Evalution Of The Effect Of Health Education Intervention On Knowledge, Attitudes, Behaviors About Hypertension And Dyslipidemia Of XinJiang Uygur And Kazak

Objective:1.To understand the status quo of hypertension and dyslipidemia KAB(knowledge, attitude and behavior)levels in the rural areas of Xinjiang Uygur and Kazak population.2.To evaluate the effect of health education intervention about hypertension and dyslipidemia in the ruralareas of Xinjiang Uygur and Kazak population.Methods:1. According to the cluster random samplings to extract the Uygur residents from the twelve nature villagesof Jiangbazi township and extract the Kazak residents from the six nature villages of Nalati township agedover18years old in2009, the villages were randomly divided into intervention group villages and controlgroup villages, three years, health education intervention activities were conducted for the interventionvillages, the control group did not take any health education intervention activities,and carried out theending survey in2012.2.Using the way of household survey to collect information related to the questionnaire, physicalexamination and blood specimen.3.All statistical analyses were performed using the SPSS20.0statistical software. Normal distribution datawas as (x±s),the measurement data between the two groups were compared with t test; count data wasdescribed by rate and Percentage, the comparison between the two groups using chi-square test.Results:1.The level of hypertension in the crowd before and after the intervention: For Uygur population, theaverage levels of systolic and diastolic blood pressure in the intervention group compared with the controlgroup before and after the intervention had no statistical significance (P>0.05); For Kazak population,after the intervention the systolic pressure of the intervention group decreased by2.84mmHg (t=-3.13,P<0.01), the diastolic blood pressure had no statistical significance (P>0.05), the systolic and diastolicblood pressure levels of the control group were no statistical significance before and after intervention (P>0.05).2. The level of dyslipidemia in the crowd before and after the intervention: For Uygur population, theaverage levels of TC and TG in the intervention group、the average levels of TC、TG and LDL-C in thecontrol group before and after the intervention had no statistical significance (P>0.05), after intervention,the levels of HDL-C、LDL-C in the intervention group、the average level of HDL-C in the control groupwere better than the pre-intervention（P<0.05）; For Kazak population,after the intervention,the averagelevels of TC,TG, LDL-C and HDL-C in the intervention group were all better than the pre-intervention（P<0.01）, the average levels of TC,TG, LDL-C and HDL-C in the control group compared with thepre-intervention were no statistical significance (P>0.05).3. The hypertension KAB levels and scores before and after intervention: For the Uygur population, beforethe intervention, the average level of12hypertension related knowledge,seven hypertension related attitude belief formation rate and seven hypertension related behavior formation rate among the intervention groupwere1.3%,2.0%and1.2%,among the control group which were1.5%,1.8%,and1.4%respectively; aftercarried out the interventions, among the intervention group which24.9%,30.3%,5.6%,among the controlgroup which were3.7%,6.5%and2.3%respectively, and after the intervention,the intervention group andcontrol group of hypertension knowledge, attitude, behavior and KAB total score were higher than that ofbefore the intervention (P <0.01); For the Kazak r population, before the intervention, the average level of12hypertension related knowledge, seven hypertension related attitude belief formation rate and sevenhypertension related behavior formation rate among the intervention group were8.1%,12.4%and5.9%,among the control group which were8.7%,11.5%,and6.1%respectively; after carried out theinterventions, among the intervention group which23.7%,29.9%,11.3%,among the control group whichwere9.6%,13.7%and9.9%respectively, and after the intervention,the intervention group of hypertensionknowledge, attitude, behavior and KAB total score were higher than that of before the intervention (P <0.01), for the control group in addition to the knowledge score before and after the intervention compareddifferences of no statistical significance (P>0.05), the others were higher than before (P <0.05).4. The dyslipidemia KAB levels and scores before and after intervention: For the Uygur population, beforethe intervention, the average level of12dyslipidemia related knowledge,seven dyslipidemia related attitudebelief formation rate and seven dyslipidemia related behavior formation rate among the intervention groupwere1.3%,2.5%and0.9%,among the control group which were1.4%,2.7%,and1.0%respectively; aftercarried out the interventions, among the intervention group which15.4%,27.9%,4.9%,among the controlgroup which were4.5%,6.8%and2.3%respectively, and after the intervention,the intervention group andcontrol group of dyslipidemia knowledge, attitude, behavior and KAB total score were higher than that ofbefore the intervention (P <0.01); For the Kazak r population, before the intervention, the average level of12dyslipidemia related knowledge, seven dyslipidemia related attitude belief formation rate and sevendyslipidemia related behavior formation rate among the intervention group were6.9%,5.6%and4.0%,among the control group which were6.7%,6.0%,and4.1%respectively; after carried out theinterventions, among the intervention group which24.2%,27.6%,10.6%,among the control group whichwere9.1%,8.5%and7.3%respectively, and after the intervention,the intervention group and controlgroup of dyslipidemia knowledge, attitude, behavior and KAB total score were higher than that of beforethe intervention (P <0.01).Conclusions:1.The levels of hypertension and dyslipidemia knowledge, attitude and behaviors are verylow in the rural of Xinjiang Uygur and Kazak population.2.Sustained and effective hypertension and dyslipidemia health education can improve the levels of thehypertension and dyslipidemia knowledge, attitude and behaviors.