The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis

Sun Cheng Huan; Zhou Jia; Mao Yong; Luo Jia Hong; Chu Tian Shu; Lai Chun Mi; Qi Bing Xian; Zhang Qing

Article Contents

Article Navigation > Journal of Kunming Medical University > 2018 > 39(01): 39-44

Sun Cheng Huan , Zhou Jia , Mao Yong , Luo Jia Hong , Chu Tian Shu , Lai Chun Mi , Qi Bing Xian , Zhang Qing . The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis[J]. Journal of Kunming Medical University, 2018, 39(01): 39-44.

Citation:

Sun Cheng Huan , Zhou Jia , Mao Yong , Luo Jia Hong , Chu Tian Shu , Lai Chun Mi , Qi Bing Xian , Zhang Qing . The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis[J]. Journal of Kunming Medical University, 2018, 39(01): 39-44.

Citation:

Sun Cheng Huan , Zhou Jia , Mao Yong , Luo Jia Hong , Chu Tian Shu , Lai Chun Mi , Qi Bing Xian , Zhang Qing . The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis[J]. Journal of Kunming Medical University, 2018, 39(01): 39-44.

PDF( 386 KB)

The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis

Funds:

基金：云南省科学技术厅-昆明医科大学应用基础研究联合专项基金资助项目 (2013FB115);

Received Date: 2017-09-11

Abstract

Abstract

Objective To determine the awareness, treatment and control of hypertension and its determinants in the elderly hypertensive patients of Dean nationality so as to explore the associated determinants.Methods This was a cross-sectional, population-based survey. A total of 939 persons aged 60 years and older sampled by stratified sampling method from the elderly population of Dean nationality were examined from July to September 2016. Meanwhile, the data of medical history and examination were collected. Results There were 353 elderly patients with hypertension in the 939 subjects. The awareness, treatment and control of hypertension in the elderly hypertensive patients (EHP) , which was 47.3%, 36.5% and 22.1% respectively, were higher than the results of previous national study and had the upward trends with the increasing age (P<0.05) . In comparison with the reference group, EHP living in middle economic level area had the higher awareness, treatment and control of hypertension (P<0.05) . The results of covariate-adjusted multilevel logistic regression model indicated that there was a cross-level interaction effect between middle economic level area and dyslipidemia on the awareness and treatment of hypertension respectively, and a cross-level interaction effect between middle economic level area and low fat diet on the control of hypertension (P<0.05) . The individual level covariates, age (OR=1.3412, 1.3144, 95% CI 1.0217-1.7609, 1.0030-1.7225) and diabetes ( OR=2.6735, 2.3078, 95% CI1.0721-6.6672, 1.0240-5.2007) , had the positive association with the awareness and treatment of hypertension;age (OR=1.4740, 95%CI 1.0034-2.1654) , non-drinking (OR=3.2056, 95%CI 1.5554-6.6066) and low salt diet (OR=3.6969, 95%CI 1.7996-7.5946) had the positive association with the control of hypertension.Conclusion The awareness, treatment and control of hypertension in the EHP of Dean nationality were higher than those of the national level, and the dominant factors were economic level, age, dyslipidemia, diabetes, non-drinking, low fat diet and low salt diet, etc.
- Hypertension,
- Awareness,
- Treatment,
- Control,
- Multilevel model

FullText(HTML)

References(11)

References

[1]中国居民营养与健康状况调查技术执行组.中国居民2002年营养与健康状况调查[J].中华流行病学杂志, 2005, 26 (7) :478-484.
[2]中国高血压防治指南修订委员会.中国高血压防治指南 (第3版) (2010年修订版) [M].北京:人民卫生出版社, 2011:6-81.
[3]董英, 余金明, 胡大一, 等.中国心内科医师高血压患病、知晓、治疗及控制现状[J].中华内科杂志, 2010, 49 (11) :918-920.
[4]国家心血管病中心.中国心血管病报告2015[M].北京:中国大百科全书出版社, 2016:3-15.
[5] 中国老年学学会心脑血管病专业委员会, 中国医师协会循证医学专业委员会.老年高血压的诊断与治疗中国专家共识 (2011版) [J].中华内科杂志, 2012, 51 (1) :76-82.
[6]	[6]YANG L, YAN J, TANG X, et al.Prevalence, awareness, treatment, control and risk factors associated with hypertension among adults in southern china, 2013[J].PLos One, 2016, 11 (1) :e0146181.
[7]	[7]WU L, HE Y, JIANG B, et al.Trends in prevalence, awareness, treatment and control of hypertension during2001-2010 in an urban elderly population of china[J].PLos One, 2015, 10 (8) :e0132814.
[8] 中华人民共和国国家统计局.2010年第六次全国人口普查主要数据公报 (第1号) [EB/OL]. (2011-4-28) [2013-2-3].http://www.stats.gov.cn/tjsj/tjgb/rkpcgb/qgrkp cgb/201104/t20110428_30327.html.
[9] 德宏州统计局.2010年德宏州第六次全国人口普查主要数据公报[EB/OL]. (2011-5-30) [2013-2-3].http://www.dh.gov.cn/Web/_9536.htm.
[10]	[10] CHALMERS J.The 1999 WHO-ISH Guidelines for the Management of Hypertension[J].Med J Aust, 1999, 171 (9) :458-459.
[11]王济川, 谢海义, 姜宝法.多层统计分析模型:方法与应用[M].北京:高等教育出版社, 2008:133-153.

Relative Articles(20)

Relative Articles

[1]	Rui WANG, Cilin HAN, Yuanqing CAO, Xiaoyan YANG. Multi-level Model Analysis of Factors Influencing Physicians’ Job Burnout. Journal of Kunming Medical University, 2024, 45(11): 1-6.
[2]	Huijuan ZENG, Bo TIAN, Hongling YUAN, Jie HE, Guanxi LI, Guojia RU, Min XU, Dong ZHAN. Predictive Modeling of Chronic Kidney Disease with Hypertension or Diabetes Based on Machine Learning Algorithms. Journal of Kunming Medical University, 2024, 45(3): 99-105. doi: 10.12259/j.issn.2095-610X.S20240315
[3]	Hualei DAI, Chengcheng HU, Guimin ZHANG, Siming TAO, Jiankun CHEN. Screening Biomarkers of Astragalus Membranaceus for Hypertensive Ventricular Remodeling Based on Network Pharmacology and Molecular Docking. Journal of Kunming Medical University, 2023, 44(8): 27-36. doi: 10.12259/j.issn.2095-610X.S20230819
[4]	Liu LI, Yaru WANG, Di ZHANG, Qincong CHEN, Ming WANG, Shuo WANG. Application of Gene Detection for Individualized Medication for Hypertension in Patients with Grade 3 Hypertension. Journal of Kunming Medical University, 2022, 43(4): 112-117. doi: 10.12259/j.issn.2095-610X.S20220430
[5]	Yi MO, Huifang LI, Chunmei ZUO, Jinbo LI, Jingrong SHEN, Xia WU, Le CAI. Study on the Trends in Prevalence，Awareness，Treatment， and Control of Diabetes among NaXi Ethnic Minority in Yunnan Province. Journal of Kunming Medical University, 2022, 43(10): 16-21. doi: 10.12259/j.issn.2095-610X.S20221015
[6]	Feng-ting MU, Chang-hong MU, Li-ping HE, Xiao-mei LI, Wen-jia ZHANG, Zhen YU, Qing-huan YANG, Hong-qin KE. Analysis of Hypertension and Its Influencing Factors in Dai and Jingpo Ethnic Groups in Dehong. Journal of Kunming Medical University, 2021, 42(8): 54-59. doi: 10.12259/j.issn.2095-610X.S20210810
[7]	Xin-tian LONG, Jie CHEN, Yong MAO, Xiu-qing WANG, Shuang-yan LU, Hui-jie PU, Jia ZHOU, Cheng-huan SUN, Song-mei WANG, Ai-fang YE. Detection Rate and Determinants of Hypertension among Seniors in Anning City. Journal of Kunming Medical University, 2021, 42(12): 11-16. doi: 10.12259/j.issn.2095-610X.S20211210
[8]	Xiu-qing WANG, Xin-tian LONG, Yong MAO, Jie CHEN, Jia ZHOU, Tian-shu CHU, Song-mei WANG, Cheng-huan SUN, Chun-mi LAI, Qian ZHANG. Prevalence and Determinants of Hypertension in Senior Nu Ethnic Group. Journal of Kunming Medical University, 2021, 42(9): 40-45. doi: 10.12259/j.issn.2095-610X.S20210922
[9]	Zhang Li Qiong , Cai Le , Zhang Hong Qing , Cui Wen Long , Liu Ying Nan , Shen Jing Rong , He Lian Ju . . Journal of Kunming Medical University, 2020, 41(03): 30-34.
[10]	Wang Hua Wei , Meng Zhao Hui , Lu Ya Nan , Huang Zhao , Xu Jun , Chen Li Xing . . Journal of Kunming Medical University, 2020, 41(01): 42-47.
[11]	Dong Ling , Peng Yun Zhu , Huang Cheng , Huang Zhao , Chen Li Xing . Prevalence Rate and Associated Risk Factors of Hypertension in Bai Ethnic Group in Yunnan. Journal of Kunming Medical University, 2018, 39(07): 52-57.
[12]	Zhao Jiang , Zhang Qiang , Tang Qin Lan , Min Xiang Dong , Cai Tong Jian , Liu Zhi Tao . . Journal of Kunming Medical University, 2018, 39(10): 28-32.
[13]	Huang Jing Jing , Yang Sheng Jie , Cui Wen Long , Li Xiao , Ma Zhi Xiang , Wu Chao , Cai Le . The Prevalence, Awareness, Treatment, Control and Self-management of Diabetes among the Elderly in Midu County. Journal of Kunming Medical University, 2018, 39(01): 45-49.
[14]	Fu Zhong Yang , Yi Jing . Clinical Observation of Treatment of Hypertension and Coronary Heart Disease with Amlodipine Atorvastatin Calcium Tablet. Journal of Kunming Medical University, 2017, 38(10): 117-119.
[15]	Pang Xing Mei . . Journal of Kunming Medical University,
[16]	Mao Yong . . Journal of Kunming Medical University,
[17]	Li Hong Fei . . Journal of Kunming Medical University,
[18]	Zhang Li Gang . . Journal of Kunming Medical University,
[19]	Yang Zheng . . Journal of Kunming Medical University,
[20]	Mao Yong . . Journal of Kunming Medical University,