Guan Ming
Family Issues Center, Xuchang University, Road Bayi 88, Xuchang, Henan, China.
School of Business, Xuchang University, Road Bayi 88, Xuchang, Henan, China.
Int J Hypertens. 2018 May 29;2018:5231048. doi: 10.1155/2018/5231048. eCollection 2018.
Hypertension is a major risk factor for heart disease and stroke. Affordability of medical care affects hypertension prevention, treatment, and control, but limited information is available for Chinese migrants with hypertensive state. Using Longitudinal Survey on Rural Urban Migration in China 2009 data, 2468 Chinese migrants reported hypertensive status. On the basis of comparison between medical payment and job income, participants were categorized as unaffordable and affordable. Thus, unaffordable expenses and unaffordable services were defined based on a public available survey. The descriptive statistics showed that 24.96% were at risk of prehypertension and mild-moderate-severe hypertension among 2468 Chinese migrants from 15 cities. Small part of the sample was not affordable to pay medical expenses and services. There were significant differences of hypertensive states between gender, marital status, regular smoker, and economic unaffordability. Multiple logistic regressions indicated that economic unaffordability had associations with abnormal weight, poor health assessment, and unhealthy hypertensive status. The alarming results may necessitate targeted interventions, even among people with good health status.
高血压是心脏病和中风的主要风险因素。医疗保健的可负担性会影响高血压的预防、治疗和控制，但有关处于高血压状态的中国移民的信息有限。利用2009年中国农村-城市移民纵向调查数据，2468名中国移民报告了高血压状况。根据医疗支付与工作收入的比较，参与者被分为负担不起和负担得起两类。因此，基于一项公开可用的调查定义了负担不起的费用和负担不起的服务。描述性统计显示，来自15个城市的2468名中国移民中，24.96%有患高血压前期以及轻度-中度-重度高血压的风险。样本中有一小部分人支付不起医疗费用和服务。高血压状态在性别、婚姻状况、经常吸烟者和经济负担不起之间存在显著差异。多元逻辑回归表明，经济负担不起与体重异常、健康评估不佳和不健康的高血压状态有关。这些令人担忧的结果可能需要采取有针对性的干预措施，即使是在健康状况良好的人群中。
