Evidence map›Paper›PMID 41480579›Full record

SynthesisInternational journal of public health2025

Burden and Challenges of Managing Hypertension in People Living with Human Immunodeficiency Virus (HIV) Infection in Sub-Saharan Africa: A Mixed Systematic Review and Meta-Analysis.

Francis Duhamel Nang Nang, Liliane Mfeukeu Kuate, Anastase Dzudie, Fabrice Djouma Nimbot, Paul Junior Chebo, Luc Baudoin Fankoua Tchaptcha, André Pascal Kengne, Jean Pierre Junior Tchitetchoun, François Anicet Onana Akoa, Rita Marie Ifoue and 3 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Francis Duhamel Nang NangDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Liliane Mfeukeu KuateCardiology Unit, Yaoundé Central Hospital, Yaoundé, Cameroon.
Anastase DzudieDepartment of Medicine, University of Cape Town, Cape Town, South Africa.
Fabrice Djouma NimbotDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Paul Junior CheboDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Luc Baudoin Fankoua TchaptchaDouala General Hospital, Douala, Cameroon.
André Pascal KengneDepartment of Medicine, University of Cape Town, Cape Town, South Africa.
Jean Pierre Junior TchitetchounDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
François Anicet Onana AkoaInternational Center for Multidisciplinary Research, University of Lisala, Lisala, Democratic Republic of Congo.
Rita Marie IfoueDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Lawson Ngwagwe MboluehSOLTHIS Sierra Leone, Freetown, Sierra Leone.
Charles KouanfackDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Simeon Pierre ChoukemDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Poor hypertension prevention among people living with HIV (PLHIV) in sub-Saharan Africa may undermine progress in HIV prevention achieved within this population. This review synthesizes data on the prevalence, diagnosis, treatment, control, and challenges related to hypertension prevention among PLHIV in SSA. Methods: A mixed-method systematic review with meta-analysis was conducted from January to December 2024. Data analysis was performed using random-effects modeling stratified by age and sex, along with thematic analysis. The JBI critical appraisal tool was used to assess study quality. Results: A total of 31 studies, including 32286 PLHIV (±37 years old), were included. Hypertension affected 25% [95% CI, 21%-28%] of PLHIV, yet only 34% [95% CI, 11%-64%] of cases received treatment, and 19% [95% CI, 3%-34%] had controlled blood pressure, despite BP measurement in 95% [95% CI, 89%-100%] of them. Conclusion: Hypertension prevention challenges stem from patient-related factors, healthcare providers, and health system gaps. Despite the high prevalence of hypertension among PLHIV, treatment initiation and blood pressure control rates remain low. Strengthening the integration of HIV and hypertension care services is urgently needed.

Indexed as

HIV InfectionsHypertensionAfrica South of the SaharaFemaleHumansMalePrevalencecare cascadeHIVhypertensionintegrated caremeta-analysispeople living with HIVsub-Saharan Africasystematic review

Identifiers

PMID41480579
PMCPMC12753512

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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.