[Follow-up study on screening positives of hypertension and diabetes--results of follow-up by the Yang-Ming Crusade in 1990].
This study was to follow-up the screening positives of hypertension and diabetes screened in 1989 by the Yang-Ming Crusade. The purposes were to understand the control situation of hypertensive and diabetic positives, to understand the continuing situation of diagnosis and treatment by local health center, and to understand the medical attitude and behavior of the screening positives. A total of 768 positives were screened in 1989 and 462 (60.2%) were interviewed. Among them, 44.4% were male and 55.6% were female; 27.7% were aged 50-59 and 28.4% were aged 60-69; 337 positives were hypertensive, 97 were diabetic and 28 had both conditions. The results of follow-up in 1990 showed that, 34.2% of 462 interviewees had gone to the local health center for testing, 37.7% had regular treatment and 19.7% (91 persons) had become normal. The leading methods of treatment were western doctor (35%), local health center (27.2%) and pharmacies (18.7%). Most patients pursued a regular treatment. The reasons not to have a regular treatment were that it was unnecessary because of lack of symptoms (37.2%), lack of time (18.1%), and that it was unnecessary because of cure (3.5%). The results showed that patients lacked knowledge of chronic diseases. Health education is important to let patients have proper information about regular treatment. Logistic regression analysis showed that two factors, "age" and "geographic area", were significantly related to submitting to testing in the local health center. The results of logistic regression also indicated that three factors, "whether having submitting to testing in the local health center or not", "age", and "geographic area", were significantly related to regular treatment.
Department of Social Medicine, National Yang-Ming Medical College.
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D000328:Adult; D000367:Age Factors; D000368:Aged; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012737:Sex Factors; D013624:Taiwan / Q000453:epidemiology