Increased prevalence of hypertension among people living with HIV: where to begin?
Abstract INTRODUCTION: Cardiovascular diseases (CDVs) have become increasingly important for progressively older people living with HIV (PLHIV). Identification of gaps requiring improvement in the care cascade for hypertension, a primary risk factor for CVDs, is of utmost importance. This study anal...
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ftdoajarticles:oai:doaj.org/article:4c11ebdb3d484e84a3783c4830d9d0ee 2023-05-15T15:11:08+02:00 Increased prevalence of hypertension among people living with HIV: where to begin? Aldrey Nascimento Costa Fernando Val Álvaro Elias Macedo Nadia Cubas-Vega Paola López Del Tejo Marly M. Marques Aristóteles Comte de Alencar Filho Marcus Vinicius Guimarães de Lacerda 2020-09-01T00:00:00Z https://doi.org/10.1590/0037-8682-0564-2019 https://doaj.org/article/4c11ebdb3d484e84a3783c4830d9d0ee EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100334&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0564-2019 https://doaj.org/article/4c11ebdb3d484e84a3783c4830d9d0ee Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 (2020) HIV Non-communicable diseases Cardiovascular diseases hypertension Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1590/0037-8682-0564-2019 2022-12-30T21:39:01Z Abstract INTRODUCTION: Cardiovascular diseases (CDVs) have become increasingly important for progressively older people living with HIV (PLHIV). Identification of gaps requiring improvement in the care cascade for hypertension, a primary risk factor for CVDs, is of utmost importance. This study analyzed the prevalence of hypertensive status and described the care cascade for hypertension screening, diagnosis, treatment, treatment adherence, and management in PLHIV. METHODS: This cross-sectional study included 298 PLHIV (age >40 years) who visited a referral center in the western Brazilian Amazon. Data were collected through a structured questionnaire interview and medical examinations. Thus, information regarding sociodemographic and clinical aspects, blood pressure, weight, height, body mass index, and laboratory profile was obtained. Descriptive and analytical statistics were performed, and results were considered significant ifp <0.05. RESULTS: In total, 132 (44.3%) participants reported that their blood pressure was never measured. The prevalence of hypertension was found to be 35.9% (107/298). Of these 107 participants, only 36 (33.6%) had prior knowledge of their hypertensive status, and 19 of 36 (52.7%) participants had visited a physician or cardiologist to seek treatment. Adherence to the BP-lowering treatment was noted in 11 (10.2%) participants. CONCLUSIONS: An increased prevalence of hypertension was found, and most of the hypertensive participants were unaware of their hypertensive status. In addition, blood pressure control was poor in the study population. This indicated that public health professionals did not sufficiently consider the full spectrum of healthcare and disease management for PLHIV. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 53 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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HIV Non-communicable diseases Cardiovascular diseases hypertension Arctic medicine. Tropical medicine RC955-962 |
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HIV Non-communicable diseases Cardiovascular diseases hypertension Arctic medicine. Tropical medicine RC955-962 Aldrey Nascimento Costa Fernando Val Álvaro Elias Macedo Nadia Cubas-Vega Paola López Del Tejo Marly M. Marques Aristóteles Comte de Alencar Filho Marcus Vinicius Guimarães de Lacerda Increased prevalence of hypertension among people living with HIV: where to begin? |
topic_facet |
HIV Non-communicable diseases Cardiovascular diseases hypertension Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract INTRODUCTION: Cardiovascular diseases (CDVs) have become increasingly important for progressively older people living with HIV (PLHIV). Identification of gaps requiring improvement in the care cascade for hypertension, a primary risk factor for CVDs, is of utmost importance. This study analyzed the prevalence of hypertensive status and described the care cascade for hypertension screening, diagnosis, treatment, treatment adherence, and management in PLHIV. METHODS: This cross-sectional study included 298 PLHIV (age >40 years) who visited a referral center in the western Brazilian Amazon. Data were collected through a structured questionnaire interview and medical examinations. Thus, information regarding sociodemographic and clinical aspects, blood pressure, weight, height, body mass index, and laboratory profile was obtained. Descriptive and analytical statistics were performed, and results were considered significant ifp <0.05. RESULTS: In total, 132 (44.3%) participants reported that their blood pressure was never measured. The prevalence of hypertension was found to be 35.9% (107/298). Of these 107 participants, only 36 (33.6%) had prior knowledge of their hypertensive status, and 19 of 36 (52.7%) participants had visited a physician or cardiologist to seek treatment. Adherence to the BP-lowering treatment was noted in 11 (10.2%) participants. CONCLUSIONS: An increased prevalence of hypertension was found, and most of the hypertensive participants were unaware of their hypertensive status. In addition, blood pressure control was poor in the study population. This indicated that public health professionals did not sufficiently consider the full spectrum of healthcare and disease management for PLHIV. |
format |
Article in Journal/Newspaper |
author |
Aldrey Nascimento Costa Fernando Val Álvaro Elias Macedo Nadia Cubas-Vega Paola López Del Tejo Marly M. Marques Aristóteles Comte de Alencar Filho Marcus Vinicius Guimarães de Lacerda |
author_facet |
Aldrey Nascimento Costa Fernando Val Álvaro Elias Macedo Nadia Cubas-Vega Paola López Del Tejo Marly M. Marques Aristóteles Comte de Alencar Filho Marcus Vinicius Guimarães de Lacerda |
author_sort |
Aldrey Nascimento Costa |
title |
Increased prevalence of hypertension among people living with HIV: where to begin? |
title_short |
Increased prevalence of hypertension among people living with HIV: where to begin? |
title_full |
Increased prevalence of hypertension among people living with HIV: where to begin? |
title_fullStr |
Increased prevalence of hypertension among people living with HIV: where to begin? |
title_full_unstemmed |
Increased prevalence of hypertension among people living with HIV: where to begin? |
title_sort |
increased prevalence of hypertension among people living with hiv: where to begin? |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2020 |
url |
https://doi.org/10.1590/0037-8682-0564-2019 https://doaj.org/article/4c11ebdb3d484e84a3783c4830d9d0ee |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 (2020) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100334&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0564-2019 https://doaj.org/article/4c11ebdb3d484e84a3783c4830d9d0ee |
op_doi |
https://doi.org/10.1590/0037-8682-0564-2019 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
53 |
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