Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0187591
Title: High prevalence of non-communicable diseases and associated risk factors amongst adults living with HIV in Cambodia
Authors: Chhoun, Pheak
Tuot, Sovannary
Harries, Anthony D
Kyaw, Nang Thu Thu
Pal, Khuondyla
Mun, Phalkun
Brody, Carrine
Mburu, Gitau
Yi, Siyan 
Keywords: Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
ANTIRETROVIRAL THERAPY
LIFE EXPECTANCY
HYPERTENSION
TRENDS
WOMEN
AIDS
CARE
ERA
Issue Date: 9-Nov-2017
Publisher: PUBLIC LIBRARY SCIENCE
Citation: Chhoun, Pheak, Tuot, Sovannary, Harries, Anthony D, Kyaw, Nang Thu Thu, Pal, Khuondyla, Mun, Phalkun, Brody, Carrine, Mburu, Gitau, Yi, Siyan (2017-11-09). High prevalence of non-communicable diseases and associated risk factors amongst adults living with HIV in Cambodia. PLOS ONE 12 (11). ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0187591
Abstract: Background With rapid expansion of antiretroviral therapy for HIV, there are rising life expectancies among people living with HIV. As a result, co-morbidity from non-communicable diseases in those living and aging with HIV is increasingly being reported. Published data on this issue have been limited in Cambodia. The aim of this study was to determine the prevalence of diabetes mellitus, hypertension and hypercholesterolemia and associated risk factors in adults living with HIV in Cambodia. Methods This cross-sectional study was conducted in five provinces of Cambodia from May-June 2015. Information was obtained on socio-demographic and clinical characteristics through face-to-face interviews using a structured questionnaire, and anthropometric and biochemical measurements were performed. Diabetes mellitus was diagnosed with fasting blood glucose 126 mg/dl, hypertension with systolic blood pressure 140 mmHg and/or diastolic blood pressure 90 mmHg and hypercholesterolemia with fasting blood cholesterol 190 mg/dl. Multivariable logistic regression analyses were used to explore risk factors. Results The study sample included 510 adults living with HIV; 67% were female, with a mean age of 45 (standard deviation = 8) years. Of these, 8.8% had diabetes mellitus, 15.1% had hypertension and 34.7% had hypercholesterolemia. Of the total participants with non-communicable diseases (n = 244), 47.8% had one or more diseases, and 75% were not aware of their diseases prior to the study: new disease was diagnosed in 90% of diabetes mellitus, 44% of hypertension and 90% of hypercholesterolemia. Single disease occurred in 81%, dual disease in 17% and triple disease in 2%. In adjusted analyses, those consuming 1 serving of fruit compare to 2 servings as significantly with diabetes mellitus, those eating 1 serving of fruit compare to 2 servings and using lard for cooking were significantly associated with hypertension, and those being unemployed, having monthly income less than 100 USD and being underweighted were significantly associated with hypercholesterolemia. Conclusions The prevalence of diabetes mellitus, hypertension and hypercholesterolemia in adults living with HIV in this study was considerably high, with most of these diseases newly identified through active screening in the survey. These findings strongly suggest that screening of non-communicable diseases should be integrated into routine HIV care in Cambodia.
Source Title: PLOS ONE
URI: https://scholarbank.nus.edu.sg/handle/10635/239611
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0187591
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