摘要
目的探讨高血压与糖尿病联合作用对农村居民生存质量的影响。方法在湖北省宜昌市夷陵区采取分层整群抽样的方法,采用社区人群功能测定量表对8 583名≥35岁居民进行问卷调查和体格检查,采用Logistic回归分析高血压、糖尿病、糖尿病合并高血压对生存质量的影响。结果一般人群(无高血压和糖尿病者)5 327人,高血压患者不伴糖尿病者2 893例,糖尿病患者不伴高血压者184例,糖尿病患者合并高血压者179例;以一般人群为对照,在控制了一般人口学特征和生活方式指标对生存质量的影响后,高血压对体能和社会交往有明显影响(OR=1.11,95%CI=1.00～1.23;OR=1.23,95%CI=1.01～1.49);糖尿病对日常活动有明显影响(OR=1.80,95%CI=1.30～2.50);糖尿病合并高血压对日常活动和整体健康有明显影响(OR=1.57,95%CI=1.13～2.19;OR=1.46,95%CI=1.03～2.08)。结论高血压与糖尿病对农村居民生存质量的影响表现在不同的维度,而糖尿病合并高血压则影响居民整体健康。
Objective To determine the impact of hypertension,diabetes,and their combination on health-related quality of life（HRQOL） among Chinese rural residents.Methods Stratified cluster sampling method was used to draw 9871 rural residents aged 35 years or above in Yiling district,Yichang city,Hubei province.The subjects answered questionnaires（including Dartmouth Coop Functional Health Assessment/World Organization of National College,Academies and Academic Association of General Practitioners[COOP/WONKA] charts） and received physical examination including blood glucose and blood pressure.Logistic regression model was used to analyze the effect of disease conditions on HRQOL.Results Hypertension increased the risk of sub-optimal physical fitness（odds ratio=1.11） and social activity（OR=1.23）.Diabetes increased the risk of sub-optimal daily activity（OR=1.80）.The concomitant of hypertension and diabetes increased the risk of sub-optimal daily activity（OR=1.57） and overall health（OR=1.46）.Conclusion The impact of hypertension and diabetes on HRQOL among Chinese rural population presents in different dimensions.However,the concomitant of hypertension and diabetes has more impact on overall health.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2011年第2期153-155,共3页
Chinese Journal of Public Health
关键词
高血压
糖尿病
生存质量
农村居民
hypertension
diabetes
quality of life
rural population
