Hypertension and Physical Intimate Partner Violence among Female HIV Patients in Butiama District, North-Western Tanzania

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  •   Getera Isack Nyangi

  •   Elizabeth Emmanuel Mackanja

Abstract

Highly active antiretroviral therapy (HAART) has greatly improved life expectancy and quality of life among people living with HIV. However, hypertension has been reported to increase among HIV patients. Yet the exact cause has not been established. We conducted a cross-sectional study involving female HIV-infected patients on ART who attended care and treatment clinics (CTCs) between August 2020 to December 2020. The participants were consecutively enrolled until the targeted sample size was attained. Hypertension was defined as systolic blood pressure (SBP) ≥ 140mmHg and, diastolic blood pressure (DBP) ≥ 90mmHg. The exposure variable of interest was self-reported physical intimate partner violence in the last 12 months which was collected and defined according to World Health Organization (WHO) criteria. We investigated 526 female HIV patients on ART with a mean age of 42.8 years. Of all participants, 87.1% were peasants, about 60% were greater than 60 years old and 22.5% were currently consuming alcohol.  23.8 % of the participants had reported a history of physical intimate partner violence in the last 12 months. The overall prevalence of hypertension in female HIV patients on ART was 31.4% and it was not statistically significant associated with physical intimate partner violence in the last 12 months before and after adjusting for other covariates. The prevalence of hypertension in female HIV patients on ART was higher but was not found to be influenced by physical intimate partner violence in the last 12 months. Further studies are recommended to investigate the influence of physical violence on hypertension among HIV patients.


Keywords: Care and treatment clinic, human immunodeficiency virus, hypertension, physical intimate partner violence

References

Chastain DB, Henderson H, Stover KR. Epidemiology and Management of Antiretroviral-Associated Cardiovascular Disease. The Open AIDS Journal. 2015; 9(1): 23–37.

Fahme SA, Bloomfield GS, Peck R. Hypertension in HIV-infected adults: Novel pathophysiologic mechanisms. Hypertension. 2018; 72(1): 44–55.

Feinstein MJ, Bahiru E, Achenbach C, Longenecker CT, Hsue P, So-Armah K, et al. Patterns of cardiovascular mortality for HIV-infected adults in the United States: 1999 to 2013. American Journal of Cardiology. 2016; 117(2): 214–220.

Xu Y, Chen X, Wang K. Global prevalence of hypertension among people living with HIV : a systematic review and meta-analysis. Journal of the American Society of Hypertension. 2016 ; 11(8) : 530–540.

Peck RN, Shedafa R, Kalluvya S, Downs JA, Todd J, Suthanthiran M, et al. Hypertension, kidney disease, HIV and antiretroviral therapy among Tanzanian adults: A cross-sectional study. BMC Medicine. 2014; 12(1).

Van Zoest RA, van den Born BH, Reiss P. Hypertension in people living with HIV. Curr Opin HIV AIDS. 2017; 12(6): 513-522.

O’Neil A, Scovelle AJ. Intimate Partner Violence perpetration and cardiovascular risk: A systematic review. Preventive Medicine Reports. 2018; 10: 15-19.

Suglia SF, Sapra KJ, Koenen KC. Violence and cardiovascular health: A systematic review. American Journal of Preventive Medicine. 2015; 48(2): 205–212.

Steptoe A, Kivimäki M. Stress and Cardiovascular Disease: An Update on Current Knowledge. Annu Rev Public Health. 2013; 34: 337-54.

Ranjit N, Diez-Roux A, Shea S, Cushman M, Seeman T, Jackson SA, et al. Psychosocial Factors and Inflammation in the Multi-Ethnic Study of Atherosclerosis.

Segerstrom SC, Miller GE. Psychological Stress and the Human Immune System: A Meta-Analytic Study of 30 Years of Inquiry NIH Public Access. Psychol Bull. 2004; 130(4).

Cacioppo JT. Social neuroscience: autonomic, neuroendocrine, and immune responses to stress. Psychophysiology. 1994; 31(2): 113—128.

RodrõÂguez-ArbolõÂ E, Mwamelo K, Kalinjuma AV, Furrer H, Hatz C, Tanner M, et al. Incidence and risk factors for hypertension among HIV patients in rural Tanzania-A prospective cohort study. PLoS ONE. 2017; 12(3).

JNC. Prevention, Detection, Evaluation, and Treatment of High Blood Pressure The Seventh Report of the Joint National Committee on Complete Report. 2004.

Heise L, Hossain M. Measuring intimate partner violence. Technical Brief 2017.

Clark CJ, Everson-Rose SA, Alonso A, Spencer RA, Brady SS, Resnick MD, et al. Effect of partner violence in adolescence and young adulthood on blood pressure and incident hypertension. PLoS ONE. 2014; 9(3).

Durant RH, Altman D, Wolfson M, Barkin S, Kreiter S, Krowchuk D. Exposure to violence and victimization, depression, substance use, and the use of violence by young adolescents. J Pediatr. 2000; 137(5): 707-13.

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How to Cite
Nyangi, G. I., & Mackanja, E. E. (2022). Hypertension and Physical Intimate Partner Violence among Female HIV Patients in Butiama District, North-Western Tanzania. European Journal of Medical and Health Sciences, 4(4), 21–25. https://doi.org/10.24018/ejmed.2022.4.4.1195