Jennifer Manne?Goehler|Mark J. Siedner|Livia Montana|Guy Harling|Pascal Geldsetzer|Julia Rohr|Francesc Xavier Gómez?Olivé|Alexander Goehler|Alisha N. Wade|Thomas A. Gaziano|Kathleen Kahn|Justine Davies|Stephen Tollman|Till Bärnighausen
Hypertension and diabetes control along the <scp>HIV</scp> care cascade in rural South Africa
Massachusetts General Hospital|Harvard University|Harvard Global Health Institute|Massachusetts General Hospital|Harvard University|Harvard University|Harvard University|Africa Health Research Institute|University College London|Harvard Global Health Institute|Harvard University|University of the Witwatersrand|Indepth Network|Harvard University|Brigham and Women's Hospital|University of the Witwatersrand|Brigham and Women's Hospital|Harvard University|University of the Witwatersrand|Indepth Network|University of the Witwatersrand|King's College London|University of the Witwatersrand|Indepth Network|Harvard Global Health Institute|Africa Health Research Institute|Heidelberg University
participation antiretroviral therapy art programmes associated greater utilization care hypertension diabetes rural south africa objective study assess whether people living hiv art comorbid hypertension diabetes also improved chronic disease management indicatorsthe health aging africa longitudinal study indepth community south africa haalsi cohort 5059 adults 40 years old enrollment took place november 2014 november 2015 study collected populationbased data demographics healthcare utilization height weight blood pressure bp blood glucose well hiv infection hiv1 rna viral load vl art exposure used regression models determine whether hiv care cascade stage hivnegative hiv art artdetected hiv vl artundetectable vl associated diagnosis treatment hypertension diabetes systolic blood pressure glucose among diagnosed hypertension diabetes art use measured drug level testing dried blood spotscompared people without hiv artundetectable vl associated greater awareness hypertension diagnosis adjusted risk ratio arr 118 95 ci 109 128 treatment hypertension arr 124 95 ci 110 141 among met hypertension diagnostic criteria hiv care cascade stage significantly associated awareness diagnosis treatment diabetes among diagnosed hypertension diabetes artundetectable vl associated lower mean systolic blood pressure 598 mm hg 95 ci 965 232 lower mean glucose 377 mmoll 95 ci 685 069 compared hivnegativeparticipants art undetectable vl lower systolic blood pressure blood glucose hivnegative participants hiv treatment programmes may provide platform health systems strengthening cardiometabolic disease