Socio-demographic factors and health status of adults with disability in Enugu Metropolis, Nigeria

Abstract

Background
Disability is a major determinant of impaired health and nutritional status. This study aims to assess the health and nutritional status
of adults with disability and their relationship with socio-demographic factors.
Methods
A descriptive cross-sectional study of 323 adults with disability in support-centers/schools of disability in Enugu Metropolis, Nigeria
was conducted. The participants’ socio-demographic factors, behavioural characteristics and 24-hour dietary recall were recorded.
Blood pressure and anthropometric measurements of height, weight, waist and hip circumference were obtained. The height and
weight measurements of non-ambulatory participants were estimated from knee height and mid-arm circumference. Biochemical
analyses of blood samples were also performed. Multiple logistic regression was used to assess the effect of socio-demographic factors
on health and nutritional status.
Results
The participants consisted of females (59.3%) within the age of 20 to 30 years (59.1%). The major area of difficulty was in physical
mobility (51.1%) and this occurred mostly in females (26.9%). The participants’ mean daily intakes of calorie, protein and fat were
below the recommended dietary allowances. The participants were overweight (49.2%), obese (4.6%), hypertensive (29.7%) and diabetic
(12.1%). Dyslipidemia (81.8%), anemia (63.6%) and zinc deficiency (51.1%) were highly prevalent among the study group. Gender
difference was observed in alcohol consumption (p=0.000), smoking habit (p=0.001), waist circumference (WC)(p=0.000), waisthip-ratio (WHR) (p=0.000), triglyceride (p=0.026) and haemoglobin concentration (p=0.007). Being boarder was a positive predictor
of overweight/obesity (OR= 2.974, 95% CI=1.449–6.104), abnormal WHR (OR=2.893, 95% CI = 1.073–7.801) and hypertension
(OR=8.381, 95% CI=1.598–13.959). Female gender was associated with abnormal WC (OR=7.219, 95% CI=3.116–14.228) and WHR
(OR=3.590, 95% CI=2.095–6.150) whereas older age-group was associated with overweight/obesity (OR=1.908, 95% CI=1.137–
3.202). Being employed was a negative predictor of hypertension.
Conclusion
Overweight/obesity, anemia, zinc deficiency and dyslipidemia were highly prevalent among persons living with disability in Enugu
Metropolis.