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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Language: | English |
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SAGE Publishing
2022-04-01
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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. |
first_indexed | 2024-04-14T04:59:26Z |
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id | doaj.art-28080c01452e45e58d4b89432c5e1db0 |
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issn | 2050-3121 |
language | English |
last_indexed | 2024-04-14T04:59:26Z |
publishDate | 2022-04-01 |
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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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