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. 2023 Sep 18;24(1):1495.
doi: 10.4102/sajhivmed.v24i1.1495. eCollection 2023.

The prevalence of multimorbidity in virally suppressed HIV-positive patients in Limpopo

Limakatso Lebina  1   2 , Tumiso Malatji  3 , Firdaus Nabeemeeah  1 , Kegaugetswe Motsomi  1 , Tsundzukani Siwelana  1 , Khuthadzo Hlongwane  1 , Neil Martinson  1   4
Affiliations

The prevalence of multimorbidity in virally suppressed HIV-positive patients in Limpopo

Limakatso Lebina et al. South Afr J HIV Med. .

Abstract

Background: Non-communicable diseases (NCDs) are an emerging global public health problem.

Objectives: To assess the prevalence of NCDs and their risk factors among adults on antiretroviral therapy (ART).

Method: This was a cross-sectional study (July 2019 - January 2020) in Limpopo, South Africa. Patients were enrolled if they were ≥ 40 years, HIV-positive, and virologically suppressed on ART. Data were analysed descriptively, and a binomial regression model was used to identify risk factors for NCDs.

Results: The majority of participants (65%; 319/488) were women. Most (83%; 405/488) were aged 40-59 years; 60% (285/472) were overweight or obese. Based on self-report, 22% (107/488) were currently smokers. Almost half (44%) 213/488) reported daily consumption of vegetables and 65% (319/488) exercised regularly and 39% (190/488) reported treatment for another chronic disease. The leading comorbid conditions were hypertension (32%; 158/488) and diabetes mellitus (5%; 24/488). Risk factors for hypertension included age 60 years and older (relative risk [RR]: 1.72; 95% confidence interval [CI]: 1.29-2.30) diabetes (RR: 1.42; 95% CI: 1.08-1.87), overweight (RR: 1.32; 95% CI: 1.03-1.69) and obesity (RR: 1.69; 95% CI: 1.32-2.17).

Conclusion: There is a high prevalence, both of risk factors for NCDs and multimorbidity (> 1 chronic disease) in patients who are ≥ 40 years and virologically suppressed on ART.

Keywords: NCD; PLWH; chronic diseases; diabetes; hypertension.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
Diagrammatic representation of participants enrolled and analysed on the prevalence of multimorbidity in virally suppressed HIV-positive patients.
FIGURE 2
FIGURE 2
Prevalence of some unhealthy habits among participants enrolled in the study on the prevalence of multimorbidity in virally suppressed HIV-positive patients. (a) Sugary drinks consumption in a day. (b) Weekly usage of table salt or seasoning. (c) Weekly usage of processed food. (d) Weekly usage of salty sauce when cooking.
FIGURE 3
FIGURE 3
Prevalence of some healthy habits among participants enrolled in the study of the prevalence of multimorbidity in virally suppressed HIV-positive patients. (a) Weekly vegetable consumption. (b) Weekly fruit consumption. (c) Proportion of participants that exercise. (d) Types of exercise.
See this image and copyright information in PMC

References

    1. UNAIDS . In danger: UNAIDS global AIDS update 2022. New York: United Nations Publications; 2022.
    1. UNAIDS . South Africa 2020 HIV and AIDS Estimates. Country Factsheets [homepage on the Internet]. 2021. [cited 2022 Jul 15]. Available from: https://www.unaids.org/en/regionscountries/countries/southafrica
    1. World Health Organization . A guide to implementation research in the prevention and control of noncommunicable diseases. Geneva: World Health Organization; 2016.
    1. World Health Organization . Overview – Preventing chronic diseases: A vital investment. Geneva: World Health Organization; 2004.
    1. The World Bank . Human Development Network. The growing danger of non-communicable diseases. Acting now to reverse course. Washington: The World Bank; 2011.

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