Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana

Abstract In a population-based representative sample of adults residing in 22 communities in Botswana, a southern African country with high HIV prevalence, 1 in 4 individuals had high blood pressure. High blood pressure was less prevalent in adults with HIV than without HIV. Sixty percent of persons...

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Main Authors: Mosepele Mosepele, Kara Bennett, Tendani Gaolathe, Joseph M. Makhema, Mompati Mmalane, Molly Pretorius Holme, Refeletswe Lebelonyane, Omolola Ometoruwa, Lisa A. Mills, Kathleen M. Powis, Jean Leidner, Joseph N. Jarvis, Neo M. Tapela, Tiny Masupe, Lucky Mokgatlhe, Virginia A. Triant, Kathleen E. Wirth, Thato Moshomo, Shahin Lockman
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-44499-4
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author Mosepele Mosepele
Kara Bennett
Tendani Gaolathe
Joseph M. Makhema
Mompati Mmalane
Molly Pretorius Holme
Refeletswe Lebelonyane
Omolola Ometoruwa
Lisa A. Mills
Kathleen M. Powis
Jean Leidner
Joseph N. Jarvis
Neo M. Tapela
Tiny Masupe
Lucky Mokgatlhe
Virginia A. Triant
Kathleen E. Wirth
Thato Moshomo
Shahin Lockman
author_facet Mosepele Mosepele
Kara Bennett
Tendani Gaolathe
Joseph M. Makhema
Mompati Mmalane
Molly Pretorius Holme
Refeletswe Lebelonyane
Omolola Ometoruwa
Lisa A. Mills
Kathleen M. Powis
Jean Leidner
Joseph N. Jarvis
Neo M. Tapela
Tiny Masupe
Lucky Mokgatlhe
Virginia A. Triant
Kathleen E. Wirth
Thato Moshomo
Shahin Lockman
author_sort Mosepele Mosepele
collection DOAJ
description Abstract In a population-based representative sample of adults residing in 22 communities in Botswana, a southern African country with high HIV prevalence, 1 in 4 individuals had high blood pressure. High blood pressure was less prevalent in adults with HIV than without HIV. Sixty percent of persons with high blood pressure had not previously been diagnosed. Among individuals with a prior diagnosis of high blood pressure who reported being prescribed anti-hypertension medications, almost half had elevated blood pressure, irrespective of HIV-status. One-third of adults in this setting (mainly men) declined free non-invasive blood pressure assessments in their households. In conclusion, our study highlights alarmingly high hypertension rates in the community, with low levels of awareness and control, emphasizing the urgent need for community level BP screening and active management to reach recommended targets.
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spelling doaj.art-174ff52153ae468a92b25f628227a9342023-11-20T09:22:36ZengNature PortfolioScientific Reports2045-23222023-10-011311810.1038/s41598-023-44499-4Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in BotswanaMosepele Mosepele0Kara Bennett1Tendani Gaolathe2Joseph M. Makhema3Mompati Mmalane4Molly Pretorius Holme5Refeletswe Lebelonyane6Omolola Ometoruwa7Lisa A. Mills8Kathleen M. Powis9Jean Leidner10Joseph N. Jarvis11Neo M. Tapela12Tiny Masupe13Lucky Mokgatlhe14Virginia A. Triant15Kathleen E. Wirth16Thato Moshomo17Shahin Lockman18Department of Internal Medicine, Faculty of Medicine, University of BotswanaBennett Statistical Consulting Inc, Ballston LakeDepartment of Internal Medicine, Faculty of Medicine, University of BotswanaBotswana-Harvard AIDS Institute PartnershipBotswana-Harvard AIDS Institute PartnershipDepartment of Immunology & Infectious Diseases, Harvard T. H. Chan School of Public HealthMinistry of Health & WellnessDivision of Infectious Diseases, Brigham & Women’s HospitalCenters for Disease Control and Prevention (CDC)Botswana-Harvard AIDS Institute PartnershipGoodtables Data ConsultingBotswana-Harvard AIDS Institute PartnershipBotswana-Harvard AIDS Institute PartnershipDepartment of Family Medicine & Public Health, Faculty of Medicine, University of BotswanaDepartment of Biostatistics, Faculty of Social Sciences, University of BotswanaDepartment of Medicine, Massachusetts General HospitalDepartment of Epidemiology, Harvard T. H. Chan School of Public HealthDepartment of Internal Medicine, Faculty of Medicine, University of BotswanaBotswana-Harvard AIDS Institute PartnershipAbstract In a population-based representative sample of adults residing in 22 communities in Botswana, a southern African country with high HIV prevalence, 1 in 4 individuals had high blood pressure. High blood pressure was less prevalent in adults with HIV than without HIV. Sixty percent of persons with high blood pressure had not previously been diagnosed. Among individuals with a prior diagnosis of high blood pressure who reported being prescribed anti-hypertension medications, almost half had elevated blood pressure, irrespective of HIV-status. One-third of adults in this setting (mainly men) declined free non-invasive blood pressure assessments in their households. In conclusion, our study highlights alarmingly high hypertension rates in the community, with low levels of awareness and control, emphasizing the urgent need for community level BP screening and active management to reach recommended targets.https://doi.org/10.1038/s41598-023-44499-4
spellingShingle Mosepele Mosepele
Kara Bennett
Tendani Gaolathe
Joseph M. Makhema
Mompati Mmalane
Molly Pretorius Holme
Refeletswe Lebelonyane
Omolola Ometoruwa
Lisa A. Mills
Kathleen M. Powis
Jean Leidner
Joseph N. Jarvis
Neo M. Tapela
Tiny Masupe
Lucky Mokgatlhe
Virginia A. Triant
Kathleen E. Wirth
Thato Moshomo
Shahin Lockman
Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana
Scientific Reports
title Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana
title_full Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana
title_fullStr Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana
title_full_unstemmed Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana
title_short Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana
title_sort prevalence and control of hypertension in a high hiv prevalence setting insights from a population based study in botswana
url https://doi.org/10.1038/s41598-023-44499-4
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