Browsing by Author "Nyangi, Getera Isack"

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    Prevalence of hypertension and its association to HIV related factors among HIV patients on antiretroviral medications in Bagamoyo district, Tanzania
    (NM-AIST, 2020-02) Nyangi, Getera Isack
    Effective use of antiretroviral therapy (ART), has greatly upgraded the quality of life and survival of individuals suffering from HIV/AIDS. However, the incidence rate of hypertension is reported growing up. The overall aim was to find out the prevalence of hypertension and its association with HIV related factors in HIV patients on ART, in Bagamoyo district Tanzania. The design was a cross-sectional study of HIV patients on ART visiting care and treatment clinics. Hypertension was defined as systolic blood pressure ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg or being on medications for hypertension. Logistic regression was applied during the analysis. The study investigated 328 HIV patients on ART, 64.6% were female, and 92.68% on non-protease inhibitors medication and 14% had a prior history of TB in the past 5 years. The overall prevalence of hypertension was 29.3% and it was significantly and positively associated with increasing age (years): 40-59, 3.40 (1.80-6.41) 0.001, ≥ 60, 9.25 (3.96-21.60) 0.001, obesity 3.63 (1.60-8.26) 0.002, nonprotease inhibitors 4.31 (1.16-16.03) 0.029 and tenofovir 4.27 (1.15-15.96) 0.031. Both of the duration since HIV diagnosed, recent CD4+cell count and history of TB in the past 5 years were not statistically significant associated with increased odds of having hypertension. In conclusion the prevalence of hypertension in HIV patients on ART was 29.3% and it was significantly and positively associated with increasing age, obesity, and non-protease inhibitors. Regular monitoring of blood pressure, anthropometrics, and ART drug toxicity are crucial among HIV patients.
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    Prevalence of Hypertension and Its Association with Tuberculosis, among HIV patients on ART in Bagamoyo District, Eastern Tanzania
    (International Journal of AIDS, 2019-11-27) Nyangi, Getera Isack; Festo, Charles; Olotu, Ally
    Background: Individuals living with HIV/AIDS have a higher risk of cardiovascular complications, including hypertension. We, therefore, assess the prevalence of hypertension and its association with Tuberculosis in HIV patients on ART in Bagamoyo district eastern Tanzania. Methods: This was a cross-sectional study involving HIV-infected individuals on ART, consecutively enrolled from two selected care and treatment clinics (CTC), between March and May 2019. Hypertension was defined as systolic blood pressure (SBP) ≥ 140 mm Hg, diastolic blood pressure (DBP) ≤ 90 mm Hg or being on-ant hypertensive medication regardless of blood pressure measurement on the day of the visit. Results: We investigated 328 HIV patients on ART, 64.6% were female, 92.68% on non-protease inhibitors, 0.61% had current TB and 14% had a history of Tuberculosis in the past 5 years. The overall prevalence of hypertension in HIV patients on ART was 29.3% and it was significant and positively associated with increasing age, obesity, family history of hypertension, and, current history of TB. However, having a history of Tuberculosis in the past 5 years was not associated with increased odds of having hypertension. Conclusion: The prevalence of hypertension in HIV patients on ART was higher and it was associated with traditional risk factors and the current history of tuberculosis and but not with a history of Tuberculosis in the past 5 years. Regular monitoring of blood pressure is crucial among HIV/AIDS patients attending HIV outpatient clinics.