Magnitude and risk factors of non-communicable diseases among people living with HIV in Tanzania: a cross sectional study from Mbeya and Dar es Salaam regions.

Abstract:

BACKGROUND:HIV and Non communicable diseases (NCDs) are major problem of public health importance in developing countries. This study was conducted to explore and establish information on the magnitude, distribution of NCDs risk factors among people living with HIV (PLWHIV) which is scarce in Tanzania. METHOD:A cross sectional study was conducted to PLWHIV from 12 care and treatment clinics in Dar es Salaam and Mbeya regions from October 2011 to February 2012. Data on demographic characteristics, NCD risk factors including behavioral, biochemical tests and physical measurements was collected from PLWHIV. RESULTS:Of 754 PLWHIV recruited, 671(89.0%) consented to participate in the study and 354/671(52.8%) were on antiretroviral therapy (ART). The following NCD risk factors: raised blood levels of low density lipoprotein (61.3% vs 38.7%, p < 0.001) total cholesterol (TC) (71.6% vs 28.4%, p < 0.001) and triglyceride (67.0% vs 33.0%, p = 0.001) as well as overweight/obesity (61.1% vs 38.9%, p = 0.010), abnormal waist circumference (61.7% vs 38.3%, p < 0.001) and being aged >40 years (63.3% vs 36.7%, p < 0.001) were more prevalent among PLWHIV on ART than ART naïve. The prevalence of Diabetes mellitus among PLWHIV was 4.2% and was slightly high among those ART naïve (4.7% vs 3.7%). The prevalence of hypertension was 26.2% and was high among those on ART (30.0% vs 21.9%, p = 0.010). Being aged >40 years (AOR = 2.52, 95% CI 1.37-4.63), abnormal waist circumference (AOR = 2.37 95% CI 1.13-5.00), overweight/obesity (AOR = 2.71, 95% CI 1.26-5.84) and male sex (AOR = 1.17, 1.02-4.20) were the predictors of hypertension among patients on ART while raised TC (AOR = 1.47 (1.01-2.21) and being aged >40 years (AOR = 3.42, 95% CI 2.06-5.70) were predictors for hypertension among ART naïve patients. CONCLUSION:This study has revealed that the magnitude of NCD risk factors is significantly higher among PLWHIV on ART than those not on ART. Initiating and strengthening of interventions for minimizing preventable NCD risks should be considered when initiating ART among PLWHIV. Regular monitoring of NCD risk factors is of paramount importance among ART patients.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Kagaruki GB,Mayige MT,Ngadaya ES,Kimaro GD,Kalinga AK,Kilale AM,Kahwa AM,Materu GS,Mfinanga SG

doi

10.1186/1471-2458-14-904

subject

Has Abstract

pub_date

2014-09-02 00:00:00

pages

904

issn

1471-2458

pii

1471-2458-14-904

journal_volume

14

pub_type

杂志文章
  • Updated prevalence rates of overweight and obesity in 11- to 17-year-old adolescents in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in self-reports.

    abstract:BACKGROUND:The nationwide "German Health Interview and Examination Survey for Children and Adolescents" (KiGGS), conducted in 2003-2006, showed an increase in the prevalence rates of overweight and obesity compared to the early 1990s, indicating the need for regularly monitoring. Recently, a follow-up-KiGGS Wave 1 (200...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2467-x

    authors: Brettschneider AK,Schaffrath Rosario A,Kuhnert R,Schmidt S,Wiegand S,Ellert U,Kurth BM

    更新日期:2015-11-06 00:00:00

  • Acceptability of financial incentives and penalties for encouraging uptake of healthy behaviours: focus groups.

    abstract:BACKGROUND:There is evidence that financial incentive interventions, which include both financial rewards and also penalties, are effective in encouraging healthy behaviours. However, concerns about the acceptability of such interventions remain. We report on focus groups with a cross-section of adults from North East ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1409-y

    authors: Giles EL,Sniehotta FF,McColl E,Adams J

    更新日期:2015-01-31 00:00:00

  • Urban-rural differences in the prevalence of non-communicable diseases risk factors among 25-74 years old citizens in Yangon Region, Myanmar: a cross sectional study.

    abstract:BACKGROUND:Recent societal and political reforms in Myanmar may upturn the socio-economy and, thus, contribute to the country's health transition. Baseline data on urban-rural disparities in non-communicable disease (NCD) risk factors are not thoroughly described in this country which has been relatively closed for mor...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-016-3882-3

    authors: Htet AS,Bjertness MB,Sherpa LY,Kjøllesdal MK,Oo WM,Meyer HE,Stigum H,Bjertness E

    更新日期:2016-12-05 00:00:00

  • A web-based computer-tailored smoking prevention programme for primary school children: intervention design and study protocol.

    abstract:BACKGROUND:Although the number of smokers has declined in the last decade, smoking is still a major health problem among youngsters and adolescents. For this reason, there is a need for effective smoking prevention programmes targeting primary school children. A web-based computer-tailored feedback programme may be an ...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2458-12-277

    authors: Cremers HP,Mercken L,Oenema A,de Vries H

    更新日期:2012-06-11 00:00:00

  • What do first-time mothers worry about? A study of usage patterns and content of calls made to a postpartum support telephone hotline.

    abstract:BACKGROUND:Telephone hotlines designed to address common concerns in the early postpartum could be a useful resource for parents. Our aim was to test the feasibility of using a telephone as an intervention in a randomized controlled trial. We also aimed to test to use of algorithms to address parental concerns through ...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2458-10-611

    authors: Osman H,Chaaya M,El Zein L,Naassan G,Wick L

    更新日期:2010-10-15 00:00:00

  • Positive Health beyond boundaries in community care: design of a prospective study on the effects and implementation of an integrated community approach.

    abstract:BACKGROUND:High healthcare expenditures due to population ageing and chronic complex health complaints are a challenge on a global scale. To improve the quality of healthcare, population health, and professionals' work satisfaction and to reduce healthcare costs (Quadruple Aim), the Dutch Ministry of Health, Welfare an...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6551-5

    authors: Grootjans SJM,Stijnen MMN,Kroese MEAL,Vermeer AJM,Ruwaard D,Jansen MWJ

    更新日期:2019-02-28 00:00:00

  • Growing old at home - a randomized controlled trial to investigate the effectiveness and cost-effectiveness of preventive home visits to reduce nursing home admissions: study protocol [NCT00644826].

    abstract:BACKGROUND:Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive ho...

    journal_title:BMC public health

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2458-8-185

    authors: Fleischer S,Roling G,Beutner K,Hanns S,Behrens J,Luck T,Kuske B,Angermeyer MC,Riedel-Heller SG,Heinrich S,König HH,Lautenschläger C

    更新日期:2008-05-28 00:00:00

  • A tuberculin skin test survey among Ghanaian school children.

    abstract:BACKGROUND:Ghana has not conducted a national tuberculin survey or tuberculosis prevalence survey since the establishment of the National Tuberculosis Control Programme. The primary objective of this study was therefore to determine the prevalence of tuberculin skin sensitivity in Ghanaian school children aged 6-10 yea...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-35

    authors: Addo KK,van den Hof S,Mensah GI,Hesse A,Bonsu C,Koram KA,Afutu FK,Bonsu FA

    更新日期:2010-01-26 00:00:00

  • The association between family and community social capital and health risk behaviours in young people: an integrative review.

    abstract:BACKGROUND:Health risk behaviours known to result in poorer outcomes in adulthood are generally established in late childhood and adolescence. These 'risky' behaviours include smoking, alcohol and illicit drug use and sexual risk taking. While the role of social capital in the establishment of health risk behaviours in...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2458-13-971

    authors: McPherson KE,Kerr S,Morgan A,McGee E,Cheater FM,McLean J,Egan J

    更新日期:2013-10-19 00:00:00

  • Self-harm in young people with perinatal HIV and HIV negative young people in England: cross sectional analysis.

    abstract:BACKGROUND:Self-harm in adolescents is of growing concern internationally but limited evidence exists on the prevalence of self-harm in those living with HIV, who may be at higher risk of poor mental health outcomes. Therefore our aim was to determine the prevalence and predictors of self-harm among young people with p...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7424-7

    authors: Copelyn J,Thompson LC,Le Prevost M,Castro H,Sturgeon K,Rowson K,Brice S,Foster C,Gibb DM,Judd A,Adolescents and Adults Living with Perinatal HIV (AALPHI) Steering Committee.

    更新日期:2019-08-27 00:00:00

  • Accuracy of body fat percent and adiposity indicators cut off values to detect metabolic risk factors in a sample of Mexican adults.

    abstract:BACKGROUND:Although body fat percent (BF%) may be used for screening metabolic risk factors, its accuracy compared to BMI and waist circumference is unknown in a Mexican population. We compared the classification accuracy of BF%, BMI and WC for the detection of metabolic risk factors in a sample of Mexican adults; opti...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-341

    authors: Macias N,Quezada AD,Flores M,Valencia ME,Denova-Gutiérrez E,Quiterio-Trenado M,Gallegos-Carrillo K,Barquera S,Salmerón J

    更新日期:2014-04-10 00:00:00

  • Does the pharmacy expenditure of patients always correspond with their morbidity burden? Exploring new approaches in the interpretation of pharmacy expenditure.

    abstract:BACKGROUND:The computerisation of primary health care (PHC) records offers the opportunity to focus on pharmacy expenditure from the perspective of the morbidity of individuals. The objective of the present study was to analyse the behaviour of pharmacy expenditure within different morbidity groups. We paid special att...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-244

    authors: Calderón-Larrañaga A,Poblador-Plou B,López-Cabañas A,Alcalá-Nalvaiz JT,Abad-Díez JM,Bordonaba-Bosque D,Prados-Torres A

    更新日期:2010-05-11 00:00:00

  • Macrofilaricides and onchocerciasis control, mathematical modelling of the prospects for elimination.

    abstract:BACKGROUND:In most endemic parts of the world, onchocerciasis (river blindness) control relies, or will soon rely, exclusively on mass treatment with the microfilaricide ivermectin. Worldwide eradication of the parasite by means of this drug is unlikely. Macrofilaricidal drugs are currently being developed for human us...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-1-12

    authors: Alley WS,van Oortmarssen GJ,Boatin BA,Nagelkerke NJ,Plaisier AP,Remme JH,Lazdins J,Borsboom GJ,Habbema JD

    更新日期:2001-01-01 00:00:00

  • Under-five mortality rate variation between the Health and Demographic Surveillance System (HDSS) and Demographic and Health Survey (DHS) approaches.

    abstract:BACKGROUND:Several low and middle-income countries (LMIC) use Demographic and Health Surveys (DHS) and/or Health and Demographic Surveillance System (HDSS) to monitor the health of their population. The level and trends of under-five mortality rates could be different in the HDSS sites compared to the DHS reports. In t...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-016-3786-2

    authors: Deribew A,Ojal J,Karia B,Bauni E,Oteinde M

    更新日期:2016-10-24 00:00:00

  • Australian children's consumption of caffeinated, formulated beverages: a cross-sectional analysis.

    abstract:BACKGROUND:Caffeine is a common additive in formulated beverages, including sugar-sweetened beverages. Currently there are no data on the consumption of caffeinated formulated beverages in Australian children and adolescents. This study aimed to determine total intake and consumption patterns of CFBs in a nationally re...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1443-9

    authors: Beckford K,Grimes CA,Riddell LJ

    更新日期:2015-01-31 00:00:00

  • Current status of Schistosoma mansoni and the factors associated with infection two years following mass drug administration programme among primary school children in Mwea irrigation scheme: A cross-sectional study.

    abstract:BACKGROUND:Schistosomiasis is a major public health problem in Kenya as well as in many other tropical countries and is considered one of the most prevalent diseases in the rural population. Between 2004 and 2009, primary school children in Mwea irrigation scheme were treated for Schistosoma mansoni. In the four year c...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1991-z

    authors: Masaku J,Madigu N,Okoyo C,Njenga SM

    更新日期:2015-08-01 00:00:00

  • Public, private and personal: qualitative research on policymakers' opinions on smokefree interventions to protect children in 'private' spaces.

    abstract:BACKGROUND:Governments use law to constrain aspects of private activities for purposes of protecting health and social wellbeing. Policymakers have a range of perceptions and beliefs about what is public or private. An understanding of the possible drivers of policymaker decisions about where government can or should i...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-797

    authors: Rouch G,Thomson G,Wilson N,Hudson S,Edwards R,Gifford H,Lanumata T

    更新日期:2010-12-31 00:00:00

  • The social ecology of water in a Mumbai slum: failures in water quality, quantity, and reliability.

    abstract:BACKGROUND:Urban slums in developing countries that are not recognized by the government often lack legal access to municipal water supplies. This results in the creation of insecure "informal" water distribution systems (i.e., community-run or private systems outside of the government's purview) that may increase wate...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-173

    authors: Subbaraman R,Shitole S,Shitole T,Sawant K,O'Brien J,Bloom DE,Patil-Deshmukh A

    更新日期:2013-02-26 00:00:00

  • Evaluating the technical efficiency of care among long-term care facilities in Xiamen, China: based on data envelopment analysis and Tobit model.

    abstract:BACKGROUND:The technical efficiency (TE) of care among the elderly in long-term care facilities (LTCF) have become increasingly crucial policy concerns faced by developing countries and Asia, especially China. The purpose of this study was to evaluate the TE and the quality of care and identify its influencing factors ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-7571-x

    authors: Zhang L,Zeng Y,Fang Y

    更新日期:2019-09-05 00:00:00

  • Burden of disease resulting from chronic mountain sickness among young Chinese male immigrants in Tibet.

    abstract:BACKGROUND:In young Chinese men of the highland immigrant population, chronic mountain sickness (CMS) is a major public health problem. The aim of this study was to measure the disease burden of CMS in this population. METHODS:We used disability-adjusted life years (DALYs) to estimate the disease burden of CMS. Disabi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-401

    authors: Pei T,Li X,Tao F,Xu H,You H,Zhou L,Liu Y,Gao Y

    更新日期:2012-06-06 00:00:00

  • Late presenters among persons with a new HIV diagnosis in Italy, 2010-2011.

    abstract:BACKGROUND:In Western Europe, about 50% of newly diagnosed HIV-positive individuals are diagnosed at a late stage disease and enter in care late (i.e. with a CD4 count ≤350 μL/μL). The aim of the present study is to analyze the characteristics and the factors associated with being diagnosed late or at an advanced stage...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-281

    authors: Camoni L,Raimondo M,Regine V,Salfa MC,Suligoi B,regional representatives of the HIV Surveillance System.

    更新日期:2013-03-27 00:00:00

  • Personal ultraviolet Radiation exposure in a cohort of Chinese mother and child pairs: the Chinese families and children study.

    abstract:BACKGROUND:Few studies in China have examined personal ultraviolet radiation (UVR) exposure using polysulfone dosimetry. METHODS:In this study, 93 mother and adolescent child pairs (N = 186) from two locations in China, one rural (higher latitude) and one urban (lower latitude), completed 3 days of personal UVR dosime...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6610-y

    authors: Kimlin MG,Fang L,Feng Y,Wang L,Hao L,Fan J,Wang N,Meng F,Yang R,Cong S,Liang X,Wang B,Linet M,Potischman N,Kitahara C,Chao A,Wang Y,Sun J,Brodie A

    更新日期:2019-03-08 00:00:00

  • Assessment of the use and need for an integrated molecular surveillance of tuberculosis: an online survey in Germany.

    abstract:BACKGROUND:The implementation of an integrated molecular surveillance (IMS) of tuberculosis (TB) is of high priority for TB control. IMS is defined as the systematic inclusion of molecular typing results in the national TB surveillance system. Although not standardized, an IMS of TB is already implemented in several lo...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6631-6

    authors: Sanchini A,Andrés M,Fiebig L,Albrecht S,Hauer B,Haas W

    更新日期:2019-03-18 00:00:00

  • The design of a community lifestyle programme to improve the physical and psychological well-being of pregnant women with a BMI of 30 kg/m2 or more.

    abstract:BACKGROUND:Obesity is a global public health issue. Having a BMI of 30 kg/m2 or more (classifying a person as obese) at the start of pregnancy is a significant risk factor for maternal and fetal morbidity. There is a dearth of evidence to inform suitable interventions to support pregnant women with a BMI of 30 kg/m2 or...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-284

    authors: Smith DM,Whitworth M,Sibley C,Taylor W,Gething J,Chmiel C,Lavender T

    更新日期:2010-05-27 00:00:00

  • Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain.

    abstract:BACKGROUND:An increase in suicide mortality is often observed in economic recessions. The objective of this study was to analyse trends in socioeconomic inequalities in suicide mortality before and during the economic recession in two geographical settings in Spain. METHODS:This study analyses inequalities in mortalit...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-017-4777-7

    authors: Borrell C,Marí-Dell'Olmo M,Gotsens M,Calvo M,Rodríguez-Sanz M,Bartoll X,Esnaola S

    更新日期:2017-10-04 00:00:00

  • Characterizing hospital workers' willingness to report to duty in an influenza pandemic through threat- and efficacy-based assessment.

    abstract:BACKGROUND:Hospital-based providers' willingness to report to work during an influenza pandemic is a critical yet under-studied phenomenon. Witte's Extended Parallel Process Model (EPPM) has been shown to be useful for understanding adaptive behavior of public health workers to an unknown risk, and thus offers a framew...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-436

    authors: Balicer RD,Barnett DJ,Thompson CB,Hsu EB,Catlett CL,Watson CM,Semon NL,Gwon HS,Links JM

    更新日期:2010-07-26 00:00:00

  • Translating it into real life: a qualitative study of the cognitions, barriers and supports for key obesogenic behaviors of parents of preschoolers.

    abstract:BACKGROUND:Little is known about preschool parents' cognitions, barriers, supports and modeling of key obesogenic behaviors, including breakfast, fruit and vegetable consumption, sugary beverage intake, feeding practices, portion sizes, active playtime, reduced screen-time, sleep and selection of child-care centers wit...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-1554-3

    authors: Martin-Biggers J,Spaccarotella K,Hongu N,Alleman G,Worobey J,Byrd-Bredbenner C

    更新日期:2015-02-26 00:00:00

  • Exploring motivation to notify and barriers to partner notification of sexually transmitted infections in South Africa: a qualitative study.

    abstract:BACKGROUND:This article will review qualitative data from intervention-based counselling sessions to explore barriers to partner notification (PN) for South African men and women who have contracted sexually transmitted infections (STIs). This qualitative study took place in a township where there is high STI and HIV p...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-018-5909-4

    authors: Wood JM,Harries J,Kalichman M,Kalichman S,Nkoko K,Mathews C

    更新日期:2018-08-06 00:00:00

  • Loneliness and health risk behaviours among Russian and U.S. adolescents: a cross-sectional study.

    abstract:BACKGROUND:For some adolescents feeling lonely can be a protracted and painful experience. It has been suggested that engaging in health risk behaviours such as substance use and sexual behaviour may be a way of coping with the distress arising from loneliness during adolescence. However, the association between loneli...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-366

    authors: Stickley A,Koyanagi A,Koposov R,Schwab-Stone M,Ruchkin V

    更新日期:2014-04-16 00:00:00

  • Detecting and staging podoconiosis cases in North West Cameroon: positive predictive value of clinical screening of patients by community health workers and researchers.

    abstract:BACKGROUND:The suitability of using clinical assessment to identify patients with podoconiosis in endemic communities has previously been demonstrated. In this study, we explored the feasibility and accuracy of using Community Health Implementers (CHIs) for the large scale clinical screening of the population for podoc...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-016-3669-6

    authors: Wanji S,Kengne-Ouafo JA,Datchoua-Poutcheu FR,Njouendou AJ,Tayong DB,Sofeu-Feugaing DD,Amvongo-Adjia N,Fovennso BA,Longang-Tchounkeu YF,Tekola-Ayele F,Enyong PA,Newport MJ,Davey G

    更新日期:2016-09-20 00:00:00