Prevalence and predictors of cardiovascular disease risk among people living with human immunodeficiency virus in Nigeria
摘要
Advances in HIV/AIDS treatment have transformed HIV into a manageable chronic condition. However, cardiovascular disease (CVD) and other non-communicable diseases are increasingly emerging among people living with HIV (PLHIV), especially in developing countries. This study assessed the prevalence and determinants of CVD risk among PLHIV in Nigeria.
MethodsA cross-sectional study was conducted from February to May 2024 across ten Nigerian health facilities, involving 1,000 PLHIV on antiretroviral therapy (ART). Data on socio-demographic characteristics, lifestyle behaviors, family history of CVD, and HIV-related clinical factors were collected through structured questionnaires and medical records. Chi-square tests and logistic regression analyses were conducted using SPSS v24, with significance set at p < 0.05.
ResultsParticipants had a median age of 48 years (IQR: 41–56), and 60.7% were female. Hypertension (26.2%), overweight (27.9%), high-risk waist-hip ratio (39.6%), and obesity (19.6%) were common. Overall, 61.1% were at risk for CVD. Significant predictors of higher CVD risk included urban residence (aOR: 1.48; 95% CI: 1.13–1.94), smoking (aOR: 2.16; 95% CI: 1.26–3.68), family history of hypertension (aOR: 1.7; 95% CI: 1.2–2.4), being on ART for ≥ 10 years (aOR: 1.5; 95% CI: 1.1–2.01), and infrequent consumption of high-fat, sugar, and salt (HFSS) foods (aOR: 1.4; 95% CI: 1.1–1.9). Conversely, being retired or a student was associated with lower risk.
ConclusionCVD risk is prevalent among PLHIV in Nigeria and is linked to demographic, clinical, and lifestyle factors. Targeted, integrated interventions, and client-centered care strategies are required to reduce CVD burden among PLHIV.