Date of Award

1-1-2020

Document Type

Thesis

Degree Name

Master of Public Health (MPH)

Department

School of Public Health

First Advisor

Nicola L. Hawley

Second Advisor

Mayur M. Desai

Abstract

Background: With anti-retroviral therapy (ART) prolonging the survival of people of living with HIV/ AIDS, other chronic co-morbidities such as hypertension, and diabetes are becoming an increasing problem. Studies on hypertension and diabetes in Sub-Saharan Africa are still limited, even with the growing concern of Africa’s dual burden of chronic and infectious diseases. As such, we aimed to determine the prevalence, awareness and control of hypertension and diabetes among people living with and without HIV/ AIDS in Cameroon. Methods: This was a hospital-based cross-sectional study conducted at the Military Hospital of Douala, Cameroon. Participants aged 21 – 65 years were recruited via random sampling at the hospital general admissions (HIV Negative) and HIV/ AIDS Care Unit (HIV Positive). Blood pressure, blood glucose, anthropometric and sociodemographic data were collected via standard methods. Logistic regression was used to determine factors associated with prevalence and awareness. Results: Prevalence of overall hypertension was 26.9 % (95 % CI: 22.1 - 31.7). Correlates of hypertension were age, obesity, and single marital status. Overall lack of hypertension awareness and control were 58.5 % and 59.1 % respectively. Prevalence of overall diabetes was 14.7 % (95 % CI: 10.8 – 18.5) with a statistically significant difference between HIV Positive and Negative groups. Correlates of diabetes were obesity, primary level education status and HIV status. Overall lack of diabetes awareness and control were 80.8 % and 60.0 % respectively. Conclusion: The high prevalence of hypertension and diabetes, and associated lack of awareness and control among hypertensive and diabetic patients at the Military Hospital of Douala warrants increased screening, and better education regarding their disease status and associated risk factors. More effort is also needed to better integrate HIV/ AIDS and chronic disease care to better cater to patients living with HIV/ AIDS.

Comments

This thesis is restricted to Yale network users only. It will be made publicly available on 05/27/2021

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