Fan Hong, Wang Jianming, Gu Xiaoxu
Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, 101 Longmian Road, Nanjing, 211166, P.R. China; and Corresponding author. Email:
Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, 211166, P.R. China.
Aust J Prim Health. 2019 Apr;25(2):146-151. doi: 10.1071/PY18091.
The purpose of this study was to analyse the association between social determinants and the presence of essential hypertension in type 2 diabetes mellitus patients in one rural county (Jintan) of China. A health survey of Jintan residents was conducted in 2013, applying a cluster sampling method. Three hundred and fifty-seven type 2 diabetes mellitus patients were selected as research subjects. Among the patients selected, essential hypertension prevalence was 45.4% (n=162). After univariate analyses and logistic regression analyses, an association was observed between the presence of essential hypertension in type 2 diabetes mellitus patients and marital status, described as 'others (unmarried, divorce, widower, etc.)', and participating in active physical activity. Both of these two significant variables were positively associated with the higher prevalence of essential hypertension in type 2 diabetes mellitus patients. In conclusion, the patients suffering from type 2 diabetes mellitus combined with essential hypertension often reported an association with more negative social determinants (with the exception of participation in physical activity). Further strengthening the comprehensive multi-disease management to control and reduce the prevalence of essential hypertension in type 2 diabetes mellitus patients is required.
本研究旨在分析中国某农村县（金坛）2型糖尿病患者的社会决定因素与原发性高血压患病情况之间的关联。2013年采用整群抽样方法对金坛居民进行了一项健康调查。选取357例2型糖尿病患者作为研究对象。在所选取的患者中，原发性高血压患病率为45.4%（n = 162）。经过单因素分析和逻辑回归分析，观察到2型糖尿病患者原发性高血压的患病情况与婚姻状况（描述为“其他（未婚、离婚、丧偶等）”）以及参与体育活动之间存在关联。这两个显著变量均与2型糖尿病患者原发性高血压的较高患病率呈正相关。总之，患有2型糖尿病合并原发性高血压的患者常报告与更多负面社会决定因素有关联（参与体育活动除外）。需要进一步加强综合多病种管理，以控制和降低2型糖尿病患者原发性高血压的患病率。
