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Prevalence, Pattern and Predictors of Cardiovascular Event in People Living With Hiv Attending Clinic and Admitted at Tertiary Hospital in Mwanza Region, Tanzania

By: Contributor(s): Material type: TextTextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102 : P. O. Box 1464, Mwanza – Tanzania : Phone: +255 28 298 3384 :Fax: +255 28 298 3386 : Email: vc@bugando.ac.tz : www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2023Description: 81 Pages; Includes References and AppendiciesSubject(s): Summary: Abstract: Background: HIV has contributed to over 39 million deaths and more than 36 million people are living with HIV currently. Sub-Saharan Africa carries larger burden of HIV, accounting for more than 70% of global HIV burden, in Tanzania it is estimated that a total of 1.4 million people living with HIV in the year 2013. Cardiovascular diseases are major cause of significant morbidity worldwide and it is estimated 17.9 million people died from CVDS in 2015 in which ischemic heart diseases (IHD) and stroke were the leading cause of death. People living with HIV are at 1.5 -2 times more likely to develop CVD compared to non-infected individuals. Methodology: A cross-section hospital-based study was conducted on January 2023 at Bugando Medical Centre and involved both outpatients and inpatients. A simple random sampling technique was used to recruit 203 participants, minimum estimated sample size was 103. The participants were interviewed using a semi structured questionnaire. Weight, height, abdominal circumference and blood pressure were measured. Results: The overall prevalence of cardiovascular diseases among this population was 4.9% and the pattern of distribution were 4(40%) stroke, 3(30%) hypertensive heart diseases, 2(20%) heart failure and 1(10%) coronary artery disease. The prevalence of hypertension was 11.8%, BMI was related to hypertension with P=0.000 where by overweight was 25.1% (n=51) and obesity 22.2% (n=45).Alcohol consumption was related with hypertension P=0.038 and more than half of the study population consumed alcohol 59.6% (n=121).History of hypertension is related to development cardiovascular diseases with P=0.000 where by 25.1% (n=51) had history of hypertension and 66.7% (n=34)were on irregular medication and 8(15.7%) seen a traditional healer for treating hypertension. Conclusion: Cardiovascular diseases are common among PLHIV, hypertension, obesity, alcohol consumption and cigarette smoking are contributing risk factors. There is need to integrate NCD in HIV care and HIV/NCDs screening, also awareness campaign.
Item type: UNDERGRADUATE DISSERTATIONS
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UNDERGRADUATE DISSERTATIONS MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO NFIC 1 CUHAS/MD/4002390/T/1
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Abstract:

Background: HIV has contributed to over 39 million deaths and more than 36 million people are living with HIV currently. Sub-Saharan Africa carries larger burden of HIV, accounting for more than 70% of global HIV burden, in Tanzania it is estimated that a total of 1.4 million people living with HIV in the year 2013. Cardiovascular diseases are major cause of significant morbidity worldwide and it is estimated 17.9 million people died from CVDS in 2015 in which ischemic heart diseases (IHD) and stroke were the leading cause of death. People living with HIV are at 1.5 -2 times more likely to develop CVD compared to non-infected individuals.

Methodology: A cross-section hospital-based study was conducted on January 2023 at Bugando Medical Centre and involved both outpatients and inpatients. A simple random sampling technique was used to recruit 203 participants, minimum estimated sample size was 103. The participants were interviewed using a semi structured questionnaire. Weight, height, abdominal circumference and blood pressure were measured.

Results: The overall prevalence of cardiovascular diseases among this population was 4.9% and the pattern of distribution were 4(40%) stroke, 3(30%) hypertensive heart diseases, 2(20%) heart failure and 1(10%) coronary artery disease. The prevalence of hypertension was 11.8%, BMI was related to hypertension with P=0.000 where by overweight was 25.1% (n=51) and obesity 22.2% (n=45).Alcohol consumption was related with hypertension P=0.038 and more than half of the study population consumed alcohol 59.6% (n=121).History of hypertension is related to development cardiovascular diseases with P=0.000 where by 25.1% (n=51) had history of hypertension and 66.7% (n=34)were on irregular medication and 8(15.7%) seen a traditional healer for treating hypertension.

Conclusion: Cardiovascular diseases are common among PLHIV, hypertension, obesity, alcohol consumption and cigarette smoking are contributing risk factors. There is need to integrate NCD in HIV care and HIV/NCDs screening, also awareness campaign.

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