Ideal Cardiovascular Health: Distribution, Determinants and Relationship with Health Status among People Living with HIV in Urban Tanzania

Autor: Theresia A. Ottaru, Gideon P. Kwesigabo, Zeeshan Butt, Adovich S. Rivera, Pilly Chillo, Helen Siril, Lisa R. Hirschhorn, Matthew J. Feinstein, Claudia Hawkins
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Global Heart, Vol 17, Iss 1 (2022)
Druh dokumentu: article
ISSN: 2211-8179
DOI: 10.5334/gh.1157
Popis: Background: Ageing adults living with HIV (ALHIV) have increased risk of cardiovascular diseases as a result of HIV-infection-related chronic immune activation and inflammatory responses. Cardiovascular health index (CVHI) is a valid and relatively simple index for assessing the cardiovascular health (CVH) of the general population. Use of this index among ALHIV in Sub Saharan Africa, a resource-restricted setting where it could be mostly beneficial, remains limited. Understanding of the distribution and associated factors may inform the design of optimal interventions to improve CVH of ALHIV. Objective: We aimed to assess the distribution and factors associated with CVHI scores among ALHIV in an urban setting in Tanzania. Methods: A cross-sectional study was conducted among ALHIV on antiretroviral therapy at six HIV clinics in Dar-es-Salaam, Tanzania. We summed the score of each of the seven CVHI metric to obtain the overall CVHI score and assessed the distribution of the score by sex. We then categorized the overall score into ideal (5–7), intermediate (3–4) and poor (
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