Analysis Of Control Measures And Factors Associated With Hypertension In Changchun City

Objective:By understanding the prevalence of hypertension in Changchun residents,analyzing the situation of control measures and aggregation of hypertension in residents,and then exploring the influencing factors of control measures for hypertension patients,to provide scientific basis for the formulation of hypertension control and management programs.Methods:This study used a multi-stage cluster random sampling method to investigate residents who were 18 years of age and over in Changchun City in 2017.The study investigated patients diagnosed with hypertension by doctors in hospitals at the township/district level.Statistical analysis was performed using SPSS 22.0 statistical software.The measurement data conforming to the normal distribution was represented by(34)±S,and the t-test was used for comparison between groups,The utilization rate or constituent ratio of counting data was expressed,and the chi-square test was used for comparison between groups,and the multivariate logistic regression analysis method was used for the analysis of the influencing factors.Results:1.A total of 787 people were surveyed,including 377 males(47.90%)and 410 females(52.10%).The proportion of respondents over 55 years old was large.Among them,277(35.21%)patients aged 55-65 years old,354(44.98%)patients over 65 years old,the proportion of Han nationality and married patients was higher,751(95.43%)and 679(86.28%)respectively.2.The control measures of the respondents included medication according to doctor’s advice,diet control,moderate exercise and blood pressure monitoring,which were 670(85.13%),433(55.02%),344(43.71%)and 360(45.74%)respectively.There were significant differences in gender,age,marital status,payment mode of medical expenses,family history of diabetes mellitus and diabetes mellitus according to doctor’s advice(P < 0.05).There were significant differences in diet control among subjects with different ages,family monthly income,family history of cerebrovascular diseases and family history of diabetes mellitus(P< 0.05);There were significant differences in moderate exercise among subjects with different nationalities,educational level,occupation,family monthly income,family history of cerebrovascular diseases and family history of diabetes mellitus(P< 0.05);There were significant differences in blood pressure monitoring among the subjects surveyed with family monthly income,payment method of medical expenses,family history of cardiovascular diseases,family history of cerebrovascular diseases and family history of diabetes mellitus(P< 0.05).3.The multivariate analysis results of the control measures of the respondents showed: female(OR=1.678,P=0.014),age 45~55 years old(OR=3.942,P=0.005),55~65 years old(OR=5.531,P <0.001),65 years of age or older(OR=6.116,P<0.001),family history of diabetes(OR=2.527,P=0.037)were the protective factors for taking medication according to doctor’s advice,and basic medical insurance for urban residents(OR=0.512,P=0.006)is a risk factor for taking medication according to doctor’s advice for hypertension patients;age 45-55 years old(OR=3.275,P=0.007),55-65 years old(OR=2.376,P=0.033),family history of cerebrovascular disease(OR=2.192,P=0.001)was the protective factor for the subjects to control diet;other ethnic groups(OR=2.220,P=0.032),cerebrovascular disease family(OR=2.177,P=0.001),family history of diabetes(OR =2.161,P=0.003)was the protective factor for moderate exercise in the subjects,class III occupation(OR=0.696,P=0.032),and diabetes(OR=0.628,P=0.013)were risk factors for moderate exercise;Nationality(OR=2.179,P=0.040),family monthly income 4000~5000 yuan(OR=2.252,P=0.025),≥5000 yuan(OR=2.640,P=0.0 05),new rural cooperative medical care(OR=1.902,P=0.009),stroke(OR=1.783,P=0.028),family history of cardiovascular disease(OR=1.799,P<0.001),family history of diabetes(OR=1.732,P=0.027)was the protective factor for blood pressure monitoring in the surveyed subjects.Class III(OR=0.605,P=0.004)was the risk factor for blood pressure monitoring.4.The aggregation of four kinds of control measures was as follows: 0 kinds of 31 cases(3.94%),1 kind of 222 cases(28.21%),2 kinds of 184 cases(23.38%),3 kinds of 183 cases(23.25%)and 4 kinds of 167 cases(21.22%).There were significant differences in the aggregation of control measures among subjects of different age,marital status,occupation,family monthly income and medical expense payment(P < 0.05).5.Multivariate logistic regression analysis of the classification of control measures of the respondents showed: female(OR=2.661,P=0.023),age 35~45 years old(OR=6.843,P=0.014),45~55 years old(OR =6.095,P=0.026),55~65 years old(OR=8.575,P=0.036),junior college and above(OR=4.541,P=0.019)are the protective factors for the control measures taken by the respondents;age 35~ 45 years old(OR=13.77,P=0.003),45~55 years old(OR=14.472,P=0.004),55~65 years old(OR=34.726,P=0.001),65 years old or older(OR=19.052,P= 0.031)is the protective factors of the two control measures were adopted for the respondents.Other medical payment methods(OR=0.295,P=0.035)is the risk factors for the two measures taken by the respondents;female(OR=2.979,P=0.012),Age 45~55 years old(OR=7.569,P=0.01),55~65 years old(OR=8.448,P=0.035)is the protective factors of the three control measures for the respondents;female(OR=2.661,P=0.026)Age 35~45 years old(OR=15.98,P=0.005),45~55 years old(OR=13.911,P=0.009),55~65 years old(OR=32.336,P=0.003),college and above(OR= 5.107,P=0.013)is the protective factors of the four control measures were taken for the respondents.6.The results of binary logistic regression analysis of the four control measures of the respondents showed that other ethnic groups(OR=2.298,P=0.031),family history of cardiovascular disease(OR=1.482,P=0.032),family history of cerebrovascular disease(OR= 2.182,P=0.001),family history of diabetes(OR=2.113,P=0.003)was the protective factor for corrective measures for patients with hypertension,and other marital status(OR=0.307,P=0.001)was the risk factor for taking corrective measures.Conclusions:1.The control measures of hypertension in Changchun residents mainly include taking medicine according to doctor’s advice,controlling diet,moderate exercise and blood pressure monitoring,mainly with taking medicine according to doctor’s advice.2.Different characteristics have different effects on the subjects taking hypertension control measures.Gender,age,payment method of medical expenses,presence or absence of diabetes,and family history are the main influencing factors of the control measures taken by the respondents.3.The subjects’ hypertension control measures were clustered,and the aggregation distribution of hypertension control measures was different in different characteristics.Among them,males,aged 18-35 years,were important risk factors for the aggregation of hypertension control measures.4.The risk of failure to take proper measures for hypertension was higher among subjects without family history of disease.We must attach great importance to the propaganda of the knowledge of hypertension control and improve the health awareness of the whole people.