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目的了解广西城乡居民高血压的知晓、治疗和控制的现状及变化情况,为制定和完善高血压防治措施提供科学依据。方法利用2010年、2013年广西慢性病及其危险因素监测专项调查数据资料,加权后采用χ~2检验比较分析18岁及以上居民高血压知晓率、治疗率、控制率、治疗控制率及其变化情况。应用SPSS 19.0软件对数据进行统计学分析,率的组间比较用χ~2检验。结果 2013年广西18岁及以上居民高血压患病率为23.1%,农村(24.3%)高于城市(20.6%),男性(24.9%)高于女性(21.3%),差异均有统计学意义(P<0.01);与2010年高血压患病率(22.8%)相比,差异无统计学意义(χ~2=0.19,P>0.05)。2013年广西18岁及以上居民高血压知晓率、治疗率分别为30.4%、19.6%,城市高于农村,差异均有统学意义(χ~2值分别为91.86、42.04,P<0.01),知晓率、治疗率均为女性高于男性,差异均有统学意义(χ~2值分别为46.30、79.71,P<0.01),并随着年龄的增加而提高。与2010年高血压知晓率(26.6%)相比,2013年高血压知晓率(30.4%)明显提高(χ~2=5.50,P<0.05)。2013年广西18岁及以上居民高血压控制率、治疗控制率分别为8.4%、27.8%,城市控制率、治疗控制率均明显高于农村,差异均有统计学意义(P<0.01),并随着年龄的增加而提高。结论广西城乡居民高血压知晓率有所提高,但是治疗率和控制率没有明显改善,且仍处于较低水平,尤其是控制率。因此,应进一步加强及落实重点人群高血压健康教育及干预管理。
Objective To understand the current status and changes of knowledge, treatment and control of hypertension among urban and rural residents in Guangxi and provide a scientific basis for formulating and improving hypertension prevention and control measures. Methods According to the survey data of chronic diseases and their risk factors in Guangxi Zhuang Autonomous Region in 2010 and 2013, the levels of awareness, rate of treatment, rate of control, rate of treatment and control, and their changes in hypertension among residents aged 18 years and above were analyzed byχ ~ 2 test. Happening. SPSS 19.0 software was used to analyze the data statistically, the rate of the comparison between groups using χ ~ 2 test. Results The prevalence of hypertension was 23.1% in Guangxi in rural areas aged 18 years and over in 2013, 24.3% in rural areas, 20.6% in rural areas and 21.9% in men (21.9%), the differences were statistically significant (P <0.01). Compared with the prevalence of hypertension in 2010 (22.8%), there was no significant difference (χ ~ 2 = 0.19, P> 0.05). In 2013, the awareness rate and the treatment rate of hypertension among residents aged 18 years and older in Guangxi were 30.4% and 19.6%, respectively, which were higher than those in rural areas (χ ~ 2 = 91.86 and 42.04, P <0.01, respectively) The awareness rate and treatment rate were higher in females than in males. The differences were significant (χ ~ 2 = 46.30, 79.71, P <0.01), and increased with age. Compared with the awareness rate of hypertension in 2010 (26.6%), the awareness rate of hypertension (30.4%) in 2013 was significantly higher (χ ~ 2 = 5.50, P <0.05). In 2013, the rates of hypertension control and treatment control in residents aged 18 years and older in Guangxi were 8.4% and 27.8% respectively, and the rates of urban control and treatment were significantly higher than those in rural areas (P <0.01) Increase with age. Conclusion The awareness rate of hypertension among urban and rural residents in Guangxi has been raised, but the treatment rate and control rate have not significantly improved, and are still at a low level, especially the control rate. Therefore, it is necessary to further strengthen and implement the key population hypertension health education and intervention management.