Evidence map›Paper›PMID 30596667›Full record

ArticlePloS one2018

Increasing prevalence of hypertension among HIV-positive and negative adults in Senegal, West Africa, 1994-2015.

Noelle A Benzekri, Moussa Seydi, Ibrahima N Doye, Macoumba Toure, Marie Pierre Sy, Nancy B Kiviat, Papa Salif Sow, Geoffrey S Gottlieb, Stephen E Hawes

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Noelle A BenzekriDepartment of Medicine, University of Washington, Seattle, WA, United States of America.ORCID 0000-0002-8280-2810
Moussa SeydiServices des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Fann, Dakar, Senegal.
Ibrahima N DoyeConseil National de Lutte contre le Sida, Dakar, Senegal.
Macoumba ToureServices des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Fann, Dakar, Senegal.
Marie Pierre SyServices des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Fann, Dakar, Senegal.
Nancy B KiviatDepartment of Pathology, University of Washington, Seattle, WA, United States of America.
Papa Salif SowServices des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Fann, Dakar, Senegal.
Geoffrey S GottliebDepartment of Medicine, University of Washington, Seattle, WA, United States of America.
Stephen E HawesDepartment of Global Health, University of Washington, Seattle, WA, United States of America.
Centre Hospitalier National Universitaire de Fann · SNUniversity of Washington · US

Funding

Antiretroviral Therapy for HIV-2 Infection in SenegalR01AI060466 · NIAID · UNIVERSITY OF WASHINGTON · PI GOTTLIEB, GEOFFREY SCOTT · 2005 to 2014
$6.5M
HIV Associated DNA Hypermethylation in Cervical CancerR01CA111187 · NCI · UNIVERSITY OF WASHINGTON · PI KIVIAT, NANCY B. · 2005 to 2009
$2.6M
CONTROL OF HIV-1 BY HIV-2 ASSOCIATED IMMUNE RESPONSESR01AI048470 · NIAID · UNIVERSITY OF WASHINGTON · PI KIVIAT, NANCY B. · 2000 to 2004
$2.6M
EPIDEMIOLOGY OF ORAL HIV 1 &2 INFECTION IN HIGH RISK WOR01DE012925 · NIDCR · UNIVERSITY OF WASHINGTON · PI HAWES, STEPHEN E · 1999 to 2003
$1.3M
NATURAL HISTORY OF CERVICAL NEOPLASIA IN HIV-1 AND HIV 2R01CA062801 · NCI · UNIVERSITY OF WASHINGTON · PI KIVIAT, NANCY B. · 1994 to 1998
–
NCI NIH HHS R01 CA062801NCI NIH HHS R01 CA111187NIAID NIH HHS R01 AI048470NIAID NIH HHS R01 AI060466NIDCR NIH HHS R01 DE012925
6 · The paper itself

Abstract

backgroundNon-communicable diseases, including hypertension (HTN), are increasingly recognized as important causes of morbidity and mortality among people living with HIV (PLHIV) in resource-limited settings. The goals of this study were to determine the prevalence of HTN among PLHIV in Senegal over time and to identify predictors of HTN among HIV-positive versus HIV-negative adults.

methodsWe conducted a retrospective study using data from individuals enrolled in previous studies in Senegal from 1994-2015. Blood pressure (BP) measurements taken during study visits were used for analysis. HTN was defined as systolic BP≥140 or diastolic BP≥90. We used logistic regression to identify predictors of HTN.

resultsWe analyzed data from 2848 adults (1687 HIV-positive, 1161 HIV-negative). Among PLHIV, the prevalence of HTN increased from 11% during 1994-1999 to 22% during 2010-2015. Among HIV-negative individuals, the prevalence of HTN increased from 16% to 32%. Among both groups, the odds of HTN more than doubled from 1994-1999 to 2010-2015 (HIV-positive OR 2·4, 95% CI 1·1-5·0; HIV-negative OR 2·6, 95% CI 1·5-4·6). One quarter of all individuals with HTN had stage 2 HTN. The strongest risk factor for HTN was obesity (HIV-positive OR 3·2, 95% CI 1·7-5·8; p<0·01; HIV-negative OR 7·8, 95% CI 4·5-13·6; p<0·01). Male sex and age ≥50 were also predictive of HTN among both groups. Among HIV-positive subjects, WHO stage 1 or 2 disease was predictive of HTN and among HIV-negative subjects, having no formal education was predictive.

conclusionOver the past 20 years, the prevalence of HTN has doubled among both HIV-positive and HIV-negative adults in Senegal. Our study indicates that there is an increasing need for the integration of chronic disease management into HIV programs in Senegal. Furthermore, our findings highlight the need for enhanced prevention, recognition, and management of non-communicable diseases, including hypertension and obesity, among both HIV-positive and HIV-negative individuals in Senegal.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsBlood PressureBody Mass IndexFemaleHIV InfectionsHumansHypertensionLogistic ModelsMaleMiddle AgedPrevalenceRetrospective Studies

Identifiers

PMID30596667
PMCPMC6312281
OpenAlexW2907988687

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.