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Impacts of diabetes and hypertension on the risk of hospitalization among less educated people

Journal of Human Hypertension volume 21, pages 225–230 (2007)Cite this article

Abstract

Coexisting hypertension increases the morbidity and mortality associated with diabetes, and may be more so in less educated people. We analysed data from 49?904 Canadians 40–64 years of age who participated in the Canadian Community Health Survey, 2000–2001. Multiple classification analysis was used to adjust for covariates. Population weight and design effect of the survey were taken into account in the analysis. The association between hypertension and hospitalization varied according to diabetes and education. The adjusted difference in hospitalization incidence attributable to hypertension was significantly higher for the lower education group than the higher education group, and such a pattern tended to be more pronounced among diabetic people. The adjusted incidence difference attributable to hypertension was higher in the diabetic group (8.8, 95% confidence interval (CI): 4.6, 13.0%) than in the non-diabetic group (4.6, 95% CI: 3.6, 5.6%) for people with low education, but was similar for those with well-educated people. Possible reasons for the modifying effect of education on the relationship among hypertension, diabetes and hospitalization were discussed.

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Acknowledgements

This research was supported by a grant from the Canadian Institutes of Health Research and the Canadian Diabetes Association. Ronald J Sigal was a Canadian Institutes of Health Research New Investigator Award recipient.

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Authors and Affiliations

  1. Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ontario, Canada

    M Lin & Y Chen

  2. Department of Medicine, Faculty of Medicine, University of Ottawa, Ontario, Canada

    R J Sigal

  3. Clinical Epidemiology Program, Ottawa Health Research Institute, Ontario, Canada

    R J Sigal

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  1. M Lin
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Correspondence to Y Chen.

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Lin, M., Chen, Y. & Sigal, R. Impacts of diabetes and hypertension on the risk of hospitalization among less educated people. J Hum Hypertens 21, 225–230 (2007). https://doi.org/10.1038/sj.jhh.1002131

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