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[目的]了解河南省城市社区慢病综合防治试点经过5年的社区综合干预之后,该社区人群血压水平以及高血压相关知信行状况的改善情况,评价社区综合干预效果。[方法]在干预前、后采用分层多阶段抽样方法随机抽取该社区15～69岁常住居民进行3次入户调查,对该人群的血压水平、高血压患病率、行为危险因素以及高血压相关知信行状况进行调查研究。[结果]经协方差分析,在消除年龄因素的影响后,不同年度的收缩压水平差异有统计学意义(F=9.44,P﹤0.05);经Cochran-Armitage趋势检验,吸烟率、饮酒率、被动吸烟率有了明显下降(均有P﹤0.05);体育锻炼率有了明显提高(P﹤0.05);高血压相关知信行状况有了明显改善;建立Logistic回归模型,性别、年龄、不良婚姻、被动吸烟以及职业是影响这一目标人群血压异常的重要危险因素。[结论]该社区人群的健康状况以及高血压相关知信行状况有所改善,针对该群体的高血压综合干预措施是切实可行且已初显成效的。
[Objective] To understand the improvement of community-based comprehensive prevention and treatment of chronic community-based prevention and control in urban community in Henan Province after five years of comprehensive community intervention and the improvement of community blood pressure and hypertension-related knowledge and credit behavior in community. [Methods] Before and after the intervention, stratified multi-stage sampling method was used to randomly select the residents from 15 to 69 years old in the community for 3 times of household survey. The blood pressure level, the prevalence of hypertension, the risk factors of behavior and the risk factors Blood pressure related to the status of knowledge and conduct research. [Results] According to the analysis of covariance, after the influence of age was eliminated, the difference of systolic blood pressure in different years was statistically significant (F = 9.44, P <0.05). The Cochran-Armitage trend test showed that the smoking rate, drinking rate, Passive smoking rates decreased significantly (P <0.05), physical exercise rates increased significantly (P <0.05), hypertension related to knowledge and behavior has been significantly improved; established Logistic regression model, gender, age, bad marriage , Passive smoking and occupations are important risk factors affecting abnormal blood pressure in this target population. [Conclusion] The health status of people in this community and the status of knowledge-related hypertension have been improved. The comprehensive hypertension-related interventions for this group are feasible and have achieved initial success.