Objective To explore the correlation between adverse childhood experiences (ACEs) and blood pressure control in hypertensive patients.

Methods A total of 685 hypertensive patients from 5 towns and streets in Linhai City were randomly selected as the study subjects. The basic information of the patients was obtained from the health records. The WHO ACEs international version scale was used to investigate the patients' ACEs, and the correlation was analysed by multi-factor logistic regression.

Results A total of 685 hypertensive patients were investigated in this study, and 282 were under blood pressure control, with a blood pressure control rate of 41.2%. Among the hypertensive patients, 542 (79.1%) had ACEs, The top three ACEs were emotional neglect (44.1%), physical abuse (37.5%), physical neglect (35.6%). The rate of achieving standard blood pressure control in patients with adverse experiences such as emotional neglect (29.8% vs 51.7%), physical abuse (32.7% vs 46.3%), physical neglect (31.6% vs 46.5%), and domestic violence (32.8% vs 44.2%) was lower than that in patients without adverse experiences, and the differences were statistically significant (P＜0.01).Multivariate analysis showed that age (OR=1.033, 95%CI: 1.005 to 1.062), duration of hypertension (OR=1.330, 95%CI:1.035 to 1.709), medication compliance (OR=0.063, 95%CI: (0.041 to 0.096), cerebrovascular complications (OR=1.895, 95%CI: 1.049 to 3.421), physical abuse (OR=1.519, 95%CI: 1.006 to 2.292), emotional neglect (OR=1.933, 95%CI: 1.290 to 2.896), physical neglect (OR=1.785, 95%CI: 1.171 to 2.721), and domestic violence (OR=1.752, 95%CI: 1.109 to 2.767) were the influencing factors of the rate of achieving the target blood pressure control.

Conclusions There is an association between ACEs and blood pressure control in adulthood. The hypertensive patients with ACEs of physical abuse, emotional neglect, physical neglect and domestic violence are not conducive to blood pressure control.