摘要
该研究通过系统检索2014—2024年中国知网、PubMed、Web of Science等数据库,获取关于高血压控制影响因素的研究文献137篇,采用文献分析法提取影响因素,利用帕累托法则筛选关键因素,并基于健康社会决定因素进行分类,为优化我国高血压防控策略提供循证依据。结果显示,共提取64项影响因素,其中前20项累计占比为79.69%,将其归为关键因素,构建的模型涵盖生物遗传因素(35.97%)、个体生活方式(43.87%)及社会因素(20.16%)三个层面。研究表明,应基于健康社会决定因素,采取分层干预策略,即聚焦个体生活方式干预(行为层面)、管理生物遗传相关风险(生理层面)、改善社会支持环境(结构层面),以系统性提升高血压防治效能。
To provide evidence-based support for optimizing hypertension control strategies in China,this study systematically reviewed 137 studies on influencing factors of hypertension control between 2014 and 2024 in databases including CNKI,PubMed and Web of Science.This study used document analysis to identify the influencing factors of hypertension control,applied the Pareto principle to screen for key factors,and classified them based on social determinants of health.Results indicated that 64 influencing factors were identified,of which the top 20 accounted for a cumulative 79.69%and were categorized as key factors.These were categorized into three dimensions:biological and genetic factors(35.97%),individual lifestyle factors(43.87%),and social factors(20.16%).The results suggest that optimizing the prevention and control of hypertension should be grounded in health social determinants and employ a stratified intervention strategy.This includes targeting individual lifestyle modifications at the behavioral level,managing risks associated with biological and genetic factors at the physiological level,and enhancing the social support environment at the structural level.These efforts aim to systematically improve the efficacy of hypertension prevention and control.
作者
陈业鹏
杨金侠
杨媛媛
甘婷
CHEN Yepeng;YANG Jinxia;YANG Yuanyuan;GAN Ting(School of Health Management,Anhui Medical University,Hefei 230032,China)
出处
《南京医科大学学报(社会科学版)》
2026年第1期99-103,共5页
Journal of Nanjing Medical University(Social Sciences)
基金
国家社会科学基金“将健康融入所有政策的实现路径研究”(17BGL183)。
关键词
高血压控制
影响因素
帕累托法则
健康社会决定因素
hypertension control
influencing factors
Pareto principle
social determinants of health
