降低患病率,提高对高血压的认识和控制与配偶的教育成就有关:一项大型数据研究
Meiya Liu1, Ying Yang2, Xinyi Lyu2
1Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China.
Social science & medicine (1982)
|October 1, 2023
概括
较高的配偶教育程度 (SEA) 与较低的高血压患病率和更好的意识有关. 以家庭为中心的医疗保健应该考虑配偶教育.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 家庭医学 家庭医学 家庭医学
背景情况:
- 心血管疾病,特别是高血压,是全球重要的健康问题.
- 越来越多地承认以家庭为中心的健康促进和疾病管理方法.
- 配偶教育成绩 (SEA) 在高血压结果中的作用需要进一步研究.
研究的目的:
- 检查配偶教育程度 (SEA) 与高血压患病率,意识和控制之间的关联.
- 为高血压管理提供以家庭为中心的医疗保健策略提供信息.
- 通过性别,年龄和居住地探索这些关联的潜在修改.
主要方法:
- 来自国家免费NFPCP (2013-2019) 的大量生殖年龄人群 (71,211,191) 的分析.
- 应用反向概率权重 (IPW) 来调整SEA的混情况.
- 按性别,年龄和居住类型进行分层分析,以评估修改后的效应.
主要成果:
- 增加的SEA与降低的高血压患病率相关 (ORs从0.91到0.97).
- 较高的SEA与增加的高血压意识相关 (ORs从1.12到1.38).
- 与SEA相关的改善高血压控制主要在城市环境中观察到,具有性别特异性的好处.
结论:
- 配偶的教育程度是与高血压结果相关的重要因素.
- 以家庭为中心的医疗保健干预措施应整合配偶教育方面的考虑.
- 根据性别,年龄和城市/农村居住情况量身定制干预措施对于有效控制高血压至关重要.
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