Department of Pharmacoeconomics and Social Pharmacy, Poznan University of Medical Sciences, Poznan, Poland.
Arch Med Sci. 2013 Apr 20;9(2):218-29. doi: 10.5114/aoms.2013.34419. Epub 2013 Apr 9.
Primary and secondary prevention of hypertension is difficult and if the condition is not treated it may cause a number of dangerous complications. The objective of this study was to collect and systematize data on the health-related behaviours of Poles aiming at the prevention of hypertension in order to determine potential areas where primary health care could be improved.
A group of 1018 participated in the study (60% women and 40% men). The study was conducted in Poland in 2009 by means of an anonymous research questionnaire developed for survey use. The study involved people aged 30-50 years, who had not been diagnosed with hypertension, and who were under the care of a primary care physician.
Over 35% of respondents in the potential risk group do not measure blood pressure at all, and just over 10% perform cholesterol and blood glucose level tests more often than once a year. Individuals who pay most attention to prevention in the form of physical activity are women, more often young (67% of people under 35), unmarried (52%), mostly with secondary or higher education. Moreover, one third of the women surveyed (32.4%) and almost half of men (48.4%) stated that they smoke cigarettes, and in most men (66.3%) the amount of alcohol taken in one serving exceeded the pressor threshold (> 20 g).
Desirable health-promoting actions such as stress reduction are effective but actions such as consuming alcohol and eating fats are unsatisfactory and require intensive public education.
原发性和继发性高血压的预防难度大,如果不加治疗,可能会导致多种危险的并发症。本研究的目的是收集和系统整理有关波兰人健康行为的数据,以预防高血压,从而确定初级卫生保健可以改进的潜在领域。
共有 1018 人参与了这项研究(60%为女性,40%为男性)。该研究于 2009 年在波兰进行,采用了为调查设计的匿名研究问卷。研究对象为年龄在 30-50 岁之间、未被诊断患有高血压且正在接受初级保健医生治疗的人群。
在潜在风险组中,超过 35%的受访者根本不测量血压,只有略多于 10%的人每年进行胆固醇和血糖水平测试超过一次。以体育活动形式最注重预防的是女性,更多的是年轻人(35 岁以下的占 67%)、未婚(52%),大多数人接受过中等或高等教育。此外,三分之一的女性(32.4%)和近一半的男性(48.4%)表示他们吸烟,在大多数男性(66.3%)中,单次饮酒量超过升压阈值(>20 克)。
减轻压力等理想的促进健康的行为是有效的,但饮酒和摄入脂肪等行为则不尽如人意,需要进行密集的公众教育。