Cargando…
The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
OBJECTIVES: The study aimed to assess the magnitude of undiagnosed hypertension, and its associated factors among adult HIV-positive patients receiving antiretroviral therapy at Butajira General Hospital, southern Ethiopia. METHODS: We applied an institutional-based cross-sectional study design at B...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9058352/ https://www.ncbi.nlm.nih.gov/pubmed/35509957 http://dx.doi.org/10.1177/20503121221094454 |
_version_ | 1784698095978676224 |
---|---|
author | Zewudie, Bitew Tefera Geze Tenaw, Shegaw Solomon, Mamo Mesfin, Yibeltal Abebe, Haimanot Mekonnen, Zebene Tesfa, Shegaw Chekole Temere, Bogale Aynalem Mewahegn, Agerie lankrew, Tadele Sewale, Yihenew |
author_facet | Zewudie, Bitew Tefera Geze Tenaw, Shegaw Solomon, Mamo Mesfin, Yibeltal Abebe, Haimanot Mekonnen, Zebene Tesfa, Shegaw Chekole Temere, Bogale Aynalem Mewahegn, Agerie lankrew, Tadele Sewale, Yihenew |
author_sort | Zewudie, Bitew Tefera |
collection | PubMed |
description | OBJECTIVES: The study aimed to assess the magnitude of undiagnosed hypertension, and its associated factors among adult HIV-positive patients receiving antiretroviral therapy at Butajira General Hospital, southern Ethiopia. METHODS: We applied an institutional-based cross-sectional study design at Butajira General Hospital from 1 May to 1 July 2021. We used a systematic random sampling technique to select the total number of participants. A structured interviewer-administered questionnaire was applied to collect the data (sociodemographic characteristics, clinical-related factors, and lifestyle-related factors from the study participants. Data were entered using Epi-data version 3.1 and analyzed by statistical package for social science version 25. We applied a multivariable logistic regression analysis model to identify variables significantly associated with hypertension. RESULTS: The study comprised 388 participants with 39 years (10.6 SD) as the mean age of the participants. Of the total participants, 235 (60.6%) were female. In this study the magnitude of undiagnosed hypertension among HIV-positive patients was 18.8% (95% CI: 14.7%–23.2%). Having comorbidity of diabetes mellitus (adjusted odds ratio = 5.29, 95% CI: 2.154, 12.99), habit of alcohol drinking (adjusted odds ratio = 2.909, 95% CI: 1.306, 6.481), duration of antiretroviral therapy ⩾ 5 years (adjusted odds ratio = 3.087, 95% CI: 1.558, 6.115), and age ⩾ 40 years (adjusted odds ratio = 2.642, 95% CI: 1.450, 4.813) were factors significantly associated with undiagnosed hypertension. CONCLUSIONS AND RECOMMENDATIONS: The magnitude of undiagnosed hypertension among HIV-positive patients attending the antiretroviral therapy clinic of Butajira General Hospital is high. The findings of this study implied that HIV-positive patients attending antiretroviral therapy clinics should be monitored routinely for hypertension; especially participants aged ⩾40 years, highly active antiretroviral therapy duration ⩾5 years, having diabetes mellitus comorbidity need more attention. Primary healthcare integration is also vital to enhance the health of HIV-positive patients on antiretroviral therapy. |
format | Online Article Text |
id | pubmed-9058352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-90583522022-05-03 The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia Zewudie, Bitew Tefera Geze Tenaw, Shegaw Solomon, Mamo Mesfin, Yibeltal Abebe, Haimanot Mekonnen, Zebene Tesfa, Shegaw Chekole Temere, Bogale Aynalem Mewahegn, Agerie lankrew, Tadele Sewale, Yihenew SAGE Open Med Original Research Article OBJECTIVES: The study aimed to assess the magnitude of undiagnosed hypertension, and its associated factors among adult HIV-positive patients receiving antiretroviral therapy at Butajira General Hospital, southern Ethiopia. METHODS: We applied an institutional-based cross-sectional study design at Butajira General Hospital from 1 May to 1 July 2021. We used a systematic random sampling technique to select the total number of participants. A structured interviewer-administered questionnaire was applied to collect the data (sociodemographic characteristics, clinical-related factors, and lifestyle-related factors from the study participants. Data were entered using Epi-data version 3.1 and analyzed by statistical package for social science version 25. We applied a multivariable logistic regression analysis model to identify variables significantly associated with hypertension. RESULTS: The study comprised 388 participants with 39 years (10.6 SD) as the mean age of the participants. Of the total participants, 235 (60.6%) were female. In this study the magnitude of undiagnosed hypertension among HIV-positive patients was 18.8% (95% CI: 14.7%–23.2%). Having comorbidity of diabetes mellitus (adjusted odds ratio = 5.29, 95% CI: 2.154, 12.99), habit of alcohol drinking (adjusted odds ratio = 2.909, 95% CI: 1.306, 6.481), duration of antiretroviral therapy ⩾ 5 years (adjusted odds ratio = 3.087, 95% CI: 1.558, 6.115), and age ⩾ 40 years (adjusted odds ratio = 2.642, 95% CI: 1.450, 4.813) were factors significantly associated with undiagnosed hypertension. CONCLUSIONS AND RECOMMENDATIONS: The magnitude of undiagnosed hypertension among HIV-positive patients attending the antiretroviral therapy clinic of Butajira General Hospital is high. The findings of this study implied that HIV-positive patients attending antiretroviral therapy clinics should be monitored routinely for hypertension; especially participants aged ⩾40 years, highly active antiretroviral therapy duration ⩾5 years, having diabetes mellitus comorbidity need more attention. Primary healthcare integration is also vital to enhance the health of HIV-positive patients on antiretroviral therapy. SAGE Publications 2022-04-29 /pmc/articles/PMC9058352/ /pubmed/35509957 http://dx.doi.org/10.1177/20503121221094454 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Article Zewudie, Bitew Tefera Geze Tenaw, Shegaw Solomon, Mamo Mesfin, Yibeltal Abebe, Haimanot Mekonnen, Zebene Tesfa, Shegaw Chekole Temere, Bogale Aynalem Mewahegn, Agerie lankrew, Tadele Sewale, Yihenew The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia |
title | The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia |
title_full | The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia |
title_fullStr | The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia |
title_full_unstemmed | The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia |
title_short | The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia |
title_sort | magnitude of undiagnosed hypertension and associated factors among hiv-positive patients attending antiretroviral therapy clinics of butajira general hospital, gurage zone, southern ethiopia |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9058352/ https://www.ncbi.nlm.nih.gov/pubmed/35509957 http://dx.doi.org/10.1177/20503121221094454 |
work_keys_str_mv | AT zewudiebitewtefera themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT gezetenawshegaw themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT solomonmamo themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT mesfinyibeltal themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT abebehaimanot themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT mekonnenzebene themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT tesfashegaw themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT chekoletemerebogale themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT aynalemmewahegnagerie themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT lankrewtadele themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT sewaleyihenew themagnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT zewudiebitewtefera magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT gezetenawshegaw magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT solomonmamo magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT mesfinyibeltal magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT abebehaimanot magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT mekonnenzebene magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT tesfashegaw magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT chekoletemerebogale magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT aynalemmewahegnagerie magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT lankrewtadele magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia AT sewaleyihenew magnitudeofundiagnosedhypertensionandassociatedfactorsamonghivpositivepatientsattendingantiretroviraltherapyclinicsofbutajirageneralhospitalguragezonesouthernethiopia |