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Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana

by Mmalane, Mompati , Lebelonyane, Refeletswe , Ometoruwa, Omolola , Tapela, Neo M. , Makhema, Joseph M. , Powis, Kathleen M. , Masupe, Tiny , Mokgatlhe, Lucky , Moshomo, Thato , Bennett, Kara , Wirth, Kathleen E. , Triant, Virginia A. , Mills, Lisa A. , Mosepele, Mosepele , Leidner, Jean , Jarvis, Joseph N. , Gaolathe, Tendani , Lockman, Shahin , Holme, Molly Pretorius

in 692/699/255/1901 / 692/699/75/243 / 692/700/478/2772 / Adult / Antihypertensives / Blood Pressure / Botswana - epidemiology / Disease prevention / Female / HIV / HIV Infections - complications / HIV Infections - drug therapy / HIV Infections - epidemiology / Hospitals / Households / Human immunodeficiency virus / Humanities and Social Sciences / Humans / Hypertension / Infectious diseases / Internal medicine / Male / Medicine / multidisciplinary / Population studies / Population-based studies / Prevalence / Public health / Regression analysis / Science / Science (multidisciplinary)

2023

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Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana

2023

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Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana

2023

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Journal Article

Prevalence and control of hypertension in a high HIV-prevalence setting, insights from a population based study in Botswana

Mmalane, Mompati,

Lebelonyane, Refeletswe,

Ometoruwa, Omolola,

Tapela, Neo M.,

Makhema, Joseph M.,

Powis, Kathleen M.,

Masupe, Tiny,

Mokgatlhe, Lucky,

Moshomo, Thato,

Bennett, Kara,

Wirth, Kathleen E.,

Triant, Virginia A.,

Mills, Lisa A.,

Mosepele, Mosepele,

Leidner, Jean,

Jarvis, Joseph N.,

Gaolathe, Tendani,

Lockman, Shahin,

Holme, Molly Pretorius

2023

Overview

In a population-based representative sample of adults residing in 22 communities in Botswana, a southern African country with high HIV prevalence, 1 in 4 individuals had high blood pressure. High blood pressure was less prevalent in adults with HIV than without HIV. Sixty percent of persons with high blood pressure had not previously been diagnosed. Among individuals with a prior diagnosis of high blood pressure who reported being prescribed anti-hypertension medications, almost half had elevated blood pressure, irrespective of HIV-status. One-third of adults in this setting (mainly men) declined free non-invasive blood pressure assessments in their households. In conclusion, our study highlights alarmingly high hypertension rates in the community, with low levels of awareness and control, emphasizing the urgent need for community level BP screening and active management to reach recommended targets.

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Publisher

Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio

Subject

/ Adult

/ Botswana - epidemiology