Hypertension Prevalence Factors Of Changchun Residents And Demand For Health Service In Town And Rural Area

[Abstract]Investigating the prevalence of hypertension in Changchun, comparing difference of correlation factors between rural area and city and between hypertension population and non-hypertension population, as well as analyzing the basic information of hypertension knowledge, health protection and sanitation requirement among each population, will lay the foundation for enacting prevention and treatment strategy, health service of community and rural area. By selecting Chaoyang borough and Jiutai city as investigating sites, adopting stratified random cluster sampling method of multiphase, questionnaire investigation and physical check-up were carried out in residents who was above 15 years old or had inhabited for above 5 years. 2230 residents (1264 townsmen, 966 countrymen, 1105 male, 1125 female) were investigated. Prevalence rate was 22.91% in the investigation (27.61% in town residents and 16.77% in rural residents ), anamnesis rate was 6.01% (8.7% in town residents and 2.48% in rural residents), witting rate was 26.22% (31.52% in town residents and 26.22% in rural residents), and control rate was 18.66%. Based on above data, there was higher rate in prevalence, and lower rate in witting and control. Prevalence rate, anamnesis rate, witting rate, and control rate in town residents were higher than those in rural residents. Along with age increase, prevalence rate was shown increasing trend significantly. It is common that witting rate was lower, and it is urgent that people need health care knowledge and health service. In the patients who were diagnosed newly, low-grade hypertension accounted for 61.74%. Multifactor linear regression analysis showed that there was difference between town residents and rural residents. Age, obese or fat, and marriage were the main influence factors in town residents. Age, obese or fat, and income were the main influence factors in rural residents. Constitution index was not only common influence factor but also controllable factors.Prevalence rate, anamnesis rate, and control rate in town residents were higher than those in rural residents. Education extent and witting rate of health knowledge in town residents were significantly higher than those in rural residents. Moreover, Health service and medical burden in town residents were better than those in rural residents. Furthermore, health consciousness in town residents was significantly higher than those in rural residents.Consequently, prevention and treatment strategy of hypertension should be adjusted in our city in time. Adopting multiple methods, focusing on prevention of hypertension, establishing prevention of chronic disease, and enhancing to train medical workers, the lagged status in rural area should be changed especially, in order to improve cognition for hypertension and decrease the prevalence rate of chronic diseases effectively.