Hypertension, cardiovascular risk factors and antihypertensive medication utilisation among HIV-infected individuals in Rakai, Uganda

ObjectivesTo assess the prevalence of hypertension, elevated blood pressure and cardiovascular risk factors among HIV-positive individuals in rural Rakai District, Uganda.MethodsWe assessed 426 HIV-positive individuals in Rakai, Uganda from 2007 to 2010. Prevalence of hypertension and elevated blood pressure assessed by clinical measurement was compared to clinician-recorded hypertension in case report forms. Multiple logistic regression and z-tests were used to examine the association of hypertension and elevated blood pressure with age, sex, body mass index (BMI), CD4 cell count and antiretroviral treatment (ART) use. For individuals on antihypertensives, medication utilisation was reviewed.ResultsThe prevalence of hypertension (two elevated blood pressure readings at different time points) was 8.0% (95% CI: 5.4–10.6%), and that of elevated blood pressure (one elevated blood pressure reading) was 26.3% (95% CI: 22.1–30.5%). Age ≥50 years and higher BMI were positively associated with elevated blood pressure. ART use, time on ART and CD4 cell count were not associated with hypertension. Eighty-three percent of subjects diagnosed with hypertension were on antihypertensive medications, most commonly beta-blockers and calcium channel blockers.ConclusionsHypertension is common among HIV-positive individuals in rural Uganda.

Keywords

hypertension prevalence, treatment, HIV, Rakai, Uganda

Citation

Sander, L.D., Newell, K., Ssebbowa, P., Serwadda, D., Quinn, T.C., Gray, R.H., Wawer, M.J., Mondo, G. and Reynolds, S. (2015), Hypertension, cardiovascular risk factors and antihypertensive medication utilisation among HIV-infected individuals in Rakai, Uganda. Trop Med Int Health, 20: 391-396. https://doi.org/10.1111/tmi.12443

URI

https://nru.uncst.go.ug/handle/123456789/5368

Collections

Medical and Health Sciences

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