Portsmouth Brawijaya Center for Global Health, Population and Policy & Department of Public Administration, Universitas Brawijaya, Malang, Indonesia.
Division of Nursing, Midwifery, & Social Work, University of Manchester, Manchester, United Kingdom.
PLoS One. 2020 Dec 28;15(12):e0244333. doi: 10.1371/journal.pone.0244333. eCollection 2020.
Little attention has been paid to whether CBHIs improve awareness, treatment and control of hypertension in the contexts of low- and middle- income countries (LMICs). This study therefore aims to examine participation in CBHIs for non-communicable diseases (NCDs) and its association with awareness, treatment, and control of hypertension among Indonesians.
This study used data from the 2014 Indonesia Family Life Survey (IFLS), drawn from 30,351 respondents aged 18 years and older. Participation in CBHIs was measured by respondents' participation in CBHIs for NCDs (Posbindu PTM and Posbindu Lansia) during the 12 months prior to the survey. Logistic regressions were used to identify the relationships between participation in CBHIs for NCDs and awareness, treatment, and control of blood pressure among respondents with hypertension.
The age-adjusted prevalence of hypertension was 31.2% and 29.2% in urban and rural areas, respectively. The overall age-adjusted prevalence was 30.2%. Approximately 41.8% of respondents with hypertension were aware of their condition, and only 6.6% of respondents were receiving treatment. Participation in CBHIs for NCDs was associated with 50% higher odds of being aware and 118% higher odds of receiving treatment among adults with hypertension. There was no significant association between participation in CBHIs for NCDs and controlled hypertension.
Our data emphasise the importance of CBHIs for NCDs to improve the awareness and treatment of hypertension in the Indonesian population.
在中低收入国家（LMICs），人们很少关注 CBHIs 是否能提高对高血压的认识、治疗和控制。因此，本研究旨在考察印度尼西亚人参与非传染性疾病（NCDs）的 CBHIs 情况及其与高血压的知晓率、治疗率和控制率的关系。
本研究使用了 2014 年印度尼西亚家庭生活调查（IFLS）的数据，该调查覆盖了 30351 名年龄在 18 岁及以上的受访者。通过受访者在调查前 12 个月内参与 NCDs 的 CBHIs（Posbindu PTM 和 Posbindu Lansia）来衡量其参与情况。使用逻辑回归来确定 NCDs 的 CBHIs 参与与高血压患者的血压知晓率、治疗率和控制率之间的关系。
调整年龄后，城市和农村地区高血压的患病率分别为 31.2%和 29.2%，总体调整年龄后的患病率为 30.2%。大约 41.8%的高血压患者知晓自己的病情，只有 6.6%的患者接受治疗。参与 NCDs 的 CBHIs 与高血压成人知晓率提高 50%和治疗率提高 118%有关。参与 NCDs 的 CBHIs 与高血压控制率之间没有显著关联。
我们的数据强调了 NCDs 的 CBHIs 对提高印度尼西亚人群对高血压的认识和治疗的重要性。
