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High prevalence of HIV and non-communicable disease (NCD) risk factors in rural KwaZulu-Natal, South Africa

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dc.date.accessioned 2018-04-06 en
dc.date.accessioned 2021-03-09T13:15:06Z
dc.date.available 2021-03-09T13:15:06Z
dc.date.issued 2018-04-06 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/12042
dc.description.abstract South Africa faces epidemics of HIV and non-communicable diseases (NCDs). The aim of this study was to characterize the prevalence of non-communicable disease risk factors and depression, stratified by HIV status, in a community with a high burden of HIV. We conducted a home-based HIV counselling and testing study in KwaZulu-Natal, South Africa between November 2011 and June 2012. Contiguous households were approached and all adults 8 years old were offered an HIV test. During follow-up visits in January 2015, screening for HIV, depression, obesity, blood glucose, cholesterol and blood pressure were conducted using point-of-care tests. Of the 570 participants located and screened; 69% were female and 33% were HIV-positive. NCD risk factor prevalence was high in this sample; 71% were overweight (body mass index (BMI) 25 to 29.9 kg/m2) or obese, 4% had hyperglycaemia (plasma glucose >11.0 mmol/l/200 mg/dl), 33% had hypertension (HTN, >140/90 mmHg), 20% had hyperlipidaemia (low density cholesterol >5.2 mmol/l/193.6 mg/dl) and 12% had major depressive symptoms. Of the 570 participants, 87% had one or more of HIV, hyperglycaemia, HTN, hyperlipidaemia and/or depression. Over half (56%) had two or more. Older age and female gender were significantly associated with the prevalence of both HIV infection and NCD risk factors. Around 80% of both HIV-positive and negative persons had one of the measured risk factors (i.e. obesity, hyperglycaemia, hyperlipidaemia, HTN), or depression. In a community-based sample of adults in KwaZulu-Natal, South Africa, the prevalence of both HIV infection and NCD risk factors were high. This study is among the first to quantify the substantial burden of NCD risk factors and depression in this non-clinic based population. en
dc.format.medium Print en
dc.subject NON-COMMUNICABLE DISEASES en
dc.subject HIV/AIDS PREVALENCE en
dc.subject RISK BEHAVIOUR en
dc.subject RURAL COMMUNITIES en
dc.subject KWAZULU-NATAL en
dc.title High prevalence of HIV and non-communicable disease (NCD) risk factors in rural KwaZulu-Natal, South Africa en
dc.type Journal Article en
dc.ProjectNumber SOALAA en
dc.Volume 20(2) en
dc.BudgetYear 2017/18 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle Journal of the International AIDS Society en
dc.ArchiveNumber 10310 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=19884 en
dc.PageNumber Online en
dc.outputnumber 9274 en
dc.bibliographictitle Van Heerden, A., Barnabas, R.V., Norris, S.A., Micklesfield, L.K., Van Rooyen, H. & Celum, C. (2017) High prevalence of HIV and non-communicable disease (NCD) risk factors in rural KwaZulu-Natal, South Africa. <i>Journal of the International AIDS Society</i>. 20(2):Online. en
dc.publicationyear 2017 en
dc.contributor.author1 Van Heerden, A. en
dc.contributor.author2 Barnabas, R.V. en
dc.contributor.author3 Norris, S.A. en
dc.contributor.author4 Micklesfield, L.K. en
dc.contributor.author5 Van Rooyen, H. en
dc.contributor.author6 Celum, C. en


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