撒哈拉以南非洲(SSA)面临着高血压和人类免疫缺陷病毒(HIV)的双重负担。在这篇综述中,我们试图确定患病率,意识,和控制艾滋病毒感染者(PLHIV)中的高血压,以及SSA艾滋病毒护理点高血压服务的可用性。我们搜查了PubMed,Embase,Scopus,科克伦图书馆,全球指数Medicus,非洲杂志在线,和世卫组织信息共享机构存储库(IRIS)用于高血压流行病学研究,和SSA中PLHIV的高血压服务。确定了26篇文章供审查,150,886名参与者;加权平均年龄为37.5岁,女性比例为62.6%。合并患病率为19.6%(95%置信区间[CI],16.6%,22.5%);高血压知晓率为28.4%(95%CI,15.5%,41.3%),高血压控制率为13.4%(95%CI,4.7%,22.1%)。与HIV相关的因素,如CD4计数,病毒血症,抗逆转录病毒治疗方案与高血压的发生率并不一致.然而,高体重指数(BMI)超过25kg/m2[比值比:1.64,95%CI(1.26,2.02)]和年龄超过45岁[比值比:1.44,95%CI(1.08,1.79)]与高血压患病率相关.即使ART上的PLHIV更有可能进行高血压筛查和监测,大多数HIV诊所很少筛查和治疗高血压.大多数研究建议整合艾滋病毒和高血压服务。我们报告了在相对年轻的PLHIV人群中高血压的高患病率,筛查不理想。治疗,控制高血压.我们建议整合艾滋病毒和高血压服务的策略。
Sub-Saharan Africa (SSA) is faced with a dual burden of hypertension and human immunodeficiency virus (HIV). In this
review we sought to determine the prevalence, awareness, and control of hypertension among persons living with HIV (PLHIV), and the availability of hypertension services at the HIV care points in SSA. We searched the PubMed, Embase, Scopus, Cochrane library, Global index Medicus, African Journal online, and WHO Institutional Repository for Information Sharing (IRIS) for studies on the epidemiology of hypertension, and hypertension services for PLHIV in SSA. Twenty-six articles were identified for the
review, with 150,886 participants; weighted mean of age 37.5 years and female proportion of 62.6%. The pooled prevalence was 19.6% (95% confidence interval [CI], 16.6%, 22.5%); hypertension awareness was 28.4% (95% CI, 15.5%, 41.3%), and hypertension control was 13.4% (95% CI, 4.7%, 22.1%). HIV-related factors like CD4 count, viremia, and antiretroviral therapy regimen were not consistently associated with prevalent hypertension. However, high body mass index (BMI) above 25 kg/m2 [odds ratio: 1.64, 95% CI (1.26, 2.02)] and age above 45 years [odds ratio: 1.44, 95% CI (1.08, 1.79)] were associated with prevalent hypertension. Even when PLHIV on ART were more likely to be screened for hypertension and monitored, there was infrequent screening and treatment of hypertension in most HIV clinics. Most studies recommended integrating of HIV and hypertension services. We report a high prevalence of hypertension in a relatively young population of PLHIV with suboptimal screening, treatment, and control of hypertension. We recommend strategies to integrate HIV and hypertension services.