摘要
目的探讨影响我国老年人高血压管理情况的社会因素。方法采用中国健康与养老追踪调查2013年的随访数据,在去除基本信息、医疗保险、家庭结构、社交活动等缺失项后,本研究最终纳入了60岁及以上受访者6 904例。建立非条件Logistic回归模型,分析60岁及以上老年人的医疗保障、家庭结构及社会交往等对高血压管理情况的影响。结果在6 904例受访者中,高血压患病率为46.60%(3 217/6 904),高血压的患病知晓率为69.38%(2 232/3 217),治疗率为61.58%(1 981/3 217),知晓者的治疗率为88.75%(1 981/2 232)。Logistic回归分析结果显示,年龄、性别、医疗保险类型、医保地与居住地是否相同、家庭结构、社会交往活动、过去两年体检情况及所在地区是老年人高血压患病知晓的影响因素(P<0.05);年龄、性别、医疗保险类型、医保地与居住地是否相同、家庭结构及所在地区是老年人高血压治疗的影响因素(P<0.05);性别、医疗保险类型及所在地区是老年人高血压知晓者治疗的影响因素(P<0.05)。结论医疗保障、家庭结构、社会交往活动方面因素均会对老年人的高血压管理情况产生影响。作为基本公共卫生服务项目之一的高血压管理应调动家庭、社区在老年人高血压管理中的积极作用,通过整合社会、心理、生理方面的疾病干预和健康管理措施,改善老年人高血压的管理效果。
Objective To identify the social determinants for the management of hypertension in China＇ s elderly people. Methods The data were from China Health and Retirement Longitudinal Study conducted in 2013. This study included the data of 6 904 recipients of follow-up aged 60 and above who had the missing items such as demographic information,medical insurance,family structure and social activities. Unconditional Logistic regression model was used for analyzing the effect of medical insurance,social activities and family structure on the management of hypertension in these elderly people. Results In the 6 904 individuals included,46. 60%（ 3 217/6 904） had hypertension. The rate of awareness and treatment of hypertension were 69. 38%（ 2 232/3 217） and 61. 58%（ 1 981/3 217）,respectively. The rate of receiving treatment in those with awareness of hypertension was 88. 75%（ 1 981/2 232）. Logistic regression analysis showed that age,gender,insurance type,allopatry insurance,family structure,social activities,physical examination in the past two years and residence were influencing factors for elderly people with awareness of hypertension（ P 0. 05）; age, gender, insurance type, allopatry insurance, family structure and residence were influencing factors for elderly people with hypertension receiving treatment（ P 0. 05）; gender,insurance type and residence influenced the treatment of those with awareness of hypertension（ P 0. 05）. Conclusion Medical insurance,family structure and social activities would affect the management of hypertension in elderly people. Therefore,as one of the essential public health services,management of hypertension should cooperate with and take advantage of family and community,so as to achieve a better management outcome by integrated health intervention of social, psychological and physiology.
出处
《中国全科医学》
CAS
北大核心
2017年第34期4310-4314,4321,共6页
Chinese General Practice
基金
国家社会科学基金面上项目(12BSH078)
关键词
高血压
疾病管理
老年人
社会影响因素
Hypertension
Disease management
Ag e d
S ocial d e te rm in a n ts
