Abstract
A 5-years retrospective cohort study was used to review the records or patient files of 1640 HIV patients enrolled between the years 2013-2015. These files were reviewed in 3 HIV treatment Centers which measured a recorded blood pressure routinely. Data was entered in SPSS 25 and analyzed using stata 13. Log rank test and cox proportional hazard regression were used to identify independent risk factors. Statistical significance was set at p < 0.05.
Highlights
The burden of non-communicable diseases (NCD) and their modifiable risk factors is on the rise in SubSaharan Africa (SSA)
Cox regression models identified body mass index, Diastolic Blood Pressure and World Health Organization (WHO) Human Immunodeficiency Virus (HIV) stage as independent risk factors for hypertension development
Traditional cardiovascular risk factors and WHO HIV clinical stage predicted incident hypertension, but no association was observed with immunological or antiretroviral therapy (ART) regimen. These data support the implementation of routine hypertension screening and integrated management into HIV program in rural Sub-Saharan Africa and the early initiation of patients on ART through the Universal Test and Treat (UTT) approach
Summary
The burden of non-communicable diseases (NCD) and their modifiable risk factors is on the rise in SubSaharan Africa (SSA). Among people living with HIV (PLHIV), epidemiological studies have revealed a trend of increasing prevalence of four major risk factors of NCDs; hypertension, hyperglycemia, dyslipidemia and obesity [1,2,3]. The increased NCDs risk among PLWH has the potential to threaten the success of ART use, causing morbidity, poor quality of life and premature mortality. The prevalence of hypertension (38.0%) and dyslipidemia (51.0%) in HIV patients on ART have reached epidemic levels in Fako Division, SWR of Cameroon [2,3]. Hypertension has reached epidemic proportion among people living with HIV (PLHIV) and this could have a negative bearing on the quality of life and survival of these patients
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