Centre for Tropical Clinical Pharmacology and Therapeutics, University of Ghana Medical School, PO Box GP 4236, Accra, Ghana.
School of Pharmacy, Central University, PO Box 2305, Tema, Ghana.
Ghana Med J. 2023 Jan;57(1):19-27. doi: 10.4314/gmj.v57i1.4.
This study determined the prevalence of hypertension and its associated factors among patients attending the HIV clinic at the Korle-Bu Teaching Hospital (KBTH).
A hospital-based cross-sectional study was conducted at KBTH. The prevalence of hypertension was estimated among study participants, and socio-demographic, lifestyle, anthropometric, metabolic and HIV/ART-related factors associated with hypertension were determined by logistic regression modelling.
Study participants were recruited from the HIV clinic at the KBTH.
A total of 311 Persons Living with HIV were recruited as study participants.
Simple random sampling technique was used to recruit study participants. A questionnaire adapted from the WHO STEPwise approach to chronic disease risk-factor surveillance was used to collect study participants' data.
The prevalence of hypertension was 36.7%, and the factors associated with hypertension were increasing age, positive family history of hypertension, minimal exercising, current BMI ≥25.0 kg/m, total cholesterol level ≥5.17 mmol/L, exposure to anti-retroviral therapy (ART) and increasing duration of ART exposure.
This study shows a high prevalence of hypertension among patients attending the HIV clinic at KBTH, associated with exposure to ART and increasing duration of this exposure. Blood pressure monitoring should move from routine to a more purposeful screening of patients for hypertension. Patients with the identified risk factors should be encouraged to have regular blood pressure measurements at home and not only when they visit the HIV clinic.
Office of Research, Innovation and Development (ORID) of the University of Ghana. The funding agency was not involved in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.
本研究旨在确定在科特迪瓦教学医院（KBTH）艾滋病毒诊所就诊的患者中高血压的患病率及其相关因素。
在 KBTH 进行了一项基于医院的横断面研究。通过逻辑回归模型确定了研究参与者中高血压的患病率，以及与高血压相关的社会人口统计学、生活方式、人体测量、代谢和 HIV/ART 相关因素。
研究参与者从 KBTH 的艾滋病毒诊所招募。
共招募了 311 名艾滋病毒感染者作为研究参与者。
采用简单随机抽样技术招募研究参与者。使用世界卫生组织 STEPWISE 慢性病危险因素监测方法改编的问卷收集研究参与者的数据。
高血压的患病率为 36.7%，与高血压相关的因素包括年龄增长、高血压家族史、运动量少、当前 BMI≥25.0kg/m、总胆固醇水平≥5.17mmol/L、接受抗逆转录病毒治疗（ART）和 ART 暴露时间的增加。
本研究表明，在 KBTH 艾滋病毒诊所就诊的患者中高血压患病率较高，与接触 ART 和增加暴露时间有关。血压监测应从常规监测转变为更有针对性地筛查高血压患者。应鼓励具有确定风险因素的患者定期在家测量血压，而不仅仅是在他们就诊时。
加纳大学研究、创新和发展办公室（ORID）。资助机构没有参与研究的设计以及数据的收集、分析和解释以及手稿的撰写。
