Knowledge and perception on type2 diabetes and hypertension among HIV clients utilizing care and treatment services: a cross sectional study from Mbeya and Dar es Salaam regions in Tanzania

• Published in: BMC public health 2018-07, Vol.18 (1), p.928-928, Article 928
• Main Authors: Kagaruki, Gibson B, Mayige, Mary T, Ngadaya, Esther S, Kilale, Andrew M, Kahwa, Amos, Shao, Amani F, Kimaro, Godfather D, Manga, Chacha M, Mbata, Doris, Materu, Godlisten S, Masumo, Ray M, Mfinanga, Sayoki G
• Format: Article
• Language: English
• Subjects: Adult; Anti-Retroviral Agents - therapeutic use; ART and ART Naïve clients; Behavior; Cross-Sectional Studies; Developing Countries; Diabetes Mellitus, Type 2 - psychology; Diabetes Mellitus, Type 2 - virology; Evaluation; Female; Health attitudes; Health Knowledge, Attitudes, Practice; HIV; HIV Infections - complications; HIV Infections - drug therapy; HIV Infections - psychology; HIV patients; Humans; Hypertension - psychology; Hypertension - virology; Knowledge; Male; Medical care utilization; Middle Aged; Perception; Risk Factors; Risk-Taking; Rural Population - statistics & numerical data; Social aspects; Surveys and Questionnaires; Tanzania; Type 2 diabetes; Type2 diabetes/hypertension; Young Adult
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-018-5639-7

Type2 Diabetes and Hypertension (T2DM/HTN) have become serious threats to the health and socio-economic development in the developing countries. People living with HIV (PLHIV) infection are more vulnerable of developing T2DM/HTN due to HIV infection itself and antiretroviral treatments. The situation is worse when behavioral and biological risk factors are pervasive to PLHIV. Despite this vicious circle; information on the level of knowledge and perception regarding prevention of T2DM/HTN, risks factors and associated complications among PLHIV is not well documented in Tanzania. The aim of this paper was assess the level of T2DM/HTN knowledge and perception among PLHIV and utilizing care and treatment clinic (CTC) services. A cross-sectional study was conducted in randomly selected 12 CTCs between October 2011 and February 2012. Data on demographic characteristics, type 2 diabetes and hypertension knowledge and perception were collected from the study participants. Out of 754 PLHIV and receiving HIV services at the selected CTCs, 671 (89%) consented for the study. Overall 276/671(41.1%) respondents had low knowledge on type2 diabetes and hypertension risk factors and their associated complications. Locality (rural) (AOR = 2.2; 95%CI 1.4-3.4) and never/not recalling if ever measured blood glucose in life (AOR = 2.3; 95%CI 1.1-5.7) were significant determinants of low knowledge among clients on ART. Being currently not having HIV and T2DM/HTN co-morbidities (AOR = 2.2; 95%CI 1.2-4.9) was the only determinant of low knowledge among ART Naïve clients. With regard to perception, 293/671(43.7%) respondents had negative perception on diabetes and hypertension prevention. Sex (female) (AOR = 2.0, 95%CI 1.2-2.9), being aged