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Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital

INTRODUCTION: with the introduction of newer and safer antiretroviral drugs, HIV positive persons are now living longer. Consequently, cardiovascular diseases associated with ageing and chronic low grade inflammation due to the presence of the virus are increasingly found in this population. This st...

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Autores principales: Jackson, Idongesit Linus, Lawrence, Silas Monday, Igwe, Chioma Nneoma, Ukwe, Chinwe Victoria, Okonta, Matthew Jegbefume
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9058987/
https://www.ncbi.nlm.nih.gov/pubmed/35573426
http://dx.doi.org/10.11604/pamj.2022.41.153.21809
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author Jackson, Idongesit Linus
Lawrence, Silas Monday
Igwe, Chioma Nneoma
Ukwe, Chinwe Victoria
Okonta, Matthew Jegbefume
author_facet Jackson, Idongesit Linus
Lawrence, Silas Monday
Igwe, Chioma Nneoma
Ukwe, Chinwe Victoria
Okonta, Matthew Jegbefume
author_sort Jackson, Idongesit Linus
collection PubMed
description INTRODUCTION: with the introduction of newer and safer antiretroviral drugs, HIV positive persons are now living longer. Consequently, cardiovascular diseases associated with ageing and chronic low grade inflammation due to the presence of the virus are increasingly found in this population. This study aimed to assess the prevalence and control of hypertension among people living with HIV (PLHIV) receiving care at a Nigerian hospital. METHODS: this cross-sectional study was conducted as part of the Patient´s HIV Knowledge Questionnaire (PHKQ) validation study among HIV positive outpatients at the University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria. Hypertension was self-reported and confirmed by a documented physician diagnosis in the patient´s case notes and/or self-reported use of antihypertensive medication. For each participant, the average of two close blood pressure (BP) measurements obtained using an automatic upper arm BP monitor was taken as the BP. Hypertension control was defined as SBP <140 mmHg and DBP <90 mmHg. Data were analysed using the Statistical Product and Service Solutions (SPSS) v.21.0. Results were considered significant at p < 0.05. RESULTS: prevalence of hypertension among PLHIV was 24.9%. Age (OR = 1.112, CI = 1.074 – 1.151, p < 0.001), body mass index (OR = 1.087, CI = 1.024 – 1.154, p = 0.004) and duration on antiretroviral therapy (OR = 1.169, CI = 1.090 – 1.254, p < 0.001) significantly predicted hypertension. Only 19 (24.4%) participants had controlled hypertension. CONCLUSION: hypertension is common among PLHIV seeking care at a Nigerian hospital. However, its control remains suboptimal. Regular screening for hypertension, its appropriate treatment and optimal control are essential in PLHIV.
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spelling pubmed-90589872022-05-13 Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital Jackson, Idongesit Linus Lawrence, Silas Monday Igwe, Chioma Nneoma Ukwe, Chinwe Victoria Okonta, Matthew Jegbefume Pan Afr Med J Research INTRODUCTION: with the introduction of newer and safer antiretroviral drugs, HIV positive persons are now living longer. Consequently, cardiovascular diseases associated with ageing and chronic low grade inflammation due to the presence of the virus are increasingly found in this population. This study aimed to assess the prevalence and control of hypertension among people living with HIV (PLHIV) receiving care at a Nigerian hospital. METHODS: this cross-sectional study was conducted as part of the Patient´s HIV Knowledge Questionnaire (PHKQ) validation study among HIV positive outpatients at the University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria. Hypertension was self-reported and confirmed by a documented physician diagnosis in the patient´s case notes and/or self-reported use of antihypertensive medication. For each participant, the average of two close blood pressure (BP) measurements obtained using an automatic upper arm BP monitor was taken as the BP. Hypertension control was defined as SBP <140 mmHg and DBP <90 mmHg. Data were analysed using the Statistical Product and Service Solutions (SPSS) v.21.0. Results were considered significant at p < 0.05. RESULTS: prevalence of hypertension among PLHIV was 24.9%. Age (OR = 1.112, CI = 1.074 – 1.151, p < 0.001), body mass index (OR = 1.087, CI = 1.024 – 1.154, p = 0.004) and duration on antiretroviral therapy (OR = 1.169, CI = 1.090 – 1.254, p < 0.001) significantly predicted hypertension. Only 19 (24.4%) participants had controlled hypertension. CONCLUSION: hypertension is common among PLHIV seeking care at a Nigerian hospital. However, its control remains suboptimal. Regular screening for hypertension, its appropriate treatment and optimal control are essential in PLHIV. The African Field Epidemiology Network 2022-02-21 /pmc/articles/PMC9058987/ /pubmed/35573426 http://dx.doi.org/10.11604/pamj.2022.41.153.21809 Text en Copyright: Idongesit Linus Jackson et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Jackson, Idongesit Linus
Lawrence, Silas Monday
Igwe, Chioma Nneoma
Ukwe, Chinwe Victoria
Okonta, Matthew Jegbefume
Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital
title Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital
title_full Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital
title_fullStr Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital
title_full_unstemmed Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital
title_short Prevalence and control of hypertension among people living with HIV receiving care at a Nigerian hospital
title_sort prevalence and control of hypertension among people living with hiv receiving care at a nigerian hospital
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9058987/
https://www.ncbi.nlm.nih.gov/pubmed/35573426
http://dx.doi.org/10.11604/pamj.2022.41.153.21809
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