Prevalence and Associated Risk Factors of Hypertension in Adults with Disabilities: A Cross-Sectional Study in Shanghai, China

• Main Authors: Wu H, Wu J, Zhang Z, Zheng Y, Niu W, Zheng L, Li J
• Format: Article
• Language: English
• Published: Dove Medical Press 2021-08-01
• Series: Clinical Epidemiology
• Subjects: hypertension; prevalence; risk factors; adults with disabilities
• Online Access: https://www.dovepress.com/prevalence-and-associated-risk-factors-of-hypertension-in-adults-with--peer-reviewed-fulltext-article-CLEP

Hengjing Wu,1 Jing Wu,2 Ziyan Zhang,1 Yongtao Zheng,3 Wenxin Niu,1 Liang Zheng,4 Jue Li1 1Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, People’s Republic of China; 2Department of Fundamental Nursing, School of Nursing, Shanghai University of Traditional Chinese Medicine, Shanghai, People’s Republic of China; 3Department of Infectious Disease, Xiaoshan Center for Disease Control and Prevention, Hangzhou, People’s Republic of China; 4Research Center for Translational Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, People’s Republic of ChinaCorrespondence: Jue Li Email [e-mail]: Although hypertension is highly prevalent in China, epidemiologic data of hypertension among people with disabilities remain largely unknown. This study aims to examine the prevalence and associated risk factors of hypertension in patients with disabilities.Methods: A cross-sectional study was carried out among 7348 adults with disabilities from February to December 2018 in Shanghai, and patient data from physical, imageological and routine blood examinations were collected and analyzed. Logistic regression models were performed to determine the associated risk factors of hypertension in adults with disabilities.Results: Among the 7348 disabled patients, the prevalence of hypertension, rate of receiving treatment, and blood pressure control were 42.5%, 85.0% and 46.0%, respectively. Increases in the levels of age, physical disability, body mass index (BMI), fasting plasma glucose (FBG), total triglyceride (TG), hyperuricemia (hyper-UA), serum urea (SU), and estimated creatinine clearance (eCrCl < 80 μmol/L) were independently correlated with hypertension.Conclusion: Patients with physical disabilities have a significantly higher prevalence of hypertension compared to the normal population. Patients with intellectual or mental disabilities have lower rates of blood pressure control compared to other types of disabilities. Assessment of associated risk factors highlights an increased likelihood of potential renal dysfunction among hypertensive disabled patients.Keywords: hypertension, prevalence, risk factors, adults with disabilities