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Hypertension, cardiovascular risk factors and antihypertensive medication utilisation among HIV-infected individuals in Rakai, Uganda.

Authors :
Sander, Laura D.
Newell, Kevin
Ssebbowa, Paschal
Serwadda, David
Quinn, Thomas C.
Gray, Ronald H.
Wawer, Maria J.
Mondo, George
Reynolds, Steven
Source :
Tropical Medicine & International Health. Mar2015, Vol. 20 Issue 3, p391-396. 6p.
Publication Year :
2015

Abstract

Objectives To assess the prevalence of hypertension, elevated blood pressure and cardiovascular risk factors among HIV-positive individuals in rural Rakai District, Uganda. Methods We assessed 426 HIV-positive individuals in Rakai, Uganda from 2007 to 2010. Prevalence of hypertension and elevated blood pressure assessed by clinical measurement was compared to clinician-recorded hypertension in case report forms. Multiple logistic regression and z-tests were used to examine the association of hypertension and elevated blood pressure with age, sex, body mass index ( BMI), CD4 cell count and antiretroviral treatment ( ART) use. For individuals on antihypertensives, medication utilisation was reviewed. Results The prevalence of hypertension (two elevated blood pressure readings at different time points) was 8.0% (95% CI: 5.4-10.6%), and that of elevated blood pressure (one elevated blood pressure reading) was 26.3% (95% CI: 22.1-30.5%). Age ≥50 years and higher BMI were positively associated with elevated blood pressure. ART use, time on ART and CD4 cell count were not associated with hypertension. Eighty-three percent of subjects diagnosed with hypertension were on antihypertensive medications, most commonly beta-blockers and calcium channel blockers. Conclusions Hypertension is common among HIV-positive individuals in rural Uganda. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
13602276
Volume :
20
Issue :
3
Database :
Academic Search Index
Journal :
Tropical Medicine & International Health
Publication Type :
Academic Journal
Accession number :
100629996
Full Text :
https://doi.org/10.1111/tmi.12443