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Trends in Nonlipid Cardiovascular Disease Risk Factor Management in the Women's Interagency HIV Study and Association with Adherence to Antiretroviral Therapy.
- Source :
-
AIDS Patient Care & STDs . Oct2016, Vol. 30 Issue 10, p445-454. 10p. 4 Charts, 3 Graphs. - Publication Year :
- 2016
-
Abstract
- Cardiovascular disease (CVD) is increasingly common among women with HIV, but literature on nonlipid CVD risk factor management is lacking. We examined semiannual trends from 2006 to 2014 in hypertension treatment and control (blood pressure <140/90 mmHg), diabetes treatment and control (fasting glucose <130 mg/dL), and smoking quit rates in the Women's Interagency HIV Study. Unadjusted and adjusted Poisson regression models tested time trends and differences between HIV+ and HIV- women. Among antiretroviral therapy (ART) users, we examined the association of ART adherence and virologic suppression with each outcome. We evaluated 1636 HIV+ and 683 HIV- women, with a hypertension prevalence of 40% and 38%, respectively; diabetes prevalence of 21% and 22%; and smoking prevalence of 37% and 48%. Hypertension treatment was higher among HIV+ than HIV- women (77% vs. 67%, p < 0.001) and increased over time with no difference in trend by HIV status. Hypertension control was greater among HIV+ women (56% vs. 43%, p < 0.001) and increased over time among HIV+ but not HIV- women. Diabetes treatment was similar among HIV+ and HIV- women (48% vs. 49%) and increased over time in both groups. Diabetes control was greater among HIV+ women (73% vs. 64%, p = 0.03) and did not change over time. The percent of recent smokers who reported no longer smoking was similar between HIV+ and HIV- women (10% vs. 9%), with no differences over time. Virologic suppression was significantly associated with increased hypertension treatment and greater control. HIV+ women have better control of hypertension and diabetes than HIV- women, but many are still not at target levels. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CARDIOVASCULAR disease treatment
*TREATMENT of diabetes
*HEART disease risk factors
*CARDIOVASCULAR disease diagnosis
*CARDIOVASCULAR disease prevention
*HYPERTENSION
*SMOKING
*AIDS
*BEHAVIOR
*BLOOD pressure measurement
*CARDIOVASCULAR diseases risk factors
*DEMOGRAPHY
*ALCOHOL drinking
*DRUGS
*ETHNIC groups
*HIV-positive persons
*LONGITUDINAL method
*MEDICAL care
*PATIENT compliance
*PATIENTS
*RACE
*RESEARCH funding
*VIRAL load
*HIGHLY active antiretroviral therapy
*INSTITUTIONAL cooperation
*CONTROL groups
*CD4 lymphocyte count
Subjects
Details
- Language :
- English
- ISSN :
- 10872914
- Volume :
- 30
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- AIDS Patient Care & STDs
- Publication Type :
- Academic Journal
- Accession number :
- 118891429
- Full Text :
- https://doi.org/10.1089/apc.2016.0143