我国老年人高血压管理情况的社会影响因素分析

发布时间：2018-03-19 17:39

本文选题：高血压　切入点：疾病管理　出处：《中国全科医学》2017年34期 　论文类型：期刊论文

【摘要】：目的探讨影响我国老年人高血压管理情况的社会因素。方法采用中国健康与养老追踪调查2013年的随访数据,在去除基本信息、医疗保险、家庭结构、社交活动等缺失项后,本研究最终纳入了60岁及以上受访者6 904例。建立非条件Logistic回归模型,分析60岁及以上老年人的医疗保障、家庭结构及社会交往等对高血压管理情况的影响。结果在6 904例受访者中,高血压患病率为46.60%(3 217/6 904),高血压的患病知晓率为69.38%(2 232/3 217),治疗率为61.58%(1 981/3 217),知晓者的治疗率为88.75%(1 981/2 232)。Logistic回归分析结果显示,年龄、性别、医疗保险类型、医保地与居住地是否相同、家庭结构、社会交往活动、过去两年体检情况及所在地区是老年人高血压患病知晓的影响因素(P0.05);年龄、性别、医疗保险类型、医保地与居住地是否相同、家庭结构及所在地区是老年人高血压治疗的影响因素(P0.05);性别、医疗保险类型及所在地区是老年人高血压知晓者治疗的影响因素(P0.05)。结论医疗保障、家庭结构、社会交往活动方面因素均会对老年人的高血压管理情况产生影响。作为基本公共卫生服务项目之一的高血压管理应调动家庭、社区在老年人高血压管理中的积极作用,通过整合社会、心理、生理方面的疾病干预和健康管理措施,改善老年人高血压的管理效果。
[Abstract]:Objective to explore the influence of social factors on hypertension management of the elderly in China. Methods the follow-up data of Chinese health and pension survey in 2013, in the removal of basic information, medical insurance, family structure, social activities such as missing after the end of this study included 60 years of age and older respondents in 6904 cases. Non conditional Logistic regression model and analysis of the elderly aged 60 and above medical security, family structure and social impact on the management of hypertension cases. Results in 6904 cases of respondents, the prevalence rate of hypertension was 46.60% (3 217/6 904), the prevalence of hypertension awareness rate was 69.38% (2 232/3 217), the treatment rate was 61.58% (1 981/3 217), who know the treatment rate was 88.75% (1 981/2 232).Logistic regression analysis showed that age, gender, type of medical insurance, medical insurance and residence are the same, family structure, social activities, too Go two years examination and location are the factors influencing elderly hypertension awareness (P0.05); age, gender, type of medical insurance, medical insurance and residence are the same, family structure and location are the influence factors of treatment of hypertension in the elderly (P0.05); gender, health insurance type and area of hypertension in the elderly know the factors influencing the treatment (P0.05). Conclusion medical security, family structure, factors of social activities will affect the management of hypertension in the elderly. As one of the hypertension management of basic public health services should mobilize the positive role in the family, the community management of hypertension in the elderly, through the integration of social psychology. The physiological aspects of disease, intervention and health management measures, improve the management of hypertension in the elderly.

【作者单位】：北京大学医学部公共卫生学院;
【基金】：国家社会科学基金面上项目(12BSH078)
【分类号】：R544.1

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