鲁豫两地文化氛围对慢性病防控工作引领程度比较

Guidance effect of health culture atmosphere on hypertension prevention in Shandong and Henan province: a comparison study

目的比较鲁豫两地文化氛围对慢性病防控工作的引领程度,验证量化文化氛围慢性病防控工作引领程度的可行性。方法收集山东省和河南省2008-2017年慢性病防治政策文件,结合中国知网文献研究,量化文化氛围引领程度,分析其与高血压患病率的关系。结果山东省2008-2017年文化氛围引领程度由21.37%上升至24.18%,高血压患病率由39.50%下降至22.20%,文化氛围引领程度与高血压患病率呈负相关(r=-0.650,P<0.05),文化氛围引领程度可以解释高血压患病率下降42.2%的变异(R^2=0.422);河南省2008-2017年文化氛围引领程度由38.19%上升至38.28%后下降至16.71%,高血压患病率由33.20%下降至20.86%,文化氛围对防控高血压未发挥正向引领功能(r=0.735,P<0.05),暂不能认为二者具有相关关系。结论文化氛围对慢性病防控工作的影响虽具有间接滞后性,但在山东省文化氛围引领已初现效果,量化文化氛围对慢性病防控工作的引领程度依然可行。

Objective To compare guidance effect of health cultural atmosphere on hypertension prevention in Shandong and Henan province and to verify the feasibility of quantifying cultural guidance effect in chronic disease control and prevention. Methods Through China National Knowledge Infrastructure (CNKI), we retrieved chronic disease prevention and control-related documents and reports and the data on prevalence of hypertension released by government agencies, medical institutions of Shandong and Henan province from 2008 through 2017. We quantitatively reviewed the information collected and analyzed the correlation between the publicity influence of the documents and reports and prevalence rate of hypertension in the populations of the two provinces. Results During the period in Shandong province, the index for guidance effect of health cultural atmosphere on hypertension prevention increased from 21.37% to 24.18%;the index was inversely with hypertension prevalence rate (r =-0.650, P < 0.05) and 42.2%(R2 = 0.422) of the variation in the hypertension prevalence rate could be explained by the index. During the same period in Henan province, the index for the guidance effect increased from 38.19% to 38.28% and then decreased to 16.71% and no inverse correlation between the index and hypertension prevalence rate was observed (r = 0.735, P < 0.05). Conclusion Although the influence of health cultural atmosphere on the prevention and control of hypertension is indirect with a lag, the preliminary effect of the influence has been observed in Shandong province. The study indicates that quantitatively evaluating guidance effect of health cultural atmosphere on chronic disease prevention and control is feasible.