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Kidney Week

Abstract: FR-OR83

Association of Unmet Social Needs with Blood Pressure Severity and Target Organ Injury: Interim Analysis of the SUPERHERO Study

Session Information

Category: Diversity and Equity in Kidney Health

  • 900 Diversity and Equity in Kidney Health

Authors

  • Onugha, Elizabeth Anyaegbu, Baylor College of Medicine, Houston, Texas, United States
  • Campbell, Fallon, Baylor College of Medicine, Houston, Texas, United States
  • South, Andrew M., Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States

Group or Team Name

  • SUPERHERO Registry.
Background

Hypertension (HTN) is a leading cause of cardiovascular disease and when uncontrolled is associated with increased risk for target organ injury (TOI). The burden of HTN disproportionately falls on individuals of low socioeconomic status (SES) and racial and ethnic minorities. Studies in adults have shown that low, including education, income, and neighborhood characteristics are linked to poor blood pressure (BP) control. Data in youth relating to the influence of SES factors on HTN epidemiology are sparse.

Methods

Cross-sectional analysis of baseline electronic health record data from the SUPERHERO Registry in youth referred to subspecialists for ICD-10 code-defined HTN disorders from 1/1/2015 – 12/31/2022. We excluded those with pregnancy, kidney transplantation, or dialysis. We examined the association of individual-level social drivers (transportation, financial, food access, housing, education, employment, occupational exposures, physical environment, social environment, family, and crime) by ICD-10 codes with BP severity and risk of TOI in youth using unadjusted generalized linear models.

Results

Of our cohort of 11,580 participants, 56% (6,508 of 11,580) were Caucasian and 27% (3,114 of 11,580) African American. Of the 47 with documented unmet social needs, 57% (n = 27) were African American vs 26% (n = 12) were Caucasian. Stage 2 HTN was noted in 23% (2,663 of 8,859), 35% (4,092 of 8,859) had stage 1 HTN and 18% (2,104 of (8,859) had BP. TOI was present in 8% (n = 903) of those with no unmet social needs and 6% (n = 3) of those with unmet needs.

Conclusion


In our large cohort of youth referred for HTN disorders, we found that unmet social needs were not associated with worse BP severity and greater risk of TOI at baseline. These findings are likely due to lack of inquiry into social needs by providers.