Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia

Yihenew Sewale,1 Abebe Dilie Afenigus,2 Dessalegn Haile,2 Wondimeneh Shibabaw Shiferaw1 1Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia; 2Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, EthiopiaCorrespondence...

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Autores principales:	Sewale Y, Afenigus AD, Haile D, Shiferaw WS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	hypertension hiv art Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/b8a16b15500543a593057a6def40c801
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spelling	oai:doaj.org-article:b8a16b15500543a593057a6def40c8012021-12-02T12:45:48ZMagnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia1179-1373https://doaj.org/article/b8a16b15500543a593057a6def40c8012020-10-01T00:00:00Zhttps://www.dovepress.com/magnitude-of-hypertension-and-associated-factors-among-human-immunodef-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Yihenew Sewale,1 Abebe Dilie Afenigus,2 Dessalegn Haile,2 Wondimeneh Shibabaw Shiferaw1 1Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia; 2Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, EthiopiaCorrespondence: Yihenew Sewale Tel +251921578419Email yihenewsewale123@gmail.comBackground: People living with human immunodeficiency virus are at increased risk for cardiovascular diseases such as hypertension. Current evidence on the proportion of hypertension is essential to inform policymaker to strengthen interventions and regular monitoring of hypertension, yet information is scarce concerning hypertension in this study area.Objective: This study aimed to assess the magnitude of hypertension and associated factors among human immunodeficiency virus-positive adults receiving antiretroviral therapy at Debre Markos Referral Hospital, Northwest Ethiopia.Methods: A facility-based cross-sectional study was employed. Data were collected from systematically selected 412 participants using pre-tested, interviewer administered structured questionnaire. Data were entered and coded using Epi-data version 3.1 and analyzed using STATA version 14. The assumption of the logistic regression model was checked using a correlation matrix and Hosmer and Lemeshow’s tests. Bivariate and multivariate logistic regression analyses were conducted.Results: In the present study, the prevalence of hypertension among human immunodeficiency virus-positive adults who received antiretroviral therapy was found to be 41.3% (95% CI; 36.7– 46.0). Age groups 35– 45 years (AOR: 2.48, 95% CI: 1.17, 5.27), greater than 45 years (AOR: 5.00, 95% CI: 2.190, 11.44), no physical exercise (AOR: 2.72, 95% CI: 1.33, 5.57), body mass index greater than or equal to 25 kg/m2 (AOR: 2.87 95% CI: 1.52, 5.39), and antiretroviral therapy regimens of 2 h/2f/2e/ABC+3TC+ATV/r (AOR: 3.05, 95% CI: 1.41, 6.60) were significantly associated with hypertension.Conclusion: In the current study, the magnitude of hypertension was high among HIV-positive adults. Therefore, educating about the use of lifestyle change, counseling the use of regular physical activities, promoting weight reduction, and intervention in this situation are highly recommended.Keywords: hypertension, HIV, ARTSewale YAfenigus ADHaile DShiferaw WSDove Medical PressarticlehypertensionhivartImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 629-637 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypertension hiv art Immunologic diseases. Allergy RC581-607
spellingShingle	hypertension hiv art Immunologic diseases. Allergy RC581-607 Sewale Y Afenigus AD Haile D Shiferaw WS Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia
description	Yihenew Sewale,1 Abebe Dilie Afenigus,2 Dessalegn Haile,2 Wondimeneh Shibabaw Shiferaw1 1Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia; 2Department of Nursing, College of Health Science, Debre Markos University, Debre Markos, EthiopiaCorrespondence: Yihenew Sewale Tel +251921578419Email yihenewsewale123@gmail.comBackground: People living with human immunodeficiency virus are at increased risk for cardiovascular diseases such as hypertension. Current evidence on the proportion of hypertension is essential to inform policymaker to strengthen interventions and regular monitoring of hypertension, yet information is scarce concerning hypertension in this study area.Objective: This study aimed to assess the magnitude of hypertension and associated factors among human immunodeficiency virus-positive adults receiving antiretroviral therapy at Debre Markos Referral Hospital, Northwest Ethiopia.Methods: A facility-based cross-sectional study was employed. Data were collected from systematically selected 412 participants using pre-tested, interviewer administered structured questionnaire. Data were entered and coded using Epi-data version 3.1 and analyzed using STATA version 14. The assumption of the logistic regression model was checked using a correlation matrix and Hosmer and Lemeshow’s tests. Bivariate and multivariate logistic regression analyses were conducted.Results: In the present study, the prevalence of hypertension among human immunodeficiency virus-positive adults who received antiretroviral therapy was found to be 41.3% (95% CI; 36.7– 46.0). Age groups 35– 45 years (AOR: 2.48, 95% CI: 1.17, 5.27), greater than 45 years (AOR: 5.00, 95% CI: 2.190, 11.44), no physical exercise (AOR: 2.72, 95% CI: 1.33, 5.57), body mass index greater than or equal to 25 kg/m2 (AOR: 2.87 95% CI: 1.52, 5.39), and antiretroviral therapy regimens of 2 h/2f/2e/ABC+3TC+ATV/r (AOR: 3.05, 95% CI: 1.41, 6.60) were significantly associated with hypertension.Conclusion: In the current study, the magnitude of hypertension was high among HIV-positive adults. Therefore, educating about the use of lifestyle change, counseling the use of regular physical activities, promoting weight reduction, and intervention in this situation are highly recommended.Keywords: hypertension, HIV, ART
format	article
author	Sewale Y Afenigus AD Haile D Shiferaw WS
author_facet	Sewale Y Afenigus AD Haile D Shiferaw WS
author_sort	Sewale Y
title	Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia
title_short	Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia
title_full	Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia
title_fullStr	Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia
title_full_unstemmed	Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia
title_sort	magnitude of hypertension and associated factors among human immunodeficiency virus positive adults receiving anti-retroviral therapy at debre markos referral hospital, northwest, ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/b8a16b15500543a593057a6def40c801
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Magnitude of Hypertension and Associated Factors Among Human Immunodeficiency Virus Positive Adults Receiving Anti-Retroviral Therapy at Debre Markos Referral Hospital, Northwest, Ethiopia

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