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社会资本与高血压患者服药依从性的关系

发布时间:2018-07-12 12:32

  本文选题:社会资本 + 高血压 ; 参考:《中国健康教育》2017年03期


【摘要】:目的探讨社会资本与高血压患者服药依从性之间的关系。方法采用简单随机抽样的方法,对上海市9个社区卫生服务中心管理的3656名高血压患者进行问卷调查。应用经验证的量表从社区凝聚力和邻里互动两个角度评价社会资本。应用Logistic回归模型分析社会资本与高血压患者服药依从性之间的关系。结果3656名患者服药依从性佳的比例为69.4%。控制社会人口学特征后,社区凝聚力最高组患者的服药依从性佳的比例是社区凝聚力最低组的患者的1.74倍(OR=1.74,95%CI:1.42~2.13);而且邻里互动得分越高患者服药依从性佳的比例越高,与邻里互动得分最低组相比较,其他3组的OR值分别为1.42(95%CI:1.12~1.81)、1.58(95%CI:1.24~2.01)、1.60(95%CI:1.29~1.99)。结论社会资本与高血压患者的服药依从性呈正相关,提示增加患者的社会资本可以提高患者的服药依从性。
[Abstract]:Objective to investigate the relationship between social capital and drug compliance in hypertensive patients. Methods 3656 hypertension patients managed by 9 community health service centers in Shanghai were investigated by simple random sampling. Social capital was evaluated from two aspects of community cohesion and neighborhood interaction by using the validated scale. Logistic regression model was used to analyze the relationship between social capital and drug compliance of hypertensive patients. Results the proportion of 3656 patients with good compliance was 69.4%. After controlling the social demographic characteristics, the proportion of patients with better drug compliance in the group with the highest community cohesion was 1.74 times as high as that in the group with the lowest community cohesion (OR 1.74% 95 CI: 1.42 2.13), and the higher the score of neighborhood interaction was, the higher the proportion of patients with good compliance was. Compared with the lowest score group, the OR values of the other three groups were 1.42 (95 CI: 1.121.81) 1.58 (95CI: 1.242.01) 1.60 (95CI: 1.291.99). Conclusion there is a positive correlation between social capital and drug compliance of patients with hypertension.
【作者单位】: 复旦大学公共卫生学院复旦大学健康传播研究所;
【分类号】:R544.1

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