Determinants of uncontrolled hypertension among clients on anti-retroviral therapy in Kadoma City, Zimbabwe, 2016
| Autor: | More Mungati, Mufuta Tshimanga, Pamela Nyaradzai Magande, Daniel Chirundu, Notion Tafara Gombe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
lcsh:Internal medicine
medicine.medical_specialty Uncontrolled hypertension Population Kadoma lcsh:Medicine 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences 0302 clinical medicine Environmental health Internal Medicine Medicine Medical history 030212 general & internal medicine Salt intake lcsh:RC31-1245 education education.field_of_study business.industry Research lcsh:R Case-control study Anthropometry Physical therapy Health education Cardiology and Cardiovascular Medicine business Body mass index ART |
| Zdroj: | Clinical Hypertension Clinical Hypertension, Vol 23, Iss 1, Pp 1-7 (2017) |
| ISSN: | 2056-5909 |
| Popis: | Background Clients on anti-retroviral therapy (ART) are living longer and have risk of hypertension. Side effects of medicines and aging increase this risk. Hypertension prevalence among clients on ART in Kadoma City was estimated to be 30% in 2015. Of these, 61% had uncontrolled hypertension. This was high compared to 46% of hypertensives in the general population who had uncontrolled hypertension. We determined factors associated with uncontrolled hypertension among clients on ART. Methods A 1.1 unmatched case control study was conducted. Interviews, anthropometric measurements and record reviews were to collect data on demography and medical history. Epi Info 7 was used for univariate, bivariate analysis and logistic regression. Results One hundred and fifty-two cases and 152 controls were recruited into the study. Adding salt to dishes regularly aOR = 5.69 (3.19–10.16), body mass index (BMI) above 25 kg/m2 aOR = 2.81 (1.60–4.91) and history of elevated blood pressure in previous year aOR = 2.34 (1.33–4.13) were independent risk factors. Independent protective factors were duration more than 2 years since HIV diagnosis aOR = 0.58 (0.35–0.95), duration less than 5 years since hypertension diagnosis aOR = 0.50 (0.30–0.83) and walking or cycling as a means of transport aOR = 0.27 (0.16–0.48). Conclusion Adding salt to dishes regularly, BMI above 25 kg/m2, history of elevated blood pressure in the previous year, duration more than 2 years since HIV diagnosis, duration less than 5 years since hypertension diagnosis and walking or cycling as a means of transport were independently associated with uncontrolled hypertension. Health education on lifestyle changes like walking and cycling as transport and dietary modification such as salt intake reduction were recommended. |
| Databáze: | OpenAIRE |
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