The prevalence of multimorbidity in virally suppressed HIV-positive patients in Limpopo

Southern African Journal of HIV Medicine

Field Value
Title The prevalence of multimorbidity in virally suppressed HIV-positive patients in Limpopo
Creator Lebina, Limakatso Malatji, Tumiso Nabeemeeah, Firdaus Motsomi, Kegaugetswe Siwelana, Tsundzukani Hlongwane, Khuthadzo Martinson, Neil
Subject Health, infectious diseases, chronic diseases NCD; PLWH; hypertension; diabetes; chronic diseases
Description Background: Non-communicable diseases (NCDs) are an emerging global public health problem.Objectives: To assess the prevalence of NCDs and their risk factors among adults on antiretroviral therapy (ART).Method: This was a cross-sectional study (July 2019 – January 2020) in Limpopo, South Africa. Patients were enrolled if they were ≥ 40 years, HIV-positive, and virologically suppressed on ART. Data were analysed descriptively, and a binomial regression model was used to identify risk factors for NCDs.Results: The majority of participants (65%; 319/488) were women. Most (83%; 405/488) were aged 40–59 years; 60% (285/472) were overweight or obese. Based on self-report, 22% (107/488) were currently smokers. Almost half (44%) 213/488) reported daily consumption of vegetables and 65% (319/488) exercised regularly and 39% (190/488) reported treatment for another chronic disease. The leading comorbid conditions were hypertension (32%; 158/488) and diabetes mellitus (5%; 24/488). Risk factors for hypertension included age 60 years and older (relative risk [RR]: 1.72; 95% confidence interval [CI]: 1.29–2.30) diabetes (RR: 1.42; 95% CI: 1.08–1.87), overweight (RR: 1.32; 95% CI: 1.03–1.69) and obesity (RR: 1.69; 95% CI: 1.32–2.17).Conclusion: There is a high prevalence, both of risk factors for NCDs and multimorbidity ( 1 chronic disease) in patients who are ≥ 40 years and virologically suppressed on ART.
Publisher AOSIS
Contributor South African Medical Research Council
Date 2023-09-18
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v24i1.1495
Source Southern African Journal of HIV Medicine; Vol 24, No 1 (2023); 7 pages 2078-6751 1608-9693
Language eng
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Coverage — — Adults 40 years and older, living with HIV, virologically suppressed on ART
Rights Copyright (c) 2023 Limakatso Lebina, Tumiso Malatji, Firdaus Nabeemeeah, Kegaugetswe Motsomi, Tsundzukani Siwelana, Khuthadzo Hlongwane, Neil Martinson