Evidence map›Paper›PMID 34292956›Full record

Trial reportPloS one2021

Hypertension among people living with HIV/AIDS in Cameroon: A cross-sectional analysis from Central Africa International Epidemiology Databases to Evaluate AIDS.

Anastase Dzudie, Donald Hoover, Hae-Young Kim, Rogers Ajeh, Adebola Adedimeji, Qiuhu Shi, Walter Pefura Yone, Denis Nsame Nforniwe, Kinge Thompson Njie, Andre Pascal Kengne and 6 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Anastase DzudieClinical Research Education, Networking and Consultancy, Yaounde, Cameroon.
Donald HooverDepartment of Statistics and Institute for Health, Health Care Policy and Aging Research, Rutgers the State University of New Jersey, New Brunswick, New Jersey, United States of America.
Hae-Young KimDepartment of Public Health, New York Medical College, Valhalla, New York, United States of America.
Rogers AjehClinical Research Education, Networking and Consultancy, Yaounde, Cameroon.
Adebola AdedimejiDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, United States of America.
Qiuhu ShiDepartment of Public Health, New York Medical College, Valhalla, New York, United States of America.
Walter Pefura YoneFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
Denis Nsame NforniweLimbe Regional Hospital, Limbe, Cameroon.
Kinge Thompson NjieBamenda Regional Hospital, Bamenda, Cameroon.
Andre Pascal KengneClinical Research Education, Networking and Consultancy, Yaounde, Cameroon.
Peter Vanes EbasoneClinical Research Education, Networking and Consultancy, Yaounde, Cameroon.
Blaise BarcheClinical Research Education, Networking and Consultancy, Yaounde, Cameroon.ORCID 0000-0002-4676-0561
Zoung-Kany Bissek Anne CecileFaculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon.
Denis NashInstitute for Implementation Science in Population Health, Graduate School of Public Health and Health Policy, City University of New York (CUNY), New York, New York, United States of America.
Marcel YotebiengDivision of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, United States of America.
Kathryn AnastosDepartment of Public Health, New York Medical College, Valhalla, New York, United States of America.

Funding

"Enhancing Cancer Research in Central Africa IeDEA"U01AI096299 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Denis Nash, Marcel Yotebieng · 2011 to 2026
$35.8M
NIAID NIH HHS U01 AI096299
6 · The paper itself

Abstract

backgroundAntiretroviral therapy (ART) success has led people to live longer with HIV/AIDS (PLWH) and thus be exposed to increasing risk of cardiovascular diseases (CVD). Hypertension (HTN), the biggest contributor to CVD burden, is a growing concern among PLWH. The current report describes the prevalence and predictors of HTN among PLWH in care in Cameroon.

methodsThis cross-sectional study included all PLWH aged 20 years and above who received care between 2016 and 2019 at one of the three Central Africa International Epidemiology Databases to Evaluate AIDS (CA-IeDEA) sites in Cameroon (Bamenda, Limbe, and Yaoundé). HTN was defined as blood pressure (BP) ≥140/90 mm Hg or self-reported use of antihypertensive medication. Logistic regressions models examined the relationship between HTN and clinical characteristics, and HIV-related factors.

resultsAmong 9,839 eligible PLWH, 66.2% were women and 25.0% had prevalent HTN [age-standardized prevalence 23.9% (95% CI: 22.2-25.6)], among whom 28 (1.1%) were on BP lowering treatment, and 6 of those (21.4%) were at target BP levels. Median age (47.4 vs. 40.5 years), self-reported duration of HIV infection (5.1 vs 2.8 years years), duration of ART exposure (4.7 vs 2.3 years), and CD4 count (408 vs 359 cell/mm3) were higher in hypertensives than non-hypertensives (all p<0.001). Age and body mass index (BMI) were independently associated with higher prevalent HTN risk. PLWH starting ART had a 30% lower risk of prevalent HTN, but this advantage disappeared after a cumulative 2-year exposure to ART. There was no significant association between other HIV predictive characteristics and HTN.

conclusionAbout a quarter of these Cameroonian PLWH had HTN, driven among others by age and adiposity. Appropriate integration of HIV and NCDs services is needed to improve early detection, treatment and control of common comorbid NCD risk factors like hypertension and safeguard cardiovascular health in PLWH.

Indexed as

Acquired Immunodeficiency SyndromeHIV-1AdolescentAdultAntihypertensive AgentsAnti-Retroviral AgentsBlood PressureBody Mass IndexCameroonCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedObesityAntihypertensive AgentsAnti-Retroviral Agents

Identifiers

PMID34292956
PMCPMC8297808

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.