Family Doctor Contract Services and Awareness of Blood Pressure Measurement Among Hypertension Patients

A Cross-Sectional Study in Rural Shandong, China

Bibliographic Data

ID22079620
AuthorsYan Chen (0000-0003-4119-9688, Shandong University), Chen Yan (0000-0002-2341-8114), Yemin Yuan (0000-0002-2724-9522, Shandong University), Dan Zhao (0000-0002-1218-9280, Shandong University), Jie Li (0000-0002-5131-4769, Shandong University), Peipei Fu (0000-0003-2997-5816, Shandong University), Zhixian Li (0000-0002-6721-536X, Shandong University), Shijun Yang (0009-0004-4031-2364, Shandong University), Wenjuan Li (0009-0005-8115-2771, Shandong University), Zhen Gui (0000-0002-5291-8396, Shandong University), Xiuqing Peng (Shandong Provincial Hospital, corresponding author), Chengchao Zhou (0000-0002-9364-3579, Shandong University, corresponding author)
Year2022
Volume10
Pages757481-757481
Publication date2022-03-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.757481
PMID35372224
OpenAlexW4220704063
LanguageEN
Citations received5
References cited30

Background 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. Objective 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. Methods 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. Results 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 ( P < 0.001, OR = 2.075, 95% CI 1.391–3.095). The interaction of age and contracting status were significantly correlated with blood pressure measurement awareness ( P = 0.042, OR = 1.747, 95% CI 1.020–2.992; P = 0.019, OR = 2.060, 95% CI 1.129–3.759). Factors including gender ( P = 0.011, OR = 0.499, 95% CI 0.291–0.855), household income ( P = 0.031, OR = 1.764, 95% CI 1.052–2.956), smoking status ( P = 0.002, OR = 0.439, 95% CI 0.260–0.739), sports habits ( P < 0.001, OR = 2.338, 95% CI 1.679–3.257), self-reported health ( P = 0.031, OR = 1.608, 95% CI 1.043–2.477), distance to the village clinic ( P = 0.006, OR = 1.952, 95% CI 1.208–3.153) and medications ( P < 0.001, OR = 3.345, 95% CI 2.282–4.904) were also found to be associated with the blood pressure measurement awareness of hypertension patients. Conclusion 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

Blood pressure · Chi-square test · China · Cross-sectional study · Environmental health · Logistic regression · Pathology · Stratified sampling · Blood Pressure and Hypertension Studies · Demography · Health Promotion and Cardiovascular Prevention · Healthcare Systems and Reforms · Medicine · Internal Medicine

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