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澳大利亚农村队列人群中的高血压状况及其与自评健康和寻求全科医生医疗服务的关联

Hypertension Status and Associations with Self-Rated Health and General Practitioner Health Seeking in a Rural Australian Cohort.

作者信息

Gavino Alex I, Isaac Vivian, McLachlan Craig S

机构信息

Rural Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia.

Flinders Rural Health South Australia, Flinders University, Renmark, SA 5341, Australia.

出版信息

J Cardiovasc Dev Dis. 2018 Nov 6;5(4):53. doi: 10.3390/jcdd5040053.

Abstract

Hypertension is the most frequently managed condition by Australian general practitioners (GP). Knowledge of hypertension and blood pressure (BP) values may motivate individuals to seek GP management. Our study aims to determine the associations of knowledge of BP values, BP perception, GP health seeking, and self-rated health (SRH) in a rural population. Two-hundred and seventy-eight (278) residents responded to the health survey on socio-demographic profile, medical history, BP knowledge and perception, SRH, and GP visit frequency. Associations were evaluated using Chi-squared test and multivariate logistic regression. Cohort mean age was 63.6 (12.4) years with 63.3% females. Hypertension (37.8%) was the most common condition. GP visits were made at least once every month (19.1%), every 2⁻6 months (35.6%), >6 months (11.5%), or only when needed (29.5%). Univariate analyses showed age, education, alcohol consumption, comorbidities, hypertension status, and SRH were significantly associated with visit frequency. After adjustments, hypertension status (OR = 3.6, 95% CI [1.7, 7.9]) and poor SRH (OR = 3.1, 95% CI [1.4, 7.0]) were significantly associated with frequent monthly visits. Our cohort demonstrated that having hypertension and poor self-rated health were associated with frequent monthly GP visits. The perception of high blood pressure does not drive seeking additional GP input.

摘要

高血压是澳大利亚全科医生(GP)最常处理的病症。了解高血压和血压(BP)值可能会促使个人寻求全科医生的治疗。我们的研究旨在确定农村人口中血压值知识、血压认知、寻求全科医生治疗以及自评健康(SRH)之间的关联。278名居民对关于社会人口统计学特征、病史、血压知识与认知、自评健康以及看全科医生频率的健康调查做出了回应。使用卡方检验和多变量逻辑回归评估关联。队列平均年龄为63.6(12.4)岁,女性占63.3%。高血压(37.8%)是最常见的病症。看全科医生的频率为每月至少一次(19.1%)、每2至6个月一次(35.6%)、超过6个月一次(11.5%)或仅在需要时(29.5%)。单变量分析显示年龄、教育程度、饮酒、合并症、高血压状况和自评健康与就诊频率显著相关。经过调整后,高血压状况(OR = 3.6,95% CI [1.7, 7.9])和自评健康状况差(OR = 3.1,95% CI [1.4, 7.0])与每月频繁就诊显著相关。我们的队列表明,患有高血压和自评健康状况差与每月频繁看全科医生有关。对高血压的认知并不会促使人们寻求更多的全科医生建议。

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