dc.contributor.author | Kenneth Juma, Roseanne Nyabera, Sylvia Mbugua, George Odinya, James Jowi, Mzee Ngunga, David Zakus, Gerald Yonga | |
dc.date.accessioned | 2020-08-28T08:49:02Z | |
dc.date.available | 2020-08-28T08:49:02Z | |
dc.date.issued | 2019-07-01 | |
dc.identifier.uri | https://repository.maseno.ac.ke/handle/123456789/2541 | |
dc.description.abstract | Objectives: To determine the prevalence of cardiovascular
risk factors and their association with antiretroviral therapy
(ART) among HIV-infected adults in a rural sub-county
hospital in Kenya.
Methods: This was a descriptive survey of patient charts
characterising cardiovascular risk among adult patients (> 18
years) at Ukwala sub-county hospital between June 2013 and
January 2015. Post-stratification survey weights were applied
to obtain prevalence levels. Adjusted odds ratios (AOR) for
each variable related to cardiovascular risk factors were calculated
using logistic regression models.
Results: Overall, the prevalence of diabetes mellitus was 0.4%,
0.3% of patients had had a previous cardiovascular event
(heart attack or stroke), 40.4% had pre-hypertension, while
10.4% had stage 1 and 2.9% stage 2 hypertension. Up to 14%
of patients had elevated non-fasting total cholesterol levels.
Factors associated with hypertension were male gender (AOR
1.59, p = 0.0001), being over 40 years of age (AOR 1.78, p =
0.0001) and having an increased waist circumference (OR
2.56, p = 0.0014). Raised total cholesterol was more likely in
those on tenofovir disoproxil fumarate (TDF) (AOR 2.2, p
= 0.0042), azidothymidine (AZT) (AOR 2.5, p = 0.0004) and
stavudine (D4T)-containing regimens (AOR 3.13, p = 0.0002). | en_US |
dc.publisher | Clinics Cardive Publishing | en_US |
dc.subject | people living with HIV, cardiovascular risk factors, antiretroviral therapy, hypertension, diabetes, hypercholesterolaemia, sub-Saharan Africa | en_US |
dc.title | Cardiovascular risk factors among people living with HIV in rural Kenya: a clinic-based study | en_US |
dc.type | Article | en_US |