Study On The Effect Of Health Education On Cardiovascular Diseases Among Uyghur Population In Rural Areas Of Xinjiang Production And Construction Corps

Objective:To understand the current status of cardiovascular disease knowledge,practice,and behavior among the Uyghur population in rural areas of the Xinjiang Production and Construction Corps,analyze its influencing factors,and evaluate the effectiveness of cardiovascular disease health education among this population.Methods:1.The 51st Regiment of the Third Division,which has the highest proportion of Uygur population within the Xinjiang Production and Construction Corps,was selected as the research site,and four companies of the 51st Regiment of the Third Division,who are over 18 years old and have lived in the local area for more than one year,were randomly selected as the research objects.In order to prevent contamination,two similar companies were selected as one group and then randomly divided into the intervention group and the control group,The intervention group consisted of 6 and 8 companies,while the control group consisted of 11 and 13 companies.In the intervention group,the members of the research team and the local medical staff carried out a one-year bilingual health education on cardiovascular diseases.The control group only provided consultation during the investigation,and did not take other intervention.Divide the intervention group residents into different health education groups based on the types and numbers of the five main health education methods they receive（distribution of education materials,medical staff education,special lectures,We Chat,and Mandarin class science popularization videos）.At baseline（June 2021）,the study subjects conducted a questionnaire survey on residents’health and a survey on knowledge,belief and practice of cardiovascular diseases.They were followed up once during the study period（December 2021）.The outcome survey（June 2022）was consistent with the baseline,and all data were from the baseline and the final survey.At baseline,a total of 1840 participants were surveyed,including 946 participants in the intervention group and 894 participants in the control group.At the end,a total of 1705 participants were surveyed,including 883 participants in the intervention group and 822 participants in the control group.2.The data were collected by www.wjx.cn and analyzed by SPSS24.0 statistical software.Measurement data are described by（x±s）or M(P₂₅,P₇₅);Description of the usage rate and composition ratio of counting data;Measurement data were compared by analysis of variance or rank sum test,and enumeration data were compared by Chi-squared test or Fisher exact probability method.The median KAP of cardiovascular disease（10 points,4 points,6 points and 20 points respectively）was used as the criteria for passing the examination,and the influencing factors were analyzed by multivariate unconditional Logistic regression.The correlation analysis of CVD knowledge,attitude,and practice was conducted using Spearman.Analyzing the relationship between different combinations of health education methods and pass rate of KAP using Logistic regression analysis.All the statistical tests are used two-sided test,P value less than0.05 is as the statistically significant.Results:1.The current situation and influencing factors of knowledge,attitude and practice of cardiovascular disease in Uygur people:the total score of cardiovascular disease knowledge is 16,with an average score of2（1,5）,the total awareness rate is 18.60%,and the pass rate is 3.26%;The total score for attitude is 6 points,with an average score of 3（2,4）.The attitude formation rate is 52.17%,and the pass rate is 42.61%;The total score for behavior is 10 points,with an average score of 3（3,4）.The attitude formation rate is 32.25%,and the pass rate is 4.46%;The total score of KAP is 32 points,with an average score of 8（6,12）and a pass rate of 2.45%.The knowledge,belief and practice level of cardiovascular disease in the general population is affected by gender,age and education level.The average KAP score of men is 2 points lower than that of women（P<0.05）,and their KAP pass rate（1.45%）is lower than that of women（3.50%）（P<0.05）.The average KAP score of 18～is 9（6,13）,and the pass rate（3.60%）is higher than that of other age groups（P<0.05）.The average KAP score of primary school and below is 7（6,12）,and the pass rate（1.89%）is the lowest,The average KAP score of farmers and herdsmen was 7（6,11）and the pass rate was 2.01%,which was lower than that of other occupational groups（P<0.05）.2.Effectiveness of health education intervention for the entire population:2.1 At baseline,the awareness rate of 16 cardiovascular disease knowledge,6 attitudes and 10 practices in the intervention group were 18.33%,51.74%and 32.25%respectively,and the control group was 18.88%,52.6%and 32.1%respectively,with no statistically significant difference（P>0.05）.At the end,the above indicators were 40.79%,70.3%and 40.75%in the intervention group and lower indicators in the control group were 24.0%,56.4%and 35.1%,respectively.The scores of cardiovascular knowledge,attitude and practice as well as the total score of KAP in the intervention group and the control group were higher than the baseline（P<0.05）,and the intervention group was higher than the control group（P<0.05）.2.2 the average levels of systolic and diastolic blood pressure in the intervention group compared with the control group before and after the intervention had no statistical significance（P>0.05）;For hypertensive patients,the systolic blood pressure level of the intervention group had no significant difference with the control group,（P>0.05）,the diastolic blood pressure level decreased by 2.8 mm Hg（P<0.05）,and the systolic blood pressure level was decreased by 4.57 mm Hg（P<0.05）.2.3 At baseline,there was no significant difference in neck circumference,waist circumference,hip circumference,waist height ratio,waist hip ratio and BMI between the intervention group and the control group（P>0.05）.At the end,there was no difference in the above indexes between the intervention group and the control group（P>0.05）,but the average level of neck circumference,hip circumference and BMI in the intervention group was lower than those of the baseline level（P<0.05）.2.4 At baseline,there was no difference in smoking rate and drinking rate between the intervention group and the control group（P>0.05）.There was no significant difference between the smoking rate and drinking rate of intervention group before and after intervention（P>0.05）,However,the daily smoking volume of smokers decreased compared to the baseline（P<0.05）,and the number of times and amount of alcohol consumed per week decreased compared to the baseline（P<0.05）;In addition,the proportion of exercise,the weekly exercise times and exercise duration of the exercisers,and the proportion of medication taken by hypertension patients in the intervention group were higher than those of the baseline（P<0.05）.3.The relationship between different combinations of health education methods and pass rate of KAP3.1 There are eight combinations of health education methods for five major cardiovascular disease health education methods,among which the maximum number of participants receiving health education in combination B（no science popularization in Mandarin class）is 232,and the minimum number of participants receiving health education in combination D（no special lectures）is 20.3.2 Logistic regression analysis showed that,after multiple factor adjustment,receiving combination A（all of five methods）,combination B（no science popularization in Mandarin class）,combination C（no Wechat）,combination D（no special lectures）,and combination E（no Whchat and science popularization in Mandarin class）health education methods all increased the occurrence of KAP passing.Among them,receiving combination A had the strongest correlation with KAP passing(OR（95%CI）is 20.643（9.484,44.932）.Conclusion:1.The knowledge,attitude and practice level of cardiovascular disease among Uygur people in rural areas of the Xinjiang Production and Construction Corps is not high,and the KAP level in the total population is affected by gender,age,education level and other factors.Men,the elderly,primary school and below education levels,and farmers and herdsmen should be the focus of attention in the whole population intervention.Therefore,it is necessary to carry out targeted cardiovascular disease health education activities here.2.The bilingual health education on cardiovascular diseasein can effectively improve the KAP level of cardiovascular disease in the intervention group,and can also reduce the level of CVD risk factors such as blood pressure,BMI,smoking and drinking,and adopt behaviors and lifestyles conducive to CVD health such as drug compliance,and active exercise for hypertensive patients.3.Health education methods of A combination,B combination,C combination,D combination,and E combination can help improve the pass rate of KAP.