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苏北农村地区居民高血压病知晓率服药率和控制率调查

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目的调查连云港市赣榆、东海二县乡镇居民的高血压病知晓率、服药率和控制率("三率"),为制定有关卫生政策、更好地开展慢性非传染性疾病(慢病)防控工作提供依据;同时,评估一项正在进行的预防脑卒中综合干预临床研究对以上"三率"的影响。方法选择赣榆县、东海县农村社区45~75周岁居民作为调查对象,体检和问卷相结合,进行高血压病"三率"的调查,并比较参与临床研究的乡镇(干预乡镇)与未参与临床研究的乡镇(非干预乡镇)"三率"的差异。结果本研究共调查4 618人,其中高血压病患者2 784人,调查人群高血压病"三率"分别为64.7%、44.7%和7.3%。干预乡镇与非干预乡镇比较,其高血压病知晓率(67.9%vs 62.0%,OR=1.3,P=0.001)、服药率(48.1%vs 41.8%,OR=1.3,P=0.000 9)、控制率(8.8%vs 6.1%,OR=1.5,P=0.006 7)均有提高,且对年龄、性别和地区(县)校正后结果仍成立。结论调查人群高血压病知晓率、服药率显著高于"九五"期间我国中年人群的平均水平,控制率略高于"九五"平均水平。目前进行的脑卒中预防综合干预研究提高了参与乡镇的高血压病"三率"。
Survey on hypertension awareness,medication and control rates in rural communities in Lianyungang district
Objective To investigate the rates of hypertension awareness,medication and control(three rates)among the rural residents in Lianyungang city and to evaluate the interventional effect of an ongoing clinical study on the "three rates".Methods Data were collected through a questionnaire-based interview and physical examination(blood pressure measurement)was administered to the rural residents,aged 45-75 years,who lived in the villages in Ganyu and Donghai counties of Lianyungang city.A "three rates"comparison was made between the intervention villages which entered the clinical study and the non-intervention villages which did not enter.Results 2 784 out of 4 618 participants were with hypertension.A collective "three rates" were 64.7%,44.7% and 7.3%,respectively.When compared to non-intervention villages,intervention villages had higher rates of hypertension awareness(67.9% vs 62.0%,OR=1.3,P=0.001),medication(48.1% vs 41.8%,OR=1.3,P=0.000 9) and control(8.8% vs 6.1%,OR=1.5,P=0.006 7).Conclusion This collection of hypertension awareness and medication rates were markedly higher(control rate was slightly higher) than those in the middle-aged Chinese population in 1998.The ongoing study has obviously elevated the "three rates" in the intervention villages.

HypertensionAwareness rateMedication rateControl rate

董青、何明利、孙黎明、张磊、吴德林、葛恒明、黄海平、秦泗州、周伟、邢厚恂

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连云港市卫生局,江苏连云港222006

连云港市第一人民医院

连云港市第二人民医院

深圳大学生物医药研究所

赣榆县疾病预防控制中心

东海县疾病预防控制中心

东海县卫生局

赣榆县卫生局

连云港市现代心血管病防治研究中心

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高血压病 知晓率 服药率 控制率

2010

中国自然医学杂志
中华预防医学会

中国自然医学杂志

影响因子:0.307
ISSN:1008-7850
年,卷(期):2010.(6)
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