目的 探讨社会资本与高血压患者服药依从性之间的关系.方法 采用简单随机抽样的方法,对上海市9个社区卫生服务中心管理的3656名高血压患者进行问卷调查.应用经验证的量表从社区凝聚力和邻里互动两个角度评价社会资本.应用Logistic回归模型分析社会资本与高血压患者服药依从性之间的关系.结果 3656名患者服药依从性佳的比例为69.4％.控制社会人口学特征后,社区凝聚力最高组患者的服药依从性佳的比例是社区凝聚力最低组的患者的1.74倍(OR=1.74,95％ CI:1.42 ～2.13);而且邻里互动得分越高患者服药依从性佳的比例越高,与邻里互动得分最低组相比较,其他3组的OR值分别为1.42 (95％CI:1.12～1.81)、1.58(95％ CI:1.24～2.01)、1.60 (95％CI:1.29～1.99).结论 社会资本与高血压患者的服药依从性呈正相关,提示增加患者的社会资本可以提高患者的服药依从性.%Objective To explore association between social capital and medication adherence among patients with hypertension.Methods 3656 hypertensive patients managed by 9 primary health care centers in Shanghai were interviewed though simple sampling method.Social cohesion (SC) and social interaction (SI) were measured by validated scales.Logistic analyses were used in order to explore associations between SC and SI with medication adherence.Results 69.4％ of patients were adherence to medication (A2M) among 3656 patients.After controlling for socio-demographic characteristics,patients with highest SC scale had higher proportion of A2M comparing with patients with lowest SC scale (OR =1.74,95％ CI:1.42-2.13).Compared to patients with lowest SI,the OR for the other three groups were 1.42 (95％CI:1.12-1.81),1.58 (95％CI:1.24-2.01),1.60 (95％CI:1.29-1.99).Conclusion Therewerepositiveassociation between social capital and A2M.Therefore,building social capital may improve medication adherence among hypertensive patients.
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