Metabolic Syndrome Among People Living with HIV Receiving Medical Care in Southern United States: Prevalence and Risk Factors

被引：33

作者：

Sears, Sabeena ^{[1
,8
]}

Buendia, Justin R. ^{[1
]}

Odem, Sylvia ^{[1
]}

Qobadi, Mina ^{[2
]}

Wortley, Pascale ^{[3
]}

Mgbere, Osaro ^{[4
]}

Sanders, Jontae ^{[5
]}

Spencer, Emma C. ^{[5
]}

Barnes, Arti ^{[6
,7
]}

机构：

[1] Texas Dept State Hlth Serv, Austin, TX 78756 USA

[2] Mississippi Dept Hlth, Jackson, MS USA

[3] Georgia Dept Publ Hlth, Atlanta, GA USA

[4] Houston Hlth Dept, Houston, TX USA

[5] Florida Dept Hlth, Tallahassee, FL USA

[6] Cornell Scott Hill Hlth Ctr, New Haven, CT USA

[7] Yale Sch Med, New Haven, CT USA

[8] Texas Dept State Hlth Serv, TB STD HIV Surveillance Branch, 11501 Burnet Rd,Bldg 902, Austin, TX 78758 USA

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / 11期

关键词：

HIV; Metabolic syndrome; Medical Monitoring Project; Southern United States; INFECTED PATIENTS; ANTIRETROVIRAL THERAPY; CARDIOVASCULAR-DISEASE; INSULIN-RESISTANCE; DIABETES-MELLITUS; MYOCARDIAL-INFARCTION; NATIONAL-HEALTH; HEART-DISEASE; HYPERTENSION; STROKE;

D O I：

10.1007/s10461-019-02487-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Using representative data among 1861 in care people living with HIV (PLWH) in four southern states (Texas, Mississippi, Florida, and Georgia) from the 2013-2014 Medical Monitoring Project (MMP) survey, we estimated the prevalence and odds of metabolic syndrome (MetS) among various demographic and HIV related risk factors. Overall MetS prevalence was 34%, with our participants being mostly black (55%), male (72%), >= 50 years old (46%), and overweight or obese (60%) with undetectable viral loads (<= 200 copies/ml, 69%), and were currently taking antiretroviral medication (98%). Compared to those who were >= 60 years, 18-39 year olds had a 79% (95% CI 0.13-0.33) lower odds of having MetS. Women were 2.24 times more likely to have MetS than men (95% CI 1.69-2.97). Age and sex were significant predictors of MetS. Since MetS is a combination of chronic disease risk factors, regular screening for MetS risk factors among aging PLWH is crucial.

引用

页码：2916 / 2925

页数：10

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