Abstract P229: Effect of Management of Hypertensive Susceptible Population: A Case-Control Study in Shanghai, China

Abstract

Objective: The management of hypertensive susceptible population was carried out by community family physician in Minhang district since 2011. The management includes health education, blood pressure measurement, and so on.This study was to explore the effect of the management of hypertensive susceptible population under community family physician model. Methods: A computerized database of hypertensive susceptible population enrolled in management of community health service centers in Minhang District,Shanghai from 2011 to 2018 was used. According to whether the management status was transferred to patients with hypertension, the subjects were divided into case group and control group. We compared the time of management, demographic characteristics, lifestyle, family history, and disease history between two groups. Univariate analysis was performed by t test and χ 2 test, and Logistic regression analysis was used for multivariate analysis. Results: A total of 18163 subjects were enrolled, and 3623 cases were transferred to hypertension patients (case group), accounting for 19.9%(3623 of 18163). The average time of management of case group was (25.00±16.84) months, which was lower than that of control group (38.56±18.45) months (P < 0.001). The results of Logistic regression analysis showed that time of management (OR=0.953,95%CI:0.951-0.955) and exercise (OR=0.655,95%CI:0.554-0.775) were the protective factors for hypertension; the history of diabetes (OR=2.920,95%CI:2.472-3.450), the history of coronary heart disease (OR=1.844,95%CI:1.436-2.367), drinking (OR=1.410,95%CI:1.131-1.757), smoking (OR=1.356,95%CI:1.172-1.570), family history of hypertension (OR=1.226,95%CI:1.121-1.342), age (OR=1.043,95%CI:1.040-1.047), BMI (OR=1.023,95%CI:1.014-1.032) and pulse pressure difference (OR=1.015,95%CI:1.010-1.021) were risk factors for hypertension. Conclusions: The management of hypertensive susceptible population under community family physician model can reduce the risk of hypertension and is important for protecting hypertensive susceptible population, after removing the influence of age, BMI, disease history, family history and lifestyle.