Increased prevalence of hypertension among people living with HIV: where to begin?

Detalhes bibliográficos
Autor(a) principal: Costa,Aldrey Nascimento
Data de Publicação: 2020
Outros Autores: Val,Fernando, Macedo,Álvaro Elias, Cubas-Vega,Nadia, Tejo,Paola López Del, Marques,Marly M., Alencar Filho,Aristóteles Comte de, Lacerda,Marcus Vinicius Guimarães de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Sociedade Brasileira de Medicina Tropical
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100334
Resumo: 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.
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spelling Increased prevalence of hypertension among people living with HIV: where to begin?HIVNon-communicable diseasesCardiovascular diseaseshypertensionAbstract 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.Sociedade Brasileira de Medicina Tropical - SBMT2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100334Revista da Sociedade Brasileira de Medicina Tropical v.53 2020reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/0037-8682-0564-2019info:eu-repo/semantics/openAccessCosta,Aldrey NascimentoVal,FernandoMacedo,Álvaro EliasCubas-Vega,NadiaTejo,Paola López DelMarques,Marly M.Alencar Filho,Aristóteles Comte deLacerda,Marcus Vinicius Guimarães deeng2020-09-14T00:00:00Zoai:scielo:S0037-86822020000100334Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2020-09-14T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false
dc.title.none.fl_str_mv Increased prevalence of hypertension among people living with HIV: where to begin?
title Increased prevalence of hypertension among people living with HIV: where to begin?
spellingShingle Increased prevalence of hypertension among people living with HIV: where to begin?
Costa,Aldrey Nascimento
HIV
Non-communicable diseases
Cardiovascular diseases
hypertension
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?
author Costa,Aldrey Nascimento
author_facet Costa,Aldrey Nascimento
Val,Fernando
Macedo,Álvaro Elias
Cubas-Vega,Nadia
Tejo,Paola López Del
Marques,Marly M.
Alencar Filho,Aristóteles Comte de
Lacerda,Marcus Vinicius Guimarães de
author_role author
author2 Val,Fernando
Macedo,Álvaro Elias
Cubas-Vega,Nadia
Tejo,Paola López Del
Marques,Marly M.
Alencar Filho,Aristóteles Comte de
Lacerda,Marcus Vinicius Guimarães de
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Costa,Aldrey Nascimento
Val,Fernando
Macedo,Álvaro Elias
Cubas-Vega,Nadia
Tejo,Paola López Del
Marques,Marly M.
Alencar Filho,Aristóteles Comte de
Lacerda,Marcus Vinicius Guimarães de
dc.subject.por.fl_str_mv HIV
Non-communicable diseases
Cardiovascular diseases
hypertension
topic HIV
Non-communicable diseases
Cardiovascular diseases
hypertension
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.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0037-8682-0564-2019
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
dc.source.none.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical v.53 2020
reponame:Revista da Sociedade Brasileira de Medicina Tropical
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reponame_str Revista da Sociedade Brasileira de Medicina Tropical
collection Revista da Sociedade Brasileira de Medicina Tropical
repository.name.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)
repository.mail.fl_str_mv ||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br
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