Status of comorbidity among hypertensive patients with contracted family doctor service
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn114798-20210424-00343
   		
        
        	
        		- VernacularTitle:基层家庭医生签约高血压患者多病共存现状调查
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yan JI
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Jing DING
			        		
			        		;
		        		
		        		
		        		
			        		Jidong WU
			        		
			        		;
		        		
		        		
		        		
			        		Ai FENG
			        		
			        		;
		        		
		        		
		        		
			        		Qingyun XUE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 首都医科大学附属复兴医院月坛社区卫生服务中心 首都医科大学全科医学与继续教育学院月坛社区教研室,北京100045
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Hypertension;
			        		
			        		
			        		
				        		Contracted family doctor service;
			        		
			        		
			        		
				        		Comorbidity
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of General Practitioners
	            		
	            		 2021;20(12):1269-1274
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective:To investigate the coexistence status of common chronic diseases among hypertensive patients with contracted family doctor service in the community.Methods:Clinical data of 7 910 hypertensive patients with contracted family doctor service in Yuetan Community Health Service Center and its affiliated service stations were collected. The status of comorbidities and related factors were analyzed.Results:Among 7 910 hypertensive patients, there were 2 959 cases(37.4%) with 2 chronic diseases, 1 747 cases (22.1%) with 3 chronic diseases and 2 289 cases(28.9%) with simple hypertension. There was significant difference in comorbidity status among hypertensive patients in different age groups (χ 2=25.269, P<0.05). The top 3 comorbid chronic diseases were type 2 diabetes (2 979 cases, 37.7%), dyslipidemia (2 227 cases, 28.2%), and coronary heart disease (1 945 cases, 24.6%). Univariate analysis showed that the comorbidity of hypertensive patients was significantly related to age, smoking, marital status,employ status and education level (χ 2=9.697, 19.539, 33.343, 8.986, 7.923; P<0.05). Conclusion:There is a phenomenon of coexistence of multiple diseases in hypertensive patients with contracted family doctor service in Yuetan community.