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| Self-monitoring blood pressure behavior and its influencing factors among residents in Jiangsu Province |
| MIAO Caiyun1, QIN Yu2, WAN Yanan2, CHEN Lulu2, CUI Lan2, WANG Xiaoli2
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1. Huai'an District Center for Disease Control and Prevention (Huai'an District Health Supervision Institute), Huai'an, Jiangsu 223200, China;
2. Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu 210009, China |
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Abstract Objective To investigate the self-monitoring blood pressure behavior and its influencing factors among residents in Jiangsu Province, so as to provide the basis for strengthening proactive blood pressure monitoring among residents. Methods Permanent residents aged 35-75 years in six counties (cities, districts), Jiangsu Province, were selected using the stratified cluster sampling method in 2023. Data on basic information, disease history, and self-monitoring blood pressure behavior were collected, height and weight were measured to calculate the body mass index (BMI); and blood glucose and lipid levels were measured. Self-monitoring blood pressure behavior was defined as having measured blood pressure at least once in the past three months. Factors affecting self-monitoring blood pressure behavior were identified using a multivariable logistic regression model. Results A total of 12 475 residents were surveyed, including 5 748 males and 6 727 females, with a male-to-female ratio of 1∶1.17. There were 3 855 residents aged 45-<55 years (30.90%) and 5 511 residents who had self-monitoring blood pressure behaviors (44.18%). Multivariable logistic regression analysis showed that the residents who were males (OR=1.167, 95%CI: 1.081-1.261), lived in rural areas (OR=1.430, 95%CI: 1.321-1.547), aged 45-75 years (45-<55 years, OR=1.384, 95%CI: 1.241-1.543; 55-<65 years, OR=1.397, 95%CI: 1.243-1.570; 65-75 years, OR=1.196, 95%CI: 1.049-1.363), had an annual household income ≥30 000 yuan (30 000-<60 000 yuan, OR=1.190, 95%CI: 1.072-1.321; 60 000-<110 000 yuan, OR=1.330, 95%CI: 1.191-1.485; ≥110 000 yuan, OR=1.746, 95%CI: 1.536-1.984), were overweight (OR=1.170, 95%CI: 1.070-1.280) or obese (OR=1.248, 95%CI: 1.120-1.391), were unaware (OR=1.221, 95%CI: 1.103-1.353) or aware (OR=3.937, 95%CI: 3.575-4.335) of having hypertension, were aware of having diabetes (OR=1.538, 95%CI: 1.354-1.749), and aware of having dyslipidemia (OR=1.265, 95%CI: 1.106-1.447) were more likely to have self-monitoring blood pressure behaviors. Conclusions Among the residents aged 35-75 years in Jiangsu Province, 44.18% had self-monitoring blood pressure behavior. Gender, place of residence, age, annual household income, BMI, hypertension, diabetes, and dyslipidemia were identified as influencing factors for self-monitoring blood pressure behavior.
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Received: 30 October 2024
Revised: 27 January 2025
Published: 17 March 2025
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[1] LIU J,BU X,WEI L Y,et al.Global burden of cardiovascular diseases attributable to hypertension in young adults from 1990 to 2019[J].J Hypertens,2021,39(12):2488-2496.
[2] 张梅,吴静,张笑,等.2018年中国成年居民高血压患病与控制状况研究[J].中华流行病学杂志,2021,42(10):1780-1789.
ZHANG M,WU J,ZHANG X,et al.Prevalence and control of hypertension in adults in China,2018[J].Chin J Epidemiol,2021,42(10):1780-1789.(in Chinese)
[3] 范琦淇,陈慈玉,孙晓宁,等.高血压患者家庭血压监测调查[J].预防医学,2023,35(11):948-952.
FAN Q Q,CHEN C Y,SUN X N,et al.Investigation on home blood pressure monitoring among hypertensive patients[J].China Prev Med J,2023,35(11):948-952.(in Chinese)
[4] ZHANG M,SHI Y,ZHOU B,et al.Prevalence,awareness,treatment,and control of hypertension in China,2004-18:findings from six rounds of a national survey[J/OL].BMJ,2023,380[2025-01-27].https://doi.org/10.1136/bmj-2022-071952.
[5] 吴洵,苏健,杜文聪,等.江苏省中老年人群高血压、糖尿病和血脂异常共病现况及影响因素研究[J].中华流行病学杂志,2024,45(8):1134-1142.
WU X,SU J,DU W C,et al.Study on the comorbidity status and influencing factors of hypertension,diabetes,and dyslipidemia among middle-aged and older people in Jiangsu Province[J].Chin J Epidemiol,2024,45(8):1134-1142.(in Chinese)
[6] 毕海涛,苏健,陈路路,等.江苏省35~75岁居民高血压患病、血压控制情况及相关因素分析[J].中华流行病学杂志,2024,45(7):947-954.
BI H T,SU J,CHEN L L,et al.Prevalence of hypertension,blood pressure control and influencing factors in residents aged 35-75 years in Jiangsu Province[J].Chin J Epidemiol,2024,45(7):947-954.(in Chinese)
[7] 中国医师协会高血压专业委员会,中国高血压联盟,中华医学会心血管病学分会.家庭血压监测中国专家共识[J].中华高血压杂志,2012,20(6):525-529.
Chinese Hypertension Committee of the Chinese Medical Doctors Association,Chinese Hypertension League,Chinese Society of Cardiology of the Chinese Medical Association.Home blood pressure monitoring:a consensus document of China[J].Chin J Hypertens,2012,20(6):525-529.(in Chinese)
[8] 王增武,王文.中国高血压防治指南(2018年修订版)解读[J].中国心血管病研究,2019,17(3):193-197.
WANG Z W,WANG W.Interpretation of Chinese guidelines for the management of hypertension(2018 revised edition)[J].Chin J Cardiovasc Res,2019,17(3):193-197.(in Chinese)
[9] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)(下)[J].中国实用内科杂志,2021,41(9):757-784.
Diabetes Branch of Chinese Medical Association.Guidelines for the prevention and treatment of type 2 diabetes in China(2020 edition)(part 2)[J].Chin J Pract Intern Med,2021,41(9):757-784.(in Chinese)
[10] 中国血脂管理指南修订联合专家委员会.中国血脂管理指南(2023年)[J].中国循环杂志,2023,38(3):237-271.
Joint Committee on the Chinese Guidelines for Lipid Management.Chinese guidelines for lipid management(2023)[J].Chin Circ J,2023,38(3):237-271.(in Chinese)
[11] 《中国成人超重和肥胖预防控制指南》修订委员会.中国成人超重和肥胖预防控制指南2021[M].北京:人民卫生出版社,2021.
Committee on the Revision of the Chinese Guidelines for the Prevention and Control of Overweight and Obesity in Adults.Guidelines for the prevention and control of overweight and obesity in Chinese adults(2021)[M].Beijing:People's Medical Publishing House,2021.(in Chinese)
[12] “三高”共管规范化诊疗中国专家共识(2023版)专家组.“三高”共管规范化诊疗中国专家共识(2023版)[J/OL].中华心血管病杂志(网络版),2023,6[2025-01-27].http://www.cvjc.org.cn/index.php/Column/columncon/article_id/322.DOI:10.3760/cma.j.cn116031.2023.1000144.
Expert Group for the Chinese Expert Consensus on Standardized Diagnosis and Treatment of "Three Highs" Management(2023 edition).Chinese expert consensus on standardized diagnosis and treatment of "three highs" management(2023 edition)[J/OL].Chin J Cardiol(Online Edition),2023,6[2025-01-27].http://www.cvjc.org.cn/index.php/Column/columncon/article_id/322.DOI:10.3760/cma.j.cn116031.2023.1000144.(in Chinese)
[13] 张晓畅,李园,王静雷,等.全民健康生活方式行动全国健康小屋分布和使用现状调查[J].中国慢性病预防与控制,2017,25(5):321-324.
ZHANG X C,LI Y,WANG J L,et al.The distribution and utilization of "China Healthy Lifestyle for All" health huts in China[J].Chin J Prev Contr Chron Dis,2017,25(5):321-324.(in Chinese)
[14] 郑帅印,李富业,谢尔瓦妮古丽·阿卜力米提,等.克拉玛依市35~75岁体检人群高血压、糖尿病、血脂异常调查[J].预防医学,2022,34(3):232-239.
ZHENG S Y,LI F Y,ABULIMITI X,et al.Prevalence of hypertension,diabetes and dyslipidemia among physical examination populations at ages of 35 to 75 years in Karamay City[J].China Prev Med J,2022,34(3):232-239.(in Chinese)
[15] 罗云梅,曾智,何文博,等.中国成人高血压发病的地域和城乡差异:基于CHNS纵向动态队列的研究[J].中国循证医学杂志,2024,24(4):414-422.
LUO Y M,ZENG Z,HE W B,et al.Study on regional and urban-rural disparities in the hypertension incidence of Chinese adults:based on longitudinal dynamic cohort of CHNS[J].Chin J Evid-Based Med,2024,24(4):414-422.(in Chinese) |
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