常州市高血压健康教育社区综合干预策略研究

Comprehensive interventional strategy study on hypertension health education in communities of Changzhou

目的:为有针对性地进行高血压病健康教育综合干预提供依据。方法:以社区为基本单位,采取整群抽样方法,对常州市20~65岁居民进行高血压病流行病学,以及高血压相关知识、态度、行为(KAP)和信息传播需求的调查。结果:常州市城市社区人群高血压患病率为40.93%,高血压病相关知识知晓率为52.45%,健康行为形成率为74.95%;Logistic回归分析表明,性别、年龄、文化程度、是否吸烟、血脂异常、体育锻炼、体重指数以及高血压知识知晓率等因素均会影响高血压患病率。结论:常州市城市社区高血压健康教育综合干预,应以40岁以上、文化程度较高、吸烟、血脂异常、不经常运动、BMI≥24的人群为重点;高血压的标准、演变、转归及与其它疾病的关系等知识,应作为近期传播的重点内容;行为干预应以提高人群坚持运动率为重点,在男性中还须加强戒烟、限酒的行为干预。

Objective:To provide basis for conducting comprehensive interventions on hypertension health education.Methods: Cluster sampling was used in residents aged 20～65 with unit of community,epidemiology of hypertension,relevant knowledge,attitudes,practices(KAP) and information communication needs for residents were surveyed in changzhou.Results: Morbidity of hypertension was 40.93%,rate of total knowledge on hypertension was 52.45%,and rate of health behavior formation was 74.95% for community population;Logistic regression analysis found that factors related to morbidity of hypertension included sex,age,educational background,smoking,abnormal blood-lipid,physical exercises,body weight index and knowledge on hypertension.Conclusion: Comprehensive interventions should focus on population in communities aged over 40 with higher education background,smoking,abnormal blood-lipid,little physical exercises and Body Mass Index(BMI)≥24;standard of hypertension,evolution and transformation of hypertension and relationship between hypertension and other diseases should put forward as key content for publicity;behavior intervention should focus on raising the rate of keeping physical exercises and should strengthen quitting smoking and limiting alcohol for males.