scholarly journals Hypertension among people living with HIV/AIDS in Cameroon: A cross-sectional analysis from Central Africa International Epidemiology Databases to Evaluate AIDS

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253742
Author(s):  
Anastase Dzudie ◽  
Donald Hoover ◽  
Hae-Young Kim ◽  
Rogers Ajeh ◽  
Adebola Adedimeji ◽  
...  
Keyword(s):  
Cardiovascular Health ◽  
Central Africa ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Related Factors ◽  
Cross Sectional ◽  
Living With Hiv ◽  
And Control ◽  
International Epidemiology ◽  
Hiv Aids

Background Antiretroviral therapy (ART) success has led people to live longer with HIV/AIDS (PLWH) and thus be exposed to increasing risk of cardiovascular diseases (CVD). Hypertension (HTN), the biggest contributor to CVD burden, is a growing concern among PLWH. The current report describes the prevalence and predictors of HTN among PLWH in care in Cameroon. Methods This cross-sectional study included all PLWH aged 20 years and above who received care between 2016 and 2019 at one of the three Central Africa International Epidemiology Databases to Evaluate AIDS (CA-IeDEA) sites in Cameroon (Bamenda, Limbe, and Yaoundé). HTN was defined as blood pressure (BP) ≥140/90 mm Hg or self-reported use of antihypertensive medication. Logistic regressions models examined the relationship between HTN and clinical characteristics, and HIV-related factors. Results Among 9,839 eligible PLWH, 66.2% were women and 25.0% had prevalent HTN [age-standardized prevalence 23.9% (95% CI: 22.2–25.6)], among whom 28 (1.1%) were on BP lowering treatment, and 6 of those (21.4%) were at target BP levels. Median age (47.4 vs. 40.5 years), self-reported duration of HIV infection (5.1 vs 2.8 years years), duration of ART exposure (4.7 vs 2.3 years), and CD4 count (408 vs 359 cell/mm3) were higher in hypertensives than non-hypertensives (all p<0.001). Age and body mass index (BMI) were independently associated with higher prevalent HTN risk. PLWH starting ART had a 30% lower risk of prevalent HTN, but this advantage disappeared after a cumulative 2-year exposure to ART. There was no significant association between other HIV predictive characteristics and HTN. Conclusion About a quarter of these Cameroonian PLWH had HTN, driven among others by age and adiposity. Appropriate integration of HIV and NCDs services is needed to improve early detection, treatment and control of common comorbid NCD risk factors like hypertension and safeguard cardiovascular health in PLWH.

scholarly journals Hypertension among people living with HIV/AIDS in Cameroon: A cross-sectional analysis from Central Africa International Epidemiology Databases to Evaluate AIDS.

2020 ◽  
Author(s):  
Anastase DZUDIE ◽  
Donald Hoover ◽  
Hae-Young Kim ◽  
Rogers Ajeh ◽  
Adebola Adedimeji ◽  
...  
Keyword(s):  
Cardiovascular Health ◽  
Central Africa ◽  
People Living With Hiv ◽  
Related Factors ◽  
Cross Sectional ◽  
Living With Hiv ◽  
Sectional Analysis ◽  
And Control ◽  
International Epidemiology ◽  
Hiv Aids

Background Antiretroviral therapy (ART) success has led people to live longer with HIV/AIDS (PLWH) and thus be exposed to increasing risk of cardiovascular diseases (CVD). Hypertension (HTN), the biggest contributor to CVD burden, is a growing concern among PLWH. The current report describes the prevalence and predictors of HTN among PLWH in care in Cameroon. Methods This crosssectional study included all PLWH aged 20 years and above who received care between 2016 and 2019 at one of the three Central Africa International Epidemiology Databases to Evaluate AIDS (CAIeDEA) sites in Cameroon (Bamenda, Limbe, and Yaounde). HTN was defined as blood pressure (BP) ≥140/90 mm Hg or self reported use of antihypertensive medication. Logistic regressions models examined the relationship between HTN and clinical characteristics, and HIV related factors. Results Among 9,839 eligible PLWH, 66.2% were female and 25.0% had prevalent HTN [age standardized prevalence 23.9% (95% CI: 22.2: 25.6)], among whom 28 (1.1%) were on BP lowering treatment, and 6 of those (21.4%) were at target BP levels. Median age (47.4 vs. 40.5 years), self reported duration of HIV infection (5.1 vs 2.8 years), duration of ART exposure (4.7 vs 2.3 years), and CD4 count (408 vs 359 cell/mm3) were higher in hypertensives than non hypertensives (all p<0.001). Age and body mass index (BMI) were independently associated with higher prevalent HTN risk. PLWH starting ART had a 30% lower risk of prevalent HTN, but this advantage disappeared after a cumulative 2 year exposure to ART. There was no significant association between other HIV predictive characteristics and HTN. Conclusion About a quarter of these Cameroonian PLWH had HTN, driven among others by age and adiposity. Appropriate integration of HIV and NCDs services is needed to improve early detection, treatment and control of common comorbid NCD risk factors like hypertension and safeguard cardiovascular health in PLWH.

scholarly journals Quality of life of elderly people living with HIV/AIDS in outpatient follow-up

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 513-522 ◽  
Author(s):  
Juliano de Souza Caliari ◽  
Lilian Andreia Fleck Reinato ◽  
Daiana Patrícia Marchetti Pio ◽  
Letícia Pimenta Lopes ◽  
Renata Karina Reis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Treatment Interruption ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Physical Changes ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objective: To analyze factors related to the quality of life of elderly people living with HIV/AIDS. Method: A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements. Results: Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs. Conclusion: The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.

scholarly journals Physicians are a key to encouraging cessation of smoking among people living with HIV/AIDS: a cross-sectional study in the Kathmandu Valley, Nepal

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Rachel M Amiya ◽  
Krishna C Poudel ◽  
Kalpana Poudel-Tandukar ◽  
Jun Kobayashi ◽  
Basu D Pandey ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Kathmandu Valley ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Religious and spiritual coping in people living with HIV/Aids

2017 ◽  
Vol 70 (2) ◽  
pp. 392-399 ◽  
Author(s):  
Clarissa Mourão Pinho ◽  
Bruno Felipe Remigio Dâmaso ◽  
Eduardo Tavares Gomes ◽  
Maria de Fátima Cordeiro Trajano ◽  
Maria Sandra Andrade ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
University Hospital ◽  
Spiritual Coping ◽  
People Living With Hiv ◽  
Intrinsic Religiosity ◽  
Cross Sectional ◽  
Duke University ◽  
Coping Scale ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objective: evaluate the religiosity and the religious/spiritual coping of people living with HIV/Aids. Method: descriptive, cross-sectional study with quantitative approach, conducted in a reference HIV/Aids outpatient clinic in a university hospital of Recife-PE, Brazil, from June to November 2015. At total of 52 people living with HIV/Aids (PLWHA) participated in the research, which employed own questionnaire, the Duke University Religion Index (DUREL), and the Religious/Spiritual Coping Scale (RCOPE). Results: the sample presented high indices of organizational religiosity (4.23±1.66), non-organizational religiosity (4.63±1.50), and intrinsic religiosity (13.13±2.84). Positive RCOPE was used in high mean scores (3.66±0.88), and negative RCOPE had low use (2.12 ± 0.74). In total, use of RCOPE was high (3.77±0.74), having predominated the positive RCOPE (NegRCOPE/PosRCOPE ratio=0.65±0.46). Conclusion: it is evident the importance of encouraging religious activity and RCOPE strategies, seen in the past as inappropriate interventions in clinical practice.

scholarly journals Attitudes Toward Caring for People Living with HIV/AIDS: A Cross-Sectional Study of Nursing Faculty in Six Countries

2020 ◽  
Vol 14 (1) ◽  
pp. 90-99
Author(s):  
Juan. M. Leyva-Moral ◽  
Karen A. Dominguez-Cancino ◽  
Joan E. Edwards ◽  
David Moriña-Soler ◽  
Sandra K. Cesario ◽  
...  
Keyword(s):  
Nursing Faculty ◽  
Cross Sectional Study ◽  
Faculty Attitudes ◽  
Composite Score ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Living With Hiv ◽  
Hiv Aids

Background: Since the earliest study about nursing faculty and student attitudes about caring for people living with HIV/AIDS (PLHIV) in 1992, there have been less than 20 additional studies reported in the literature. Yet, PLHIV continues to report stigma and experience discrimination. Nursing faculty attitudes are part of the informal curriculum. Negativity about caring for PLHIV can adversely impact student perceptions as well as their care. Current research in this area is essentially non-existent. Objective: To describe the attitudes of the university nursing faculty toward caring for PLHIV; and to identify the relationship between faculty attitudes and explanatory factors such as age, education, religion, nationality, teaching in a clinical setting, years of experience, and university attributes. Methods: This was a multicenter cross-sectional study with nonrandomized electronic purposeful sampling. The Healthcare Provider HIV/AIDS Stigma Scale (HPASS) is a 30-item scale with three subscales: Prejudice, stereotype, and discrimination. The English and Spanish versions of the HPASS exhibit stable psychometric properties for cross-cultural research. The HPASS was delivered to university nursing faculty in six countries across three continents. Results: A sample of 368 nursing faculty completed the HPASS. The mean composite score was 2.41 (SD = 0.69), six-point scale with lower scores indicating more positive attitudes, with subscale scores: Stereotypes 2.55 (SD = 0.84), discrimination 2.28 (SD = 0.74), and prejudices 2.41 (SD = 0.63). Peruvian faculty had the highest scores while Canadian had the lowest. Significant correlations were observed between attitudes and the three subscales, and between the three subscales and the composite score. Conclusion: Attitudes of the nursing faculty toward caring for PLHIV were slightly positive to slightly negative depending on the region and country. Knowledge deficiencies about HIV persist, incorrect beliefs are common, and attitudes appear to be influenced by culture. The correlation between subscales justifies continued research to implement targeted interventions. Education about HIV/AIDS can address knowledge deficits while structured interactions with PLHIV can facilitate experiential learning.

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