上海市成人自报高血压患者治疗控制情况及其影响因素

Influencing factors and control rate of self-reported adult hypertension in Shanghai

【目的】分析上海市18岁及以上自报高血压患者治疗控制情况及其影响因素。【方法】使用2013年上海市慢性病及其危险因素监测数据。分析接受治疗的自报高血压患者血压控制情况及其影响因素。【结果】对6768名接受高血压治疗的自报高血压对象进行分析,60岁及以上年龄占67.46%,男性40.93%。治疗控制率为37.69%。影响血压控制的相关因素包括男性、年龄大、文化程度低、农业职业人群以及农村人口等社会因素,超重/肥胖、腰围超标、有高血压家族史、患有糖尿病等疾病因素,饮酒频率高、蔬菜摄入不足,以及血压监测频率低等行为因素。【结论】上海市自报高血压患者治疗控制率低,在疾病管理中应当细分对象需求,加强生活方式的干预,大力推广血压自我监测。

[Objective]To analyze the influencing factors for the control rate of self-reported hypertension patients aged 18 and older in Shanghai.[Methods]The data on Shanghai Non-communicable and Chronic Disease(NCD)Surveillance in Shanghai in 2013 were used to analyze the influencing factors and control rate of self-reported hypertension in Shanghai.[Results]A total of 6768 self-reported hypertensions were analyzed.Those at the age of 60 years and above accounted for 67.46%,with 40.93%of them being male.The control rate of treatment was 37.69%(95%CI).It was found that the impact factors associated with blood pressure control included socioeconomic factors such as male sex,older age,less educated,agricultural professionals and rural population,and diseases factors as overweight/obese,excess waist circumference,family history of hypertension,diabetes,lifestyle as high drinking frequency,insufficient vegetable intake,and low frequency of blood pressure monitoring.[Conclusion]The control rate of treatment for hypertension patients in Shanghai is low.In the disease management,we should subdivide the needs of the object,strengthen the intervention of life style,and promote the self-monitoring of blood pressure.