Prevalence and factors associated with hypertension among adults with and without HIV in Western Kenya

PLoS Neglected Tropical DiseasesMogaka JN, Sharma M, Temu T, et al. | January 13, 2022


Findings demonstrate a high prevalence of hypertension, affecting nearly one in every 4 adults. A significantly lower prevalence of hypertension was observed in persons with HIV (PWH) on long-term antiretroviral therapy (ART) vs HIV-negative persons, potentially because of increased access to healthcare services and interaction with prevention messaging. These observations support the need for interventions to increase screening for and prevention of hypertension in the community for all adults.

  • This is a cross-sectional analysis of 300 PWH on long term ART (≥6 months) and 298 HIV-negative adults seeking care at the Kisumu County Hospital between September 2017 and May 2018.

  • Overall prevalence of hypertension was estimated to be 22%.

  • A lower prevalence of hypertension was noted in PWH vs HIV-negative persons (16% vs 27% respectively; p<0.002).

  • A 37% less likelihood to have hypertension was observed in persons with HIV vs HIV-negative individuals, in multivariate analyses (adjusted prevalence ratio 0.63; 95% confidence interval: 0.46–0.86).

  • Prevalence of hypertension was associated with older age, higher BMI and high low-density lipoproteins.

  • Among PWH, factors linked with hypertension included being older than 40 years and higher BMI >30 kg/m 2 .

Read the full article on PLoS Neglected Tropical Diseases