Control of hypertension and diabetes among adults aged over 40 years with or without physical disabilities
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Jung-A Lee
Abstract
Background: Disabled individuals have poorer health compared to non-disabled individuals and they exhibit a higher prevalence of chronic diseases, such as hypertension (HTN) and diabetes mellitus (DM). We explored how effectively blood pressure (BP) and fasting plasma glucose (FPG) level, factors influencing development of HTN and DM, were controlled in disabled and non-disabled individuals over the age of 40 years. We hypothesized that control of BP and FPG levels in disabled individuals would be lower than that in non-disabled participants.
Methods: Records of the National Health Insurance Scheme (NHIS) were analyzed and the health screening program database was examined between the years 2007 and 2009. We identified patients who had used healthcare services to treat HTN or DM. Health-related information that might influence effective control of both BP and FPG levels in those with or without physical disabilities were examined.
Results: The extent of effective BP and DM control did not differ between people with and without disabilities, but plasma glucose levels were slightly better controlled in individuals with disabilities than those without disabilities. HTN and DM control was more closely associated with female gender, age, grade of disability, non-smoking and non-drinker status, engagement in physical activity, presentation for health examinations, and frequent tertiary hospital visits for HTN management.
Conclusions: Our paper is significant because of our focus on differences between disabled and non-disabled individuals. Our results and future data from NHIS health screening programs can be used to regularly monitor population health status and to evaluate information relevant to the management of HTN and DM control.
Acknowledgments
The authors wish to thank all the study participants for their kind cooperation during the study.
Conflict of interest statement
Authors’ conflict of interest disclosure: The authors have no conflicts of interest with the material presented in this paper. The work has not been presented in oral form previously.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
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©2015 by De Gruyter
Articles in the same Issue
- Frontmatter
- Editorials
- Adults, mental illness and disability
- Chronic illness, disease and impairment: living longer, living well
- Review
- Navigational audio games: an effective approach toward improving spatial contextual learning for blind people
- Mini Review
- Conscious capitalism to help people with hearing disability in developing countries
- Original Articles
- The influence of vibration on the quality of gait in women with cerebral palsy
- Attitudes of medical students toward disabilities in Nigeria
- A novel speech synthesizer using 3D facial model with gestures
- Comparison of kangaroo mother care and tactile kinesthetic stimulation in low birth weight babies – an experimental study
- Control of hypertension and diabetes among adults aged over 40 years with or without physical disabilities
- Association between quality of life and team achievement among wheelchair basketball players – a survey study
- A case of savant syndrome in a child with autism spectrum disorder
- Community physiotherapy in India: short review on research
- Prevalence of victimization, and associated risk factors, impacting youth with disabilities in Vietnam: a population-based study
- Challenge and promotion: influence of religion on Tibetan special education
- Case Reports
- Right thalamic lacunar infarction presenting with anomic aphasia
- G20210A mutation and cerebral venous infarct: a rare presentation in a child
- Letter to the Editor
- Zaro Agha, The legendary Kurdish supercentenarian
Articles in the same Issue
- Frontmatter
- Editorials
- Adults, mental illness and disability
- Chronic illness, disease and impairment: living longer, living well
- Review
- Navigational audio games: an effective approach toward improving spatial contextual learning for blind people
- Mini Review
- Conscious capitalism to help people with hearing disability in developing countries
- Original Articles
- The influence of vibration on the quality of gait in women with cerebral palsy
- Attitudes of medical students toward disabilities in Nigeria
- A novel speech synthesizer using 3D facial model with gestures
- Comparison of kangaroo mother care and tactile kinesthetic stimulation in low birth weight babies – an experimental study
- Control of hypertension and diabetes among adults aged over 40 years with or without physical disabilities
- Association between quality of life and team achievement among wheelchair basketball players – a survey study
- A case of savant syndrome in a child with autism spectrum disorder
- Community physiotherapy in India: short review on research
- Prevalence of victimization, and associated risk factors, impacting youth with disabilities in Vietnam: a population-based study
- Challenge and promotion: influence of religion on Tibetan special education
- Case Reports
- Right thalamic lacunar infarction presenting with anomic aphasia
- G20210A mutation and cerebral venous infarct: a rare presentation in a child
- Letter to the Editor
- Zaro Agha, The legendary Kurdish supercentenarian
