Key result
Among people living with HIV aged >40 years, the prevalence of hypertension was 35.9%, with only 33.6% aware of their status and 10.2% adhering to blood pressure-lowering treatment.
Why the study?
Cardiovascular diseases have become increasingly important in aging people living with HIV, requiring identification of gaps in the care cascade for hypertension.
What is the prevalence of hypertension and the state of the hypertension care cascade among older people living with HIV?
Cross-Sectional (n=298)
No
What is the prevalence of hypertension and the state of the hypertension care cascade among older people living with HIV?
There is a high prevalence of undiagnosed and poorly managed hypertension among older people living with HIV, highlighting significant gaps in cardiovascular risk screening and care.
May indicate gaps in hypertension care for PLHIV; hypothesis-generating for targeted strategies in this population.
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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Costa et al. (2020) conducted a cross-sectional in HIV (n=298). Hypertension screening and management was evaluated on Prevalence of hypertension. Among people living with HIV aged >40 years, the prevalence of hypertension was 35.9%, with only 33.6% aware of their status and 10.2% adhering to blood pressure-lowering treatment.
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