Awareness, treatment, and control of hypertension among women at risk or living with HIV in the US South.

IF 3.4 2区 医学 Q3 IMMUNOLOGY AIDS Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI:10.1097/QAD.0000000000003960
Jessica Blair, Mirjam-Colette Kempf, Jodie A Dionne, Zenoria Causey-Pruitt, Jenni M Wise, Elizabeth A Jackson, Paul Muntner, David B Hanna, Jorge R Kizer, Margaret A Fischl, Igho Ofotokun, Catalina Ramirez, Stephen J Gange, Ilene K Brill, Emily B Levitan
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Abstract

Objectives: Timely control of hypertension is vital to prevent comorbidities. We evaluated the association of race/ethnicity and HIV infection with incident hypertension outcomes, including awareness, treatment, and control.

Design: We evaluated cisgender women living with HIV and sociodemographically matched women living without HIV recruited into four Southern sites of the Women's Interagency HIV Study (WIHS) (2013-2019).

Methods: We calculated measurements of the time to four events or censoring: incident hypertension, hypertension awareness, hypertension treatment, and hypertension control. Hazard ratios for race/ethnicity and HIV status were calculated for each outcome using Cox proportional-hazards models adjusted for sociodemographic, behavioral, and clinical risk factors.

Results: Among 712 women, 56% were hypertensive at baseline. Forty-five percentage of the remaining women who were normotensive at baseline developed incident hypertension during follow-up. Non-Hispanic white and Hispanic women had faster time to hypertension control compared with non-Hispanic black women ( P  = 0.01). In fully adjusted models, women living with HIV who were normotensive at baseline had faster time to treatment compared with normotensive women living without HIV ( P  = 0.04).

Conclusion: In our study of women in the US South, non-Hispanic black women became aware of their hypertension diagnosis more quickly than non-Hispanic white and Hispanic women but were slower to control their hypertension. Additionally, women living with HIV more quickly treated and controlled their hypertension compared with women living without HIV.

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美国南部高危或感染艾滋病毒妇女对高血压的认识、治疗和控制:一项前瞻性研究。
目标:及时控制高血压对预防合并症至关重要。我们评估了种族/民族和艾滋病病毒感染与高血压发病结果(包括认知、治疗和控制)之间的关系:设计:我们对妇女机构间艾滋病研究(2013-2019 年)的四个南方研究点招募的感染 HIV 的顺性别妇女和社会人口统计学上匹配的未感染 HIV 的妇女进行了评估:我们计算了四种事件发生或剔除的时间:高血压事件、高血压认知、高血压治疗和高血压控制。使用经社会人口学、行为学和临床风险因素调整的 Cox 比例危险模型计算了每种结果的种族/民族和 HIV 感染状况的危险比:在 712 名女性中,56% 在基线时患有高血压。其余基线血压正常的女性中有 45% 在随访期间患上了高血压。与非西班牙裔黑人妇女相比,非西班牙裔白人和西班牙裔妇女控制高血压的时间更快(p = 0.01)。在完全调整模型中,基线血压正常的女性艾滋病感染者与血压正常的女性艾滋病感染者相比,治疗时间更短(p = 0.04):在我们对美国南部妇女的研究中,非西班牙裔黑人妇女比非西班牙裔白人和西班牙裔妇女更快意识到自己被诊断患有高血压,但控制高血压的速度却较慢。此外,与未感染艾滋病毒的妇女相比,感染艾滋病毒的妇女治疗和控制高血压的速度更快。
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来源期刊
AIDS
AIDS 医学-病毒学
CiteScore
5.90
自引率
5.30%
发文量
478
审稿时长
3 months
期刊介绍: ​​​​​​​​​​​​​​​​​Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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