科研之友
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摘要
Background: The mortality caused by hypertension has increased year by year with gender differences in recent years. It is of great significance to study the gender differences in health-seeking behaviors of patients with essential hypertension. Objective: To explore the influencing factors of health-seeking behaviors among elderly patients with essential hypertension of different genders, so as to provide a theoretical basis for more effective control of community hypertension and improving patients' quality of life. Methods: From May to August 2016, 367 patients with essential hypertension aged≥60 in Nangang District and Daoli District of Harbin were selected by multi-stage sampling method for questionnaire survey. The questionnaire included general information, health-related cognition and health-seeking behaviors of patients. The differences of health-seeking behaviors and other variables among the elderly patients with essential hypertension of different genders were compared, and Logistic regression was used to analyze the influencing factors of health-seeking behaviors. Results: A total of 343(93.5%) valid questionnaires were collected. 183(84.7%) female and 94(74.0%)male elderly patients with essential hypertension had health-seeking behaviors, and the incidence of health-seeking behaviors among female elderly patients with hypertension was higher than that of male elderly patients with hypertension(χ2=5.900, P=0.015). And 322(93.9%) cases paid their attention to health conditions;more than 70% of cases had a correct understanding of hypertension, while they had low cognitive accuracy associated with hypertension drugs.The monthly income, physical examination behavior, health concern, and whether the cognition of "coronary heart disease could caused by poor blood pressure control" and "taking medicine when blood pressure is high, and stopping medication when blood pressure is normal" were correct were influencing factors of health-seeking behaviors of male elderly patients with essential hypertension(P<0.05). The education level and whether the cognition of "hypertension can not be completely cured" were correct were influencing factors of health-seeking behaviors of female elderly patients with essential hypertension(P<0.05). Conclusion: There are gender differences in the sensitive factors of the formation of health-seeking behaviors among urban elderly patients with essential hypertension.Targeted interventions for health-seeking behaviors should be conducted according to sensitive targets of different genders.
