Correlates of Blood Pressure Awareness, Treatment, and Control Among Adults 50 Years or Older by HIV Status in Northwestern Tanzania.
Charles MuiruriBahati WajangaChristine KimBrandon A KnettelCarl J MhinaJohn A BartlettJamal J MsangiMsabah A MsabahHelene VilmeSamuel KalluvyaPublished in: Current hypertension reports (2022)
Hypertension is increasingly common in Sub-Saharan Africa and a leading cause of cardiovascular disease for PLWH. Among those with hypertension, PLWH have a 50% higher risk of incident myocardial infarction compared to the general population. In response to the rising incidence of these non-communicable diseases (NCDs) among PLWH, recently, the Joint United Nations Program on HIV/AIDS supported the integration of NCD care into routine clinical care for HIV. However, data are lacking on levels of awareness of hypertension status, diagnosis, and antihypertensive medication adherence. Given the higher likelihood of elevated blood pressure among PLWH, there is an urgent need to implement interventions to improve blood pressure control in this population. Researchers should evaluate treatment barriers at multiple levels including health system, healthcare providers, and patients' level and tailor evidence-based interventions to increase achievement of blood pressure control for PLWH.
Keyphrases
- blood pressure
- hiv aids
- healthcare
- antiretroviral therapy
- hypertensive patients
- cardiovascular disease
- heart rate
- human immunodeficiency virus
- hiv infected
- hiv positive
- end stage renal disease
- physical activity
- hepatitis c virus
- palliative care
- heart failure
- quality improvement
- hiv testing
- blood glucose
- newly diagnosed
- type diabetes
- peritoneal dialysis
- chronic kidney disease
- ejection fraction
- left ventricular
- men who have sex with men
- electronic health record
- machine learning
- south africa
- prognostic factors
- skeletal muscle
- weight loss
- health information
- artificial intelligence
- social media
- cardiovascular events
- insulin resistance
- health insurance