Prevalence of hypertension and diabetes and associated risk factors among people living with human immunodeficiency virus in Southern Ethiopia

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Ozayr Haroon Mahomed¹  Abebe Sorsa Badacho² 

[1] School of Nursing and Public Health, Public Health Medicine Discipline, University of KwaZulu-Natal, Durban, South Africa;Dasman Diabetes Institute, Kuwait City, Kuwait;School of Public Health, Wolaita Sodo University, Wolaita Sodo, Ethiopia;School of Nursing and Public Health, Public Health Medicine Discipline, University of KwaZulu-Natal, Durban, South Africa;Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, Durban, South Africa;

关键词: ART;    hypertension;    diabetes;    non-communicable diseases;    comorbidity;    multimorbidity;    PLWH;    HIV;   

DOI  :  10.3389/fcvm.2023.1173440

 received in 2023-02-24, accepted in 2023-08-09,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundAccess to antiretroviral therapy (ART) allows people living with HIV (PLWH) to live longer. Consequently, non communicable diseases (NCD) have emerged as the main drivers of ill health, disability, and premature death. This study assessed the magnitude of hypertension and diabetes and risk factors among PLWH receiving ART in Ethiopia.MethodsA cross-sectional study was conducted using an analytical component. Data were collected through face-to-face interviews, physical measurements, and chart reviews of the 520 adults. Associations between the demographic and clinical attributes of hypertension and diabetes were assessed using logistic regression models.ResultsPrevalence of hypertension was (18.5%) (95% CI: 15.2%–21.7%), and diabetes was (6.9%) (95% CI: 4.8%–9.2%). More than two-thirds (70.8%) and 61% were newly diagnosed with hypertension and diabetes, respectively. Age > = 45 years [adjusted odds ratio (AOR) = 2.47], alcohol consumption (AOR = 4.51), Insufficient physical activity (AOR = 3.7), BMI ≥25 (AOR = 3.95), family history of hypertension (AOR = 7.1), and diabetes (AOR = 4.95) were associated with hypertension. Age ≥45 years [adjusted odds ratio (AOR) = 2.47], BMI ≥25 (AOR = 1.91), Central obesity (AOR = 3.27), detectable viral load (AOR = 4.2), hypertension (AOR = 4.95) and duration of ART >10 years (AOR = 3.12) were associated with diabetes.ConclusionsA combination of modifiable and nonmodifiable factors increased the risk of hypertension and diabetes. Primary prevention strategies, regular screening for hypertension and diabetes and integration with HIV care in primary health care are the recommended intervention measures.

【 授权许可】

Unknown   
© 2023 Badacho and Mahomed.