Evidence map›Paper›PMID 34659610›Full record

ArticleThe Pan African medical journal2021

Prevalence and correlates of hypertension in HIV-positive adults from the Livingstone Central Hospital, Zambia.

Robert Musekwa, Benson Malambo Hamooya, John Robert Koethe, Selestine Nzala, Sepiso Kenias Masenga

Open access · goldAbstract readComparative Study
In one paragraph

Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Robert MusekwaSchool of Medicine and Health Sciences, Mulungushi University, Hand Research Group, Livingstone, Zambia.
Benson Malambo HamooyaSchool of Medicine and Health Sciences, Mulungushi University, Hand Research Group, Livingstone, Zambia.
John Robert KoetheVanderbilt University Medical Center, Nashville, Tennesse United States of America.
Selestine NzalaUniversity of Zambia, School of Medicine, Lusaka, Zambia.
Sepiso Kenias MasengaSchool of Medicine and Health Sciences, Mulungushi University, Hand Research Group, Livingstone, Zambia.
University of Zambia · ZM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHIV-infection and treatment with antiretroviral therapy (ART) are risk factors for the development of hypertension, which is more prevalent in people living with HIV compared with the general population. Although there is a shift to Integrase Strand Transfer Inhibitor (INSTI)-based ART across the sub-Saharan Africa, there is limited information with regard to INSTIs and hypertension association in this region, making this, a critical question to address. Hence, the study aimed to determine the relationship between hypertension and ART regimen in people living with HIV.

methodsthis was a cross-sectional study conducted at the Livingstone Central Hospital, southern province of Zambia. This study utilized programmatic data. Demographic and clinical data of 348 persons living with HIV who had been on ART for more than 2 years was abstracted in the adult ART database registry. Descriptive and inferential statistics were used for analyses of data.

resultsprevalence of hypertension was 18.4% (n=64). Hypertensives were older than normotensives with median (interquartile range) age of 55 (49, 61) and 46 (41, 52), respectively. At multivariate analysis, age (aOR: 1.07, 95% CI 1.04-1.11; p = 0.001) and body mass index (aOR: 1.10, 95% CI 1.04-1.16; p = 0.002) were positively associated with hypertension. Participants on dolutegravir based regimen were 2 times (aOR: 2.44, 95% CI 1.22-4.86; p = 0.01) more likely to be hypertensive compared to those on non-nucleoside reverse transcriptase inhibitors (efavirenz or nevirapine).

conclusionwe confirm that increasing age, body mass index (BMI) and use of dolutegravir are risk factors for hypertension. Close monitoring for persons with HIV with these known risk factors is required.

Indexed as

AdultAge FactorsAnti-HIV AgentsBody Mass IndexCross-Sectional StudiesFemaleHIV InfectionsHumansHypertensionMaleMiddle AgedPrevalenceRegistriesRisk FactorsZambiaAnti-HIV Agentsageantiretroviral therapybody mass indexdolutegravirHIVHypertension

Identifiers

PMID34659610
PMCPMC8498662
OpenAlexW3203289934

What OpenQuestion holds

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LicenceCC BY
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.