Hypertension Awareness and Associated Factors among Older Chinese Adults.
Hypertension Awareness and Associated Factors among Older Chinese Adults.
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DOI：
10.3389/fpubh.2013.00067
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发表时间：
2013
影响因子：
5.2
通讯作者：
Ory MG
中科院分区：
文献类型：
--
作者：
Ahn S;Smith ML;Cho J;Bailey JE;Ory MG
高血压是最可预防的慢性疾病之一。提高高血压知晓率是降低老年人高血压发病率和死亡率的关键第一步，但中国对高血压知晓率的相关因素知之甚少。本文的目的是研究中国老年人对高血压的认识程度，以及与这种认识相关的因素。我们纳入了2404名年龄在60岁或60岁以上的成年人，这些人来自1997年、2000年、2004年和2006年中国健康与营养调查的面板数据。将这些数据与受访者自我报告的高血压诊断进行比较，使我们能够描述高血压意识。协变量包括社会人口统计学、健康状况、功能障碍和行为因素。广义估计方程被用来确定高血压知晓的因素。我们发现1997年和2006年分别有22.9%和42.7%的研究参与者知道自己的高血压状况。在农村地区的人中发现较低的知晓率[比值比（OR）= 0.64，95%置信区间（CI），0.47-0.88]。在前一次调查中知道自己高血压状况的人的意识更高（OR = 7.43，95%CI，5.45-10.13），高收入（OR = 1.55，95%CI，1.05-2.28），高血压2级（OR = 2.28，95% CI，1.69-3.06），急性期（OR = 2.54，95% CI，1.89-3.42），日常生活活动能力受限程度较大（OR = 1.24，95% CI，1.08-1.43）。研究高血压意识的动态可以帮助告知临床和公共卫生方法，以改善医疗保健。
Hypertension is one of the most preventable chronic conditions. Improving hypertension awareness is a critical first step to reducing morbidity and mortality from hypertension in the elderly, yet the factors associated with hypertension awareness in China are poorly understood. The objective of this paper is to examine the extent to which older Chinese adults are aware of their hypertension, and factors associated with this awareness. We included 2404 adults aged 60 years or older clinically identified as hypertensive from panel data surveyed in 1997, 2000, 2004, and 2006 as part of the China Health and Nutrition Survey. Comparing this data with respondents’ self-reported diagnosis of hypertension enabled us to characterize hypertension awareness. Covariates included socio-demographic, health status, functional disability, and behavioral factors. Generalized estimating equations were used to identify factors for hypertension awareness. We found 22.9% in 1997 and 42.7% in 2006 of study participants were aware of their hypertensive status. Lower awareness was found among those who lived in rural areas [odds ratio (OR) = 0.64, 95% Confidence Interval (CI), 0.47–0.88]. Higher awareness was noted for persons who were aware of their hypertensive status in a previous survey wave (OR = 7.43, 95% CI, 5.45–10.13), had high income (OR = 1.55, 95% CI, 1.05–2.28), had stage two hypertension (OR = 2.28, 95% CI, 1.69–3.06), had acute condition (OR = 2.54, 95% CI, 1.89–3.42), and had greater activities of daily living limitations (OR = 1.24, 95% CI, 1.08–1.43). Studying dynamics of hypertension awareness can help inform both clinical and public health approaches to improve healthcare.