AUTHOR=Yan Chen , Yuan Yemin , Zhao Dan , Li Jie , Fu Peipei , Chen Yan , Li Jie , Li Zhixian , Yang Shijun , Li Wenjuan , Gui Zhen , Peng Xiuqing , Zhou Chengchao 

TITLE=Family Doctor Contract Services and Awareness of Blood Pressure Measurement Among Hypertension Patients: A Cross-Sectional Study in Rural Shandong, China

JOURNAL=Frontiers in Public Health

VOLUME=10

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.757481

DOI=10.3389/fpubh.2022.757481

ISSN=2296-2565

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