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Correlates of Blood Pressure Awareness, Treatment, and Control Among Adults 50 Years or Older by HIV Status in Northwestern Tanzania

  • Telemedicine and Technology (HB Bosworth, Section Editor)
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Abstract

Purpose of Review

The objective of this study was to describe the increasing incidence and risk of cardiovascular disease among persons living with HIV (PLWH) in Sub-Saharan Africa. We also used data to compare hypertension (a common NCD among PLWH) outcomes between PLWH and HIV–uninfected individuals among older adults in Northwestern Tanzania.

Recent Findings

Hypertension is increasingly common in Sub-Saharan Africa and a leading cause of cardiovascular disease for PLWH. Among those with hypertension, PLWH have a 50% higher risk of incident myocardial infarction compared to the general population. In response to the rising incidence of these non-communicable diseases (NCDs) among PLWH, recently, the Joint United Nations Program on HIV/AIDS supported the integration of NCD care into routine clinical care for HIV. However, data are lacking on levels of awareness of hypertension status, diagnosis, and antihypertensive medication adherence.

Summary

Given the higher likelihood of elevated blood pressure among PLWH, there is an urgent need to implement interventions to improve blood pressure control in this population. Researchers should evaluate treatment barriers at multiple levels including health system, healthcare providers, and patients’ level and tailor evidence-based interventions to increase achievement of blood pressure control for PLWH.

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    Acknowledgements

    We would like to thank all the participants at the BMC CTC and the participants from the Nyamagana and Ilemela districts. We also would like to thank the chairperson of each ward and the medical officers’ representatives in Nyamagana and Ilemela districts, Dr. Wemaeli Mweteni, CTC staff, and research assistants who assisted with data collection.

    Funding

    This research was supported by the Fogarty International Centre of the National Institutes of Health under Award Number D43TW010138. CM effort was supported by a diversity supplement from the National Heart, Lung, and Blood Institute of the National Institutes of Health (NHLBI) U01HL142099-01S1 and K01 HL159052. We also acknowledge support received from the Duke University Center for AIDS Research grant 5P30AI064518. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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    Authors and Affiliations

    1. Department of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Suite 210, Durham, NC, 27701, USA

      Charles Muiruri, Carl J. Mhina & Helene Vilme

    2. Duke Global Health Institute, Duke University, Durham, NC, USA

      Charles Muiruri, Brandon A. Knettel & John A. Bartlett

    3. Kilimanjaro Christian Medical University College, Moshi, Tanzania

      Charles Muiruri, Carl J. Mhina & John A. Bartlett

    4. Department of Internal Medicine, Bugando Medical Centre, Mwanza, Tanzania

      Bahati Wajanga, Jamal J. Msangi, Msabah A. Msabah & Samuel Kalluvya

    5. Department of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania

      Bahati Wajanga & Samuel Kalluvya

    6. Department of Health Policy and Management, University of North Carolina Chapel Hill, Chapel Hill, NC, USA

      Christine Kim

    7. Duke University School of Nursing, Durham, NC, USA

      Brandon A. Knettel

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    1. Charles Muiruri
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    2. Bahati Wajanga
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    3. Christine Kim
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    Correspondence to Charles Muiruri.

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    Muiruri, C., Wajanga, B., Kim, C. et al. Correlates of Blood Pressure Awareness, Treatment, and Control Among Adults 50 Years or Older by HIV Status in Northwestern Tanzania. Curr Hypertens Rep 24, 259–266 (2022). https://doi.org/10.1007/s11906-022-01188-3

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