Does engagement in HIV care affect screening diagnosis and control of noncommunicable diseases in sub-Saharan Africa: a systematic review and meta analysis

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dc.article.end-page608en
dc.article.start-page591en
dc.citation.doi10.1007/S10461-023-04248-0en
dc.contributor.authorKileel, E.en
dc.contributor.authorZheng, Amyen
dc.contributor.authorBor, Jacoben
dc.contributor.authorFox, Matthewen
dc.contributor.authorCrowther, Nigelen
dc.contributor.authorGeorge, Jayaen
dc.contributor.authorKhoza, Siyabongaen
dc.contributor.authorRosen, Sydneyen
dc.contributor.authorVenter, Willemen
dc.contributor.authorRaal, Fredericken
dc.contributor.authorHibberd, Patriciaen
dc.contributor.authorBrennan, Alanaen
dc.date.accessioned2024-10-12T18:59:09Z
dc.date.available2024-10-12T18:59:09Z
dc.date.issued2024-02
dc.description.abstractLow- and middle-income countries are facing a growing burden of noncommunicable diseases (NCDs). Providing HIV treatment may provide opportunities to increase access to NCD services in under-resourced environments. We conducted a systematic review and meta-analysis to evaluate whether use of antiretroviral therapy (ART) was associated with increased screening, diagnosis, treatment, and control of diabetes, hypertension, chronic kidney disease, or cardiovascular disease among people living with HIV in sub-Saharan Africa (SSA). A comprehensive search of electronic literature databases for studies published between 01 January 2011 and 31 December 2022 yielded 26 studies, describing 13,570 PLWH in SSA, 61% of whom were receiving ART. Random effects models were used to calculate summary odds ratios (ORs) of the risk of diagnosis by ART status and corresponding 95% confidence intervals (95% CIs), where appropriate. ART use was associated with a small but imprecise increase in the odds of diabetes diagnosis (OR 1.07; 95% CI 0.71, 1.60) and an increase in the odds of hypertension diagnosis (OR 2.10, 95% CI 1.42, 3.09). We found minimal data on the association between ART use and screening, treatment, or control of NCDs. Despite a potentially higher NCD risk among PLWH and regional efforts to integrate NCD and HIV care, evidence to support effective care integration models is lacking.
dc.description.librarianPM2024
dc.facultyFaculty of Health Sciences en
dc.identifier.citationKileel E.M., Zheng A., Bor J., Fox M.P., Crowther N.J., George J.A., Khoza S., Rosen S., Venter W.D., Raal F., Hibberd P., Brennan A.T., Does engagement in HIV care affect screening, diagnosis, and control of noncommunicable diseases in sub-Saharan Africa? A systematic review and meta-analysis. medRxiv [Preprint]. 2023 Jun 8:2023.01.30.23285196. doi: 10.1101/2023.01.30.23285196. Update in: AIDS Behav. 2024 Feb;28(2):591-608. doi: 10.1007/s10461-023-04248-0en
dc.identifier.issn1090-7165 (print)
dc.identifier.issn1573-3254 (print)
dc.identifier.other10.1007/S10461-023-04248-0
dc.identifier.urihttps://hdl.handle.net/10539/41534
dc.journal.titleAids and Behavioren
dc.journal.volume28en
dc.publisherSpringer en
dc.rights© The Author(s) 2024.
dc.schoolSchool of Clinical Medicine
dc.subjectType 2 diabetes mellitus
dc.subjectHypertension
dc.subjectChronic kidney disease
dc.subjectCardiovascular disease
dc.subjectHIV/AIDS
dc.subjectsub-Saharan Africa
dc.subjectAntiretroviral therapy
dc.subject.otherSDG-3: Good health and well-being
dc.titleDoes engagement in HIV care affect screening diagnosis and control of noncommunicable diseases in sub-Saharan Africa: a systematic review and meta analysisen
dc.typeArticleen
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