| Objectives: Through the investigation on the status of hypertension awareness, treatment and control, as well as the KAP of hypertensive patients in middle-aged and elderly denizens of Anqing rural area, and the analysis of the related influence factors.This paper is aimed to put forward suggestions and strategies on the prevention and treatment of hypertension, and also provide basic scientific evidences for rural hypertension prevention.Methods: A survey was made among the people of Anqing region, using the multistage random cluster sampling. Firstly, the county of Wangjiang and Zongyang were selected. Secondly, six or seven towns of each city were selected. Thirdly, permanent residents(living more than 5 years ) of each incorporated village of the towns,aged 45 and over,were screened for hypertension .Hypertension was defined as mean systolic blood pressure﹥or﹦140mmHg, diastolic blood pressure﹥or﹦90mmHg, and /or use of antihypertensive medications. The measurements of blood pressure, weight and height were obtained by trained observers. The individuals who participated the questionnaire survey were randomly selected. The obtained data were analyzed by descriptive statistics, Chi-square test, single and multi-factor logistic regress methods.Results: 1.Overall, 43.42% of those rural patients in middle-aged and elderly denizens of Anqing community with hypertension were aware the level of their blood, 49.72% were tacking medication to lower their blood pressure, and only 10.51% achieved blood control. Statistical tests of awareness in different groups shows: (1) The rate of male awareness was higher than the rate of female (X2=26.860, P<0.05).The educational level had significant differences, the rate of awareness of people with higher education was higher(X2=55.384, P<0.05). The rate of awareness of people who pass the test was higher than those who fail (X2=89.715, P<0.05). But there was non significant difference in age and BMI (Body Mass Index). (2) The rate of male treatment had significant difference in sex, age, educational level, the rate of blood level awareness, and the attitude. The rate of male treatment was higher than the female(X2=21.896,P﹤0.05). The rate of elder patient was lower than that of young patient (X2=13.766, P﹤0.05).The higher the education level is, the higher the rate of treatment is (X2=28.692, P﹤0.05). The rate of treatment of the people who know their blood pressure was higher( X2=224.469,P﹤0.05). Patients who pass the attitude test got the higher rate of treatment (X2=232.527, P﹤0.05).And there was non significant difference in people with different average monthly income, the form of medical insurance, and BMI. (3) The rate of male control was higher than that of female(X2=11.418, P﹤0.05). The rate of control of people who knew their blood level and were taking medicine are 13.86% and 20.94, which was higher than that of those who didn't know or weren't taking medicine. Patients who pass the practice test got the higher rate of control (X2=54.580, P﹤0.05).There was non significant difference in age, degree of education, and BMI.2. About 52.23% people pass the test of relative knowledge considering hypertension. (1) The correct rate of the total knowledge, the professional knowledge, the basic knowledge, the risk factors and the complications of hypertension were 52.07%, 7.31%, 65.87%, 47.66%, 51.07%, respectively. (2) According to single and multi-factor logistic regression analysis, sex, education, occupation, average personal monthly income, health education and family history of hypertension were the influence factors of the pass of score in knowledge. There existed positive relations between health education, family history of hypertension and the pass rate of knowledge score of hypertension. The pass rate of knowledge score of the male was higher than that of the female. The rate increased with the increase of education and average personal monthly income.3. The pass rate of score in attitude was 52.50%. According to single logistic regression analysis, sex, education, average personal monthly income, the form of medical insurance, health education, family history of hypertension and the pass of score in knowledge were the influence factors of the pass of score in attitude. The multi-factor logistic regression analysis indicated that only health education, family history of hypertension and the pass of score in knowledge were entered in the regression model.4. The statistical calculation of food, sleep, drink, smoke and sport, et al, revealed the pass rate of score in practice was 59.08%. According to single logistic regression analysis, age, education, the form of medical insurance, health education, family history of hypertension, the pass of score in knowledge and attitude were the influence factors of the pass of score in practice. Multi-factor logistic regression analysis revealed that age, health education, the pass of score in knowledge and attitude had positive correlation with the pass rate of score in practice.5. The total pass rate of score in knowledge, attitude and practice (KAP) of patients with hypertension was 52.08%. According to single logistic regression analysis indicated that there had significant difference in sex, education, occupation, average personal monthly income, marriage, the form of medical insurance, health education and family history of high blood pressure. The Multi-factor logistic regression analysis indicated that education, average personal monthly income, health education and family history of hypertension were the influence factors. People with good education who obtained and accepted hypertension knowledge more easily, would pay attention to their health, take correct attitude and good behavior in their lives, and get higher rates. The higher income they got, the higher pass rate of score in KAP they had. Patients with high income had strong aspirations to get health, saw the doctor initiatively, obtained knowledge, and form the good attitude and practice about hypertension.Conclusions: The results show that the rates of awareness, treatment and control of rural patients in middle-aged and elderly denizens of Anqing community with hypertension were very low. The average systolic blood pressure of hypertension patients increased with the increase of age, as the average diastolic blood pressure decreased. So the pulse pressure widened with the increase of age. The pass rates of score in the knowledge, attitude and practice of hypertension were extremely low. Because of the sources of relevant knowledge of hypertension were single, the hypertension knowledge was limited. Besides, owing to good attitudes and aspirations toward hypertension have not been formed, the patients don't have a healthy behavior and life way, including that the dietary structures were unreasonable, the changes of bad habits before and during hypertension were not good, and the weights control were unsuccessful. Research also shows that the prevention and treatment of hypertension in rural region need everyone participates in this work.
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