Evidence map›Paper›PMID 37060073›Full record

ArticleClinical hypertension2023

High blood pressure and associated factors among HIV-infected young persons aged 13 to 25 years at selected health facilities in Rwenzori region, western Uganda, September-October 2021.

Richard Migisha, Alex Riolexus Ario, Daniel Kadobera, Lilian Bulage, Elizabeth Katana, Alex Ndyabakira, Peter Elyanu, Julius N Kalamya, Julie R Harris

Open access · diamondAbstract read
In one paragraph

Article in Clinical hypertension, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  4. Review
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  6. Article
  7. Patterns and Predictors of HIV Comorbidity among Adolescents and Young Adults in South Africa.International journal of environmental research and public health · 2024
    Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Richard MigishaPublic Health Fellowship Program, Kampala, Uganda. rmigisha@musph.ac.ug.
Alex Riolexus ArioPublic Health Fellowship Program, Kampala, Uganda.
Daniel KadoberaPublic Health Fellowship Program, Kampala, Uganda.
Lilian BulagePublic Health Fellowship Program, Kampala, Uganda.
Elizabeth KatanaPublic Health Fellowship Program, Kampala, Uganda.
Alex NdyabakiraPublic Health Fellowship Program, Kampala, Uganda.
Peter ElyanuBaylor College of Medicine Children's Foundation-Uganda, Kampala, Uganda.
Julius N KalamyaDivision of Global HIV and TB, U.S. Centers for Disease Control and Prevention (CDC), Kampala, Uganda.
Julie R HarrisDivision of Global Health Protection, Centers for Disease Control and Prevention, Kampala, Uganda.
Centers for Disease Control and Prevention · UGBaylor College of Medicine Children’s Foundation · UG

Funding

U.S. President's Emergency Plan for AIDS Relief GH001353-01
6 · The paper itself

Abstract

backgroundHigh blood pressure (HBP), including hypertension (HTN), is a predictor of cardiovascular events, and is an emerging challenge in young persons. The risk of cardiovascular events may be further amplified among people living with HIV (PLHIV). We determined the prevalence of HBP and associated factors among PLHIV aged 13 to 25 years in Rwenzori region, western Uganda.

methodsWe conducted a cross-sectional study among PLHIV aged 13 to 25 years at nine health facilities in Kabarole and Kasese districts during September 16 to October 15, 2021. We reviewed medical records to obtain clinical and demographic data. At a single clinic visit, we measured and classified BP as normal (< 120/ < 80 mmHg), elevated (120/ < 80 to 129/ < 80), stage 1 HTN (130/80 to 139/89), and stage 2 HTN (≥ 140/90). We categorized participants as having HBP if they had elevated BP or HTN. We performed multivariable analysis using modified Poisson regression to identify factors associated with HBP.

resultsOf the 1,045 PLHIV, most (68%) were female and the mean age was 20 (3.8) years. The prevalence of HBP was 49% (n = 515; 95% confidence interval [CI], 46%-52%), the prevalence of elevated BP was 22% (n = 229; 95% CI, 26%-31%), and the prevalence of HTN was 27% (n = 286; 95% CI, 25%-30%), including 220 (21%) with stage 1 HTN and 66 (6%) with stage 2 HTN. Older age (adjusted prevalence ratio [aPR], 1.21; 95% CI, 1.01-1.44 for age group of 18-25 years vs. 13-17 years), history of tobacco smoking (aPR, 1.41; 95% CI, 1.08-1.83), and higher resting heart rate (aPR, 1.15; 95% CI, 1.01-1.32 for > 76 beats/min vs. ≤ 76 beats/min) were associated with HBP.

conclusionsNearly half of the PLHIV evaluated had HBP, and one-quarter had HTN. These findings highlight a previously unknown high burden of HBP in this setting's young populations. HBP was associated with older age, elevated resting heart rate, and ever smoking; all of which are known traditional risk factors for HBP in HIV-negative persons. To prevent future cardiovascular disease epidemics among PLHIV, there is a need to integrate HBP/HIV management.

Indexed as

AdolescentHIVHypertensionPrehypertensionUgandaYoung adult

Identifiers

PMID37060073
PMCPMC10105389
OpenAlexW4365811082

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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.