。
目的:分析社會經濟狀況(SES)與高血壓患者血壓控製之間的關聯,以確定高血壓管理重點人群。方法採用2010年浙江省代謝綜閤徵調查數據,對其中確診高血壓患者情況進行分析。採用描述性統計分析方法比較理想控製血壓組與非理想控製血壓組患者在年齡、性彆、婚姻狀況、病程、BMI、教育程度、傢庭收入、吸煙、飲酒、蔬果攝入等因素中的差異。高血壓患者SES分彆採用教育程度和傢庭人均收入兩箇指標來衡量,採用單因素及多因素logistic迴歸分析兩箇SES指標與血壓控製的關聯,併進行趨勢分析。結果共有2394例高血壓患者納入本研究,年齡為(61.5±10.6)歲。1334例患者病程≤5年,佔55.7%;實現理想血壓控製的患者為1090例,佔45.5%。1676例患者教育水平在小學及以下,佔70.1%;401例患者傢庭年收入<5000元,佔29.4%;690例患者收入為<5000元,佔50.5%。吸煙率為17.4%(416例),飲酒率為22.6%(541例)。單因素分析髮現,年齡、婚姻狀況、高血壓病程、BMI、是否吸煙、是否飲酒在理想控製血壓組和非理想控製血壓組間差異均有統計學意義(統計學檢驗值分彆為4.57,5.44,6.40,6.21,5.99,3.98,P值均<0.05),理想控製血壓組教育程度較高(χ2=12.65,P<0.001),而傢庭人均年收入與血壓控製情況相關性無統計學意義(χ2=2.78,P=0.249)。多因素logistic迴歸結果錶明,教育程度與血壓控製情況相關:與小學及以下教育程度組相比,初中及以上組實現理想控製血壓的OR值為1.40(95%CI:1.09~1.81)。傢庭人均年收入與血壓控製等級分佈之間無統計學趨勢相關:與傢庭人均年收入<5000元組相比,5000~14999元組和≥15000元組實現理想血壓控製的OR值分彆為0.93(95%CI:0.72~1.20)和1.04(95%CI:0.83~1.31)。教育程度越高,血壓控製水平越好(χ2趨勢=12.74,P=0.002)。結論在高血壓患者中,教育程度較低的對象血壓控製情況更差,應為健康教育及規範化管理的重點人群。
목적:분석사회경제상황(SES)여고혈압환자혈압공제지간적관련,이학정고혈압관리중점인군。방법채용2010년절강성대사종합정조사수거,대기중학진고혈압환자정황진행분석。채용묘술성통계분석방법비교이상공제혈압조여비이상공제혈압조환자재년령、성별、혼인상황、병정、BMI、교육정도、가정수입、흡연、음주、소과섭입등인소중적차이。고혈압환자SES분별채용교육정도화가정인균수입량개지표래형량,채용단인소급다인소logistic회귀분석량개SES지표여혈압공제적관련,병진행추세분석。결과공유2394례고혈압환자납입본연구,년령위(61.5±10.6)세。1334례환자병정≤5년,점55.7%;실현이상혈압공제적환자위1090례,점45.5%。1676례환자교육수평재소학급이하,점70.1%;401례환자가정년수입<5000원,점29.4%;690례환자수입위<5000원,점50.5%。흡연솔위17.4%(416례),음주솔위22.6%(541례)。단인소분석발현,년령、혼인상황、고혈압병정、BMI、시부흡연、시부음주재이상공제혈압조화비이상공제혈압조간차이균유통계학의의(통계학검험치분별위4.57,5.44,6.40,6.21,5.99,3.98,P치균<0.05),이상공제혈압조교육정도교고(χ2=12.65,P<0.001),이가정인균년수입여혈압공제정황상관성무통계학의의(χ2=2.78,P=0.249)。다인소logistic회귀결과표명,교육정도여혈압공제정황상관:여소학급이하교육정도조상비,초중급이상조실현이상공제혈압적OR치위1.40(95%CI:1.09~1.81)。가정인균년수입여혈압공제등급분포지간무통계학추세상관:여가정인균년수입<5000원조상비,5000~14999원조화≥15000원조실현이상혈압공제적OR치분별위0.93(95%CI:0.72~1.20)화1.04(95%CI:0.83~1.31)。교육정도월고,혈압공제수평월호(χ2추세=12.74,P=0.002)。결론재고혈압환자중,교육정도교저적대상혈압공제정황경차,응위건강교육급규범화관리적중점인군。
Objective To explore the association between socioeconomic status (SES) and blood pressure control in diagnosed hypertension patients. Methods The database of Zhejiang provincial survey on metabolic syndrome which implemented in 2010 in which prior hypoertensive patients were brought into this sutdy. Descriptive statistics were applied to test the distributive differences of relevant factors(age, sex, marital status, hypertension duration, BMI, education level, per capita household yearly income,smoking, alcohol drinking, fruit and vegetable intake) between patients with optimally-controlled blood pressure and those without. The SES of diagnosed hypertension patients was measured separately by two common indicators:education level and the per capita household yearly income. Univariate and multivariate logistic regression models were used to differentiate the association between those two SES indicators and blood pressure control, and the trend of the association was also tested. Results Totally, 2 394 hypertension patients were diagnosed and identified. Of the patients analysed, the overall mean was (61.53±10.64) years, and 55.7%(1 334 cases) had ≤5 years' disease duration. 1 090 achieved optimal blood pressure control, which accounted for a proportion of 45.5%. 1 676 had elementary school education and below, accounting for 70.1%. The patients with per capita household yearly income of<5 000 Yuan and 5 000-14 999 Yuan groups were 401(29.4%) and 690(50.5%) respectively. 416(17.4%) were smokers and 541(22.6%) were alcohol drinkers. Based on the statistical tests, we found that the distributions of age, marital status, hypertension duration, body mass index, smoking and alcohol drinking were different between two groups(t or χ2 values were 4.57,5.44,6.40,6.21,5.99,3.98,respectively,all P values were<0.05). Optical blood pressure control in higer education level group was significantly better than that of in lower education level (χ2=12.65,P<0.001), and there was no statistical significance association between per capita household yearly income and optimal blood pressure control(χ2=2.78,P=0.249). Multivariate logistic regression models revealed that, of those two SES indicators, a positive association was shown between education level and optimal blood pressure control: compared with patients in the category of‘elementary school and below, those of‘junior high school and above observed an OR of 1.40 (95%CI:1.09-1.81). And in further trendχ2 test, we identified a trend of such association(χ2trend=12.74,P=0.002).However, no significant association has been recognized between per capita household yearly income and optimal blood pressure control:compared with patients in the category of<5 000 Yuan group, those of 5 000-14 999 Yuan and≥15 000 Yuan groups had OR of 0.93(95%CI:0.72-1.20)and 1.04(95%CI:0.83-1.31)respectively. Conclusion Among all diagnosed hypertension patients, those with lower education level have poorer blood pressure control and should be labelled as the key population for intense health education and standardized management to improve their blood pressure control status.