The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia

Objectives: The study aimed to assess the magnitude of undiagnosed hypertension, and its associated factors among adult HIV-positive patients receiving antiretroviral therapy at Butajira General Hospital, southern Ethiopia. Methods: We applied an institutional-based cross-sectional study design at B...

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Main Authors: Bitew Tefera Zewudie, Shegaw Geze Tenaw, Mamo Solomon, Yibeltal Mesfin, Haimanot Abebe, Zebene Mekonnen, Shegaw Tesfa, Bogale Chekole Temere, Agerie Aynalem Mewahegn, Tadele lankrew, Yihenew Sewale
Format: Article
Language:English
Published: SAGE Publishing 2022-04-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121221094454
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author Bitew Tefera Zewudie
Shegaw Geze Tenaw
Mamo Solomon
Yibeltal Mesfin
Haimanot Abebe
Zebene Mekonnen
Shegaw Tesfa
Bogale Chekole Temere
Agerie Aynalem Mewahegn
Tadele lankrew
Yihenew Sewale
author_facet Bitew Tefera Zewudie
Shegaw Geze Tenaw
Mamo Solomon
Yibeltal Mesfin
Haimanot Abebe
Zebene Mekonnen
Shegaw Tesfa
Bogale Chekole Temere
Agerie Aynalem Mewahegn
Tadele lankrew
Yihenew Sewale
author_sort Bitew Tefera Zewudie
collection DOAJ
description Objectives: The study aimed to assess the magnitude of undiagnosed hypertension, and its associated factors among adult HIV-positive patients receiving antiretroviral therapy at Butajira General Hospital, southern Ethiopia. Methods: We applied an institutional-based cross-sectional study design at Butajira General Hospital from 1 May to 1 July 2021. We used a systematic random sampling technique to select the total number of participants. A structured interviewer-administered questionnaire was applied to collect the data (sociodemographic characteristics, clinical-related factors, and lifestyle-related factors from the study participants. Data were entered using Epi-data version 3.1 and analyzed by statistical package for social science version 25. We applied a multivariable logistic regression analysis model to identify variables significantly associated with hypertension. Results: The study comprised 388 participants with 39 years (10.6 SD) as the mean age of the participants. Of the total participants, 235 (60.6%) were female. In this study the magnitude of undiagnosed hypertension among HIV-positive patients was 18.8% (95% CI: 14.7%–23.2%). Having comorbidity of diabetes mellitus (adjusted odds ratio = 5.29, 95% CI: 2.154, 12.99), habit of alcohol drinking (adjusted odds ratio = 2.909, 95% CI: 1.306, 6.481), duration of antiretroviral therapy ⩾ 5 years (adjusted odds ratio = 3.087, 95% CI: 1.558, 6.115), and age ⩾ 40 years (adjusted odds ratio = 2.642, 95% CI: 1.450, 4.813) were factors significantly associated with undiagnosed hypertension. Conclusions and recommendations: The magnitude of undiagnosed hypertension among HIV-positive patients attending the antiretroviral therapy clinic of Butajira General Hospital is high. The findings of this study implied that HIV-positive patients attending antiretroviral therapy clinics should be monitored routinely for hypertension; especially participants aged ⩾40 years, highly active antiretroviral therapy duration ⩾5 years, having diabetes mellitus comorbidity need more attention. Primary healthcare integration is also vital to enhance the health of HIV-positive patients on antiretroviral therapy.
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spelling doaj.art-28080c01452e45e58d4b89432c5e1db02022-12-22T02:11:01ZengSAGE PublishingSAGE Open Medicine2050-31212022-04-011010.1177/20503121221094454The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern EthiopiaBitew Tefera Zewudie0Shegaw Geze Tenaw1Mamo Solomon2Yibeltal Mesfin3Haimanot Abebe4Zebene Mekonnen5Shegaw Tesfa6Bogale Chekole Temere7Agerie Aynalem Mewahegn8Tadele lankrew9Yihenew Sewale10Department of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Wolaita Sodo University, Wolaita, EthiopiaDepartment of Nursing, College of Medicine and Health Science, Debre Birhan University, Debre Birhan, EthiopiaObjectives: The study aimed to assess the magnitude of undiagnosed hypertension, and its associated factors among adult HIV-positive patients receiving antiretroviral therapy at Butajira General Hospital, southern Ethiopia. Methods: We applied an institutional-based cross-sectional study design at Butajira General Hospital from 1 May to 1 July 2021. We used a systematic random sampling technique to select the total number of participants. A structured interviewer-administered questionnaire was applied to collect the data (sociodemographic characteristics, clinical-related factors, and lifestyle-related factors from the study participants. Data were entered using Epi-data version 3.1 and analyzed by statistical package for social science version 25. We applied a multivariable logistic regression analysis model to identify variables significantly associated with hypertension. Results: The study comprised 388 participants with 39 years (10.6 SD) as the mean age of the participants. Of the total participants, 235 (60.6%) were female. In this study the magnitude of undiagnosed hypertension among HIV-positive patients was 18.8% (95% CI: 14.7%–23.2%). Having comorbidity of diabetes mellitus (adjusted odds ratio = 5.29, 95% CI: 2.154, 12.99), habit of alcohol drinking (adjusted odds ratio = 2.909, 95% CI: 1.306, 6.481), duration of antiretroviral therapy ⩾ 5 years (adjusted odds ratio = 3.087, 95% CI: 1.558, 6.115), and age ⩾ 40 years (adjusted odds ratio = 2.642, 95% CI: 1.450, 4.813) were factors significantly associated with undiagnosed hypertension. Conclusions and recommendations: The magnitude of undiagnosed hypertension among HIV-positive patients attending the antiretroviral therapy clinic of Butajira General Hospital is high. The findings of this study implied that HIV-positive patients attending antiretroviral therapy clinics should be monitored routinely for hypertension; especially participants aged ⩾40 years, highly active antiretroviral therapy duration ⩾5 years, having diabetes mellitus comorbidity need more attention. Primary healthcare integration is also vital to enhance the health of HIV-positive patients on antiretroviral therapy.https://doi.org/10.1177/20503121221094454
spellingShingle Bitew Tefera Zewudie
Shegaw Geze Tenaw
Mamo Solomon
Yibeltal Mesfin
Haimanot Abebe
Zebene Mekonnen
Shegaw Tesfa
Bogale Chekole Temere
Agerie Aynalem Mewahegn
Tadele lankrew
Yihenew Sewale
The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
SAGE Open Medicine
title The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
title_full The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
title_fullStr The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
title_full_unstemmed The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
title_short The magnitude of undiagnosed hypertension and associated factors among HIV-positive patients attending antiretroviral therapy clinics of Butajira General Hospital, Gurage Zone, Southern Ethiopia
title_sort magnitude of undiagnosed hypertension and associated factors among hiv positive patients attending antiretroviral therapy clinics of butajira general hospital gurage zone southern ethiopia
url https://doi.org/10.1177/20503121221094454
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