title: Missed Opportunities to Address Cardiovascular Disease Risk Factors amongst Adults Attending an Urban HIV Clinic in South Africa.
abstract: We assessed cardiovascular disease (CVD) risk factor prevalence and risk stratification amongst adults on antiretroviral therapy in South Africa. Of the 175 patients screened, 37.8% had high blood pressure (HBP), 15.4% were current smokers, 10.4% had elevated cholesterol, and 4.1% had diabetes, but very few (3.6%) had a 10-year CVD risk >10%. One-third of those with HBP, 40% of those with diabetes, and two-thirds of those with high cholesterol had not previously been diagnosed. Although participants were adherent with chronic HIV care, screening for and management of CVDRF were suboptimal, representing a missed opportunity to reduce non-AIDS morbidity and mortality.
authors.affiliation: ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, United States of America; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, United States of America; Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, United States of America.
authors.forename: Miriam
authors.initials: M
authors.lastname: Rabkin
authors.affiliation: ICAP in South Africa, Pretoria, South Africa.
authors.forename: Anthony
authors.initials: A
authors.lastname: Mutiti
authors.affiliation: ICAP in Malawi, Lilongwe, Malawi.
authors.forename: Christine
authors.initials: C
authors.lastname: Chung
authors.affiliation: Department of Biostatistics, Columbia University Mailman School of Public Health, New York, New York, United States of America.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Biostatistics, Columbia University Mailman School of Public Health, New York, New York, United States of America.
authors.forename: Ying
authors.initials: Y
authors.lastname: Wei
authors.affiliation: ICAP at Columbia, Columbia University Mailman School of Public Health, New York, New York, United States of America; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, United States of America; Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, United States of America.
authors.forename: Wafaa M
authors.initials: WM
authors.lastname: El-Sadr
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D019380:Anti-HIV Agents / Q000009:adverse effects / Q000627:therapeutic use; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D013019:South Africa; D014505:Urban Population
chemical_list: D019380:Anti-HIV Agents