The Effects Of Health Education Intervention On Hypertension In Occupational Population Of Anhui Province

Objective To investigate the current status and risk factors for hypertension in the occupational population in Anhui Province. Health education, promotion and reinforcement intervention for hypertension patients were carried out in order to change the lifestyle,lower the blood pressure(BP) level,increase the rates of awareness, treatment and control. This study is aimed to exploring an effective mode on comprehensive intervention in the area.Methods Totally, 3997 staff from 81 enterprises and public institutions of Anhui were included using cluster sampling. Both the questionnaire survey on personal history, life style and BP, height, weight, blood glucose, lipid were collected. Five hundred and ninety-nine hypertensive cases from 41 enterprise and public institutions were screened as intervention group, and 546 hypertensive cases from another 40 enterprise and public institutions were screened as control group. Regular education and intervention were followed up for 2 year by telephone and mobile information platform for intervention group. The date was managed and inputted by Epidata3.0. All statistics were analyzed via the SPSS16.0.Results 1. The prevalence rate of hypertension in occupational population of Anhui was 28.6%, increased with age. The prevalence rate of the male was significant higher than the female (P<0.05). The percentages of awareness, medication taken and control of hypertension were 58.3%, 32.5% and 14.5% respectively and all increased with age.The percentages of Periodicity of BP measurement in all population and hypertension patients were 27.3% and 41.9% respectively and both increased with age. The percentage of the hypertension patients was significant higher than the all population (P<0.05). 62.3% of the patients took only one hypertensive drug, 25.8% took short-acting compound preparation, and only 11.9% used combination therapy. Calcium antagonists (53.8%) and compound preparation (27.7%) were common used, whereasβ-blockers (4.0%) and diuretics (1.8%) less used. 2. The risk factors for hypertension were age (OR=1.032, 95%CI: 1.024~1.040), male (OR=2.571, 95%CI: 2.027~3.103), salty taste (OR=1.667, 95%CI: 1.372~1.998), animal oil (OR=1.645, 95%CI: 1.278~2.085) and drinking (OR=2.514, 95%CI: 2.072~3.046). 3. After two-year health education intervention, the awareness rate, treatment rate and control rate of intervention group were increased to 92.5%, 62.5%, 43.0%, respectively. The mean BP, total cholesterol, triglyceride (TG) and fasting plasma glucose (FPG) of the group were decreased significantly. The rate of salty taste, animal oil, smoking and drinking was decreased, while physical activity was increased.Conclusion In Anhui province, the prevalence of hypertension among staff is relatively higher, however, the rates of medication and control are low. There is a certain gap between their medicine usage and the claims of The Hypertension Management Guidelines. Health education intervention by telephone and mobile information platform effectively reduced the curve of the BP, while increased the awareness, medication taken and control rate of hypertension, and improved the lifestyle.