自我报告的心血管疾病风险因素查在艾滋病毒感染者与博茨瓦纳一般人口之间:一个基于社区的研究
Onkabetse Julia Molefe-Baikai1, Kago Kebotsamang2, Pinkie Modisawakgomo3
1Faculty of Medicine, Department of Internal Medicine, University of Botswana, Princess Marina Hospital, Gaborone, Botswana. onkabetsebaikai@gmail.com.
BMC public health
|January 16, 2024
概括
与未感染艾滋病毒的人相比,感染艾滋病毒的人 (PLWH) 查心血管疾病风险因素 (CVDRFs) 的可能性几乎是两倍. 这凸显了扩大对一般人口进行心血管疾病查和预防的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 构成了严重且日益严重的健康负担,特别是在低收入和中等收入国家.
- 与一般人群相比,感染艾滋病毒 (PLWH) 的人面临患心血管疾病的风险更高.
研究的目的:
- 调查艾滋病毒感染者 (PLWH) 是否比没有艾滋病毒的人更有可能先前接受心血管疾病风险因素 (CVDRFs) 查.
主要方法:
- 在博茨瓦纳进行了一项横截面研究,涉及3981名年龄在16-68岁之间的参与者.
- 收集了过去3年中对CVDRF (高血压,糖尿病,胆固醇,体重,吸烟,酒精,体力活动) 的查和咨询的数据.
- 后勤回归分析用于比较PLWH和HIV未感染个体之间的CVDRF查率,控制年龄和性别.
主要成果:
- 与未感染艾滋病毒的参与者相比,PLWH报告了更高的糖尿病查率 (25%对19%),高胆固醇 (17%对12%) 和体重检查率 (76%对55%).
- 此外,PLWH还获得了更多关于戒烟,体重控制,体力活动和饮酒的咨询.
- 总体而言,PLWH患者查或咨询CVDRF的可能性是1.84倍 (aOR为1.84,95%CI为1.46-2.32).
结论:
- 艾滋病毒感染者 (PLWH) 比艾滋病毒未感染者更容易接受心血管疾病风险因素 (CVDRF) 查.
- 调查结果强调,需要广泛实施综合性心血管疾病管理和预防战略,包括对整个人口,包括没有艾滋病毒的人群的广泛实施.
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