山东省高血压患者服药行为影响因素的广义估计方程分析

发布时间：2018-08-19 10:29

【摘要】：目的分析山东省高血压患者服药行为及其影响因素,为高血压的控制和管理提供依据。方法利用2013年第五次国家卫生服务调查山东省数据对省内高血压患者的服药行为进行描述,用广义估计方程克服整群抽样的聚集性,分析影响其服药行为的因素。结果山东省高血压患者调查抽样人数为4 772人,每天按医嘱服药的人数比例为71.00%。农村患者(OR=0.547)、在业患者(OR=0.655)不容易做到每天按医嘱服药,60岁及以上老年人(OR=1.557)、人均年收入12 500元及以上的患者(OR=1.482)容易做到每天按医嘱服药。结论针对以上影响因素,在客观因素不能改变的前提下,降低农村、低收入及老年患者的用药负担,增强其用药就医可及性,在业患者养成良好的作息规律和用药习惯,从而有效控制血压,减少并发症的发生。
[Abstract]:Objective to analyze the drug taking behavior and its influencing factors of hypertension patients in Shandong Province, and to provide evidence for the control and management of hypertension. Methods the data of the Fifth National Health Service Survey of Shandong Province in 2013 were used to describe the drug taking behavior of hypertension patients in Shandong Province. The generalized estimation equation was used to overcome the clustering of cluster sampling and to analyze the factors affecting the drug taking behavior. Results the sampling number of hypertension patients in Shandong Province was 4 772, and the proportion of people taking medicine according to doctor's orders was 71. 00%. Rural patients (OR=0.547) and employed patients (OR=0.655) were not easy to take medicine per day (OR=1.557). Patients with annual income of RMB 12,500 and above (OR=1.482) were easy to take medicine daily. Conclusion in view of the above influencing factors, under the premise of immutable objective factors, the burden of drug use in rural areas, low income patients and elderly patients should be reduced, and their access to medicine should be enhanced. In order to effectively control blood pressure, reduce the occurrence of complications.
【作者单位】：山东大学公共卫生学院社会医学与卫生事业管理系;
【基金】：国家自然科学基金(71673169)
【分类号】：R544.1

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