社会支持是否能改善农村高血压患者的自我管理? 基于一般化倾向得分匹配的经验分析
Jiantao Li1, Jingru Zhang1, Yuxiao Wang1
1Department of Health Economics, School of Management, Shanxi Medical University, Taiyuan, China.
Frontiers in public health
|January 22, 2025
概括
社会支持对农村患者的高血压自我管理有影响. 最佳的支持水平可以提高管理效率,但过多的支持水平会降低效率,强调需要量身定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病管理管理
- 农村卫生 农村卫生
背景情况:
- 高血压的自我管理在农村人口中至关重要.
- 感知到的社会支持是影响自我管理行为的一个潜在因素.
- 了解这种关系可以为改善健康结果的干预提供信息.
研究的目的:
- 研究农村高血压患者的社会支持和自我管理之间的因果关系.
- 确定与这一人口群体的社会支持水平相关的因素.
- 为改善高血压自我管理策略提供证据.
主要方法:
- 在山西省1091名农村高血压患者的横截面研究.
- 在2022年3月至6月期间收集的数据.
- 一般化倾向得分匹配用于分析因果关系.
主要成果:
- 农村高血压患者报告社会支持较低 (平均得分为0.632±0.178).
- 在社会支持和自我管理之间观察到一个显著的反转的U形关系.
- 社会支持与人口统计和社会经济因素有负相关性,与婚姻状况和保险有正相关性.
结论:
- 需要针对弱势群体 (老年人,单身者,经济弱势者,无保险人) 进行有针对性的社会支持干预.
- 对高血压自我管理的最佳社会支持水平需要仔细考虑.
- 整合干预措施与现有的农村社会结构对于有效性至关重要.
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