What question did this study set out to answer?

To evaluate the prevalence of hypertension and its associated factors among individuals living with HIV in Ethiopia.

April 18, 2026Journal of the International Association of Providers of AIDS Care (JIAPAC)0 citationsOpen Access

Prevalence of Hypertension and Associated Factors Among People Living with HIV in Ethiopia: A Systematic Review and Meta-Analysis

AAAddisu Simachew AsgaiDebark University TDTsegaamlak Kumelachew DerseDebark University DKDesalegn Mitiku Kidie

Key Points

To evaluate the prevalence of hypertension and its associated factors among individuals living with HIV in Ethiopia.
Conducted a systematic search in multiple databases including PubMed and Google Scholar.
Included both published and grey literature relevant to hypertension and HIV in Ethiopia.
Assessed study quality using the Newcastle-Ottawa Scale.
Pooled prevalence of hypertension among people living with HIV was 22%.
Physical inactivity was associated with hypertension (AOR=2.73).
Excessive alcohol consumption significantly correlated with hypertension (AOR=3.01).
Long-term ART (≥5 years) also associated with hypertension (AOR=2.50).

Abstract

IntroductionHypertension has emerged as a significant comorbidity among people living with Human Immunodeficiency Virus (HIV). However, the prevalence and determinants of hypertension in Ethiopia remain inconsistent across studies.MethodsA systematic search of PubMed, Science Direct, Cochrane Library, Hinari, and Google Scholar was conducted following PRISMA 2020 guidelines. Both published and grey literature conducted in Ethiopia were included. The Newcastle Ottawa scale was used to assess the quality of included studies.ResultsPooled prevalence of hypertension among people living with HIV in Ethiopia was 22% (95% CI: 17.0-28.0). Factors significantly associated with hypertension among people living with HIV included physical inactivity (AOR=2.73; 95% CI: 2.05-3.41), excessive alcohol drinking (AOR=3.01; 95% CI: 1.41-4.61), and ART duration ≥5 years (AOR=2.50; 95% CI: 1.46-3.54).ConclusionHypertension affects approximately one in five people living with HIV in Ethiopia. Physical inactivity, alcohol use and long-term ART were significantly associated with Hypertension.

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