Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
National Health Committee (NHC) Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China.
Front Public Health. 2022 Mar 16;10:757481. doi: 10.3389/fpubh.2022.757481. eCollection 2022.
Some studies found that family doctor contract services (FDCSs) had positive impact on the self-measurement behaviors of hypertension patients. However, evidence concerning the association between FDCSs and blood pressure measurement awareness among hypertension patients is not clear.
This study aims to explore the relationship between FDCSs and blood pressure measurement awareness among the hypertension patients, and examine whether there is a difference in this relationship among middle-aged and aged adults in rural Shandong, China.
A multi-stage stratified random sampling was adopted in 2018 in Shandong Province to conduct a questionnaire survey among the sample residents, in which 982 hypertension patients were included in the study. Pearson chi-square test and logistic regression model were employed using SPSS 24.0 to explore the association between FDCSs and blood pressure measurement awareness.
76.8% of hypertension patients would measure blood pressure regularly. The blood pressure measurement awareness of the signing group was significantly higher than that of the non-signing group when controlling other variables ( < 0.001, = 2.075, 95% 1.391-3.095). The interaction of age and contracting status were significantly correlated with blood pressure measurement awareness ( = 0.042, = 1.747, 95% 1.020-2.992; = 0.019, = 2.060, 95% 1.129-3.759). Factors including gender ( = 0.011, = 0.499, 95% 0.291-0.855), household income ( = 0.031, = 1.764, 95% 1.052-2.956), smoking status ( = 0.002, = 0.439, 95% 0.260-0.739), sports habits ( < 0.001, = 2.338, 95% 1.679-3.257), self-reported health ( = 0.031, = 1.608, 95% 1.043-2.477), distance to the village clinic ( = 0.006, = 1.952, 95% 1.208-3.153) and medications ( < 0.001, = 3.345, 95% 2.282-4.904) were also found to be associated with the blood pressure measurement awareness of hypertension patients.
The government should take efforts to strengthen publicity and education of family doctors and pay more attention to uncontracted, middle-aged, female patients and patients with unhealthy life behaviors to improve the blood pressure measurement awareness.
一些研究发现家庭医生签约服务（FDCS）对高血压患者的自我测量行为有积极影响。然而，关于 FDCS 与高血压患者血压测量意识之间的关联的证据尚不清楚。
本研究旨在探讨 FDCS 与高血压患者血压测量意识之间的关系，并检验在山东省农村地区，中年和老年人群中这种关系是否存在差异。
2018 年，山东省采用多阶段分层随机抽样方法对样本居民进行问卷调查，其中纳入了 982 名高血压患者。采用 SPSS 24.0 中的 Pearson 卡方检验和逻辑回归模型，探讨 FDCS 与血压测量意识之间的关系。
76.8%的高血压患者会定期测量血压。在控制其他变量后，签约组的血压测量意识显著高于未签约组（<0.001，=2.075，95%置信区间 1.391-3.095）。年龄和签约状态的交互作用与血压测量意识显著相关（=0.042，=1.747，95%置信区间 1.020-2.992；=0.019，=2.060，95%置信区间 1.129-3.759）。其他因素包括性别（=0.011，=0.499，95%置信区间 0.291-0.855）、家庭收入（=0.031，=1.764，95%置信区间 1.052-2.956）、吸烟状况（=0.002，=0.439，95%置信区间 0.260-0.739）、运动习惯（<0.001，=2.338，95%置信区间 1.679-3.257）、自我报告健康状况（=0.031，=1.608，95%置信区间 1.043-2.477）、到村诊所的距离（=0.006，=1.952，95%置信区间 1.208-3.153）和用药情况（<0.001，=3.345，95%置信区间 2.282-4.904）也与高血压患者的血压测量意识有关。
政府应努力加强家庭医生的宣传和教育，更加关注未签约、中年、女性患者和生活方式不健康的患者，以提高血压测量意识。
