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Increased prevalence of hypertension among people living with HIV: where to begin?
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.
  • Costa, Aldrey Nascimento; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Val, Fernando; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Macedo, Álvaro Elias; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Cubas-Vega, Nadia; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Tejo, Paola López Del; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Marques, Marly M; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Alencar Filho, Aristóteles Comte de; Universidade Federal do Amazonas. Manaus. BR
  • Lacerda, Marcus Vinicius Guimarães de; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
Rev. Soc. Bras. Med. Trop ; 53: e20190564, 2020. tab, graf
Article in English | LILACS, ColecionaSUS, SES-SP | ID: biblio-1136856
Responsible library: BR1.1
ABSTRACT
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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: HIV Infections / Hypertension Type of study: Prevalence study / Prognostic study / Qualitative research / Risk factors Limits: Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. Soc. Bras. Med. Trop Year: 2020 Type: Article Institution/Affiliation country: Universidade Federal do Amazonas/BR / Universidade do Estado do Amazonas/BR

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Full text: Available Index: LILACS (Americas) Main subject: HIV Infections / Hypertension Type of study: Prevalence study / Prognostic study / Qualitative research / Risk factors Limits: Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. Soc. Bras. Med. Trop Year: 2020 Type: Article Institution/Affiliation country: Universidade Federal do Amazonas/BR / Universidade do Estado do Amazonas/BR