Jennifer Manne?Goehler|Livia Montana|Francesc Xavier Gómez?Olivé|Julia Rohr|Guy Harling|Ryan G. Wagner|Alisha Wade|Chodziwadziwa Kabudula|Pascal Geldsetzer|Kathleen Kahn|Stephen Tollman|Lisa F. Berkman|Till Bärnighausen|Thomas A. Gaziano
The ART Advantage: Health Care Utilization for Diabetes and Hypertension in Rural South Africa
Beth Israel Deaconess Medical Center|Harvard University|Harvard Global Health Institute|Harvard University Press|Harvard University Press|University of the Witwatersrand|Harvard University Press|Harvard Global Health Institute|Africa Health Research Institute|University College London|University of the Witwatersrand|University of the Witwatersrand|Indepth Network|University of the Witwatersrand|Indepth Network|Harvard Global Health Institute|University of the Witwatersrand|Indepth Network|University of the Witwatersrand|Indepth Network|Harvard University Press|University of the Witwatersrand|Harvard Global Health Institute|Africa Health Research Institute|Heidelberg University|Brigham and Women's Hospital|Harvard University
background prevalence diabetes hypertension increased hivpositive populations limited understanding role antiretroviral therapy art programs play delivery services conditions aim study assess relationship art use utilization health care services diabetes hypertension methods health aging africa longitudinal study indepth community south africa cohort 5059 adults baseline study collects biomarkerbased data hiv art diabetes hypertension selfreported data health care utilization calculated differences care utilization diabetes hypertension hiv art status used multivariable logistic regressions estimate relationship art use utilization services conditions controlling age sex body mass index education household wealth quintile results mean age body mass index hypertension diabetes prevalence lower hivpositive population p lt 0001 multivariable logistic regression showed art use significantly associated greater odds blood pressure measurement adjusted odds ratio aor 127 95 confidence interval ci 104 155 blood sugar measurement aor 126 95 ci 105 151 counseling regarding exercise aor 157 95 ci 111 222 awareness hypertension diagnosis aor 152 95 ci 112 205 treatment hypertension aor 163 95 ci 121 219 conclusions hivpositive patients use art likely received health care services diabetes hypertension apparent art advantage suggests art programs may vehicle strengthening health systems chronic care