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

Aldrey Nascimento Costa1,2, Fernando Val1,2,3, Álvaro Elias Macedo1

  • 1Universidade do Estado do Amazonas, Escola Superior de Ciências da Saúde, Manaus, AM, Brasil.

Revista Da Sociedade Brasileira De Medicina Tropical
|September 16, 2020
PubMed

Insights

Hypertension is common in older adults with HIV, yet many are unaware and undertreated. Improved screening and management are crucial for cardiovascular disease prevention in this population.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Public Health

Background:

  • Cardiovascular diseases (CDVs) are a growing concern for aging people with HIV (PLHIV).
  • Hypertension is a primary risk factor for CDVs in PLHIV.
  • Understanding hypertension care gaps is vital for improving health outcomes.

Purpose of the Study:

  • To assess hypertension prevalence and care cascade among PLHIV over 40.
  • To identify deficiencies in hypertension screening, diagnosis, treatment, and management.

Main Methods:

  • Cross-sectional study of 298 PLHIV (>40 years) in the Brazilian Amazon.
  • Data collected via questionnaires and medical examinations.
  • Statistical analysis performed with significance set at p <0.05.

Main Results:

  • Hypertension prevalence was 35.9% (107/298).
  • Only 33.6% of hypertensive participants knew their status; 52.7% sought treatment.
  • Blood pressure treatment adherence was low at 10.2%.

Conclusions:

  • High prevalence of undiagnosed and poorly controlled hypertension in PLHIV.
  • Significant gaps exist in the hypertension care cascade for this population.
  • Public health strategies need enhancement for comprehensive PLHIV healthcare.
Abstract

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