Influencing factors of stroke complicated with hypertension and its compliance with antihypertensive drugs
10.3969/j.issn.1006-2483.2026.03.020
- VernacularTitle:脑卒中合并高血压的影响因素及其对降压药的依从性
- Author:
Mei LI
1
;
Xiaoli LIU
1
;
Fan ZHANG
1
;
Fujuan YUE
1
;
Tiantian GUO
1
;
Xiuli NIU
1
;
Jixin SUN
1
;
Dongsheng JIANG
1
Author Information
1. Department of Chronic Non-communicable Diseases Prevention and Control, Hebei Provincial Center for Disease Control and Prevention, Shijiazhuang, Hebei 050021, China
- Publication Type:Journal Article
- Keywords:
Hypertension;
Stroke;
Secondary Prevention
- From:
Journal of Public Health and Preventive Medicine
2026;37(3):94-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors of stroke patients with hypertension and their compliance with antihypertensive drugs, and to provide targeted intervention measures for stroke prevention in hypertensive patients. Methods Using the method of multi-stage cluster sampling, a total of 59,434 permanent residents aged 40 and above were selected from 48 monitoring sites in 9 cities of Hebei Province from December 2019 to December 2020. Unconditional logistic regression analysis was used to explore the influencing factors of stroke complicated with hypertension and the compliance of patients with antihypertensive drugs. Results Among the 59 434 subjects, the prevalence rate of stroke was 4.33% and the prevalence rate of stroke complicated with hypertension was 82.47%. The results of univariate analysis showed that the proportion of women, rural areas, dyslipidemia, diabetes, obesity, and people with family history of stroke was higher in stroke patients with hypertension, and the difference was statistically significant (P<0.05). Multivariate logistic regression analysis showed that rural areas, dyslipidemia, diabetes, obesity, and family history of stroke significantly increased the risk of stroke, and the OR (95%CI) values were 1.29 (1.03-1.62), 1.39 (1.12-1.72), 1.58 (1.25-1.99), 1.61 (1.22-2.12) and 1.60 (1.26-2.04), respectively. Among stroke patients with hypertension, 92.71% of patients took antihypertensive drugs. It was found that women's compliance with antihypertensive drugs was good, with an OR (95%CI) value of 1.46 (1.01-2.09). Conclusion The prevalence rate of stroke complicated with hypertension is high in people aged 40 and above in Hebei Province. Hypertensive people should lower blood lipids, control blood glucose, and lose weight as soon as possible to prevent the occurrence of stroke.
