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dc.contributor.authorKamkuemah, M
dc.contributor.authorGausi, B
dc.contributor.authorOni, T
dc.date.accessioned2022-06-01T23:30:47Z
dc.date.available2022-06-01T23:30:47Z
dc.date.issued2022-04-04
dc.identifier.issn0256-9574
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/337678
dc.description.abstractBACKGROUND: Adolescents and youth living with HIV (AYLHIV) face an elevated non-communicable disease (NCD) risk resulting from HIV, psychosocial challenges, and the complications of antiretroviral therapy. OBJECTIVES: To investigate the prevalence of common NCDs and their risk factors among AYLHIV in urban Cape Town, South Africa, in order to inform an integrated approach to NCD screening and prevention in AYLHIV. METHODS: We conducted a cross-sectional study in six primary care facilities in Cape Town between March 2019 and January 2020. We collected sociodemographic information, and assessed dietary intake, physical activity and nutritional knowledge. We also screened for pre-existing and previously unidentified NCDs and modifiable risk factors in 92 adolescents and youth receiving treatment for HIV in primary care settings using self-report and objective measures. Differences between sexes and age groups were compared using parametric and non-parametric statistical tests. RESULTS: Three out of four participants were female, and the median (interquartile range) age was 20.5 (18.9 - 22.9) years. More than a quarter were not in education, employment or training, and 44% were multidimensionally poor. Five percent of participants had measured hypertension, and 37% had central obesity. AYLHIV self-reported high levels of household food insecurity (70%), low daily fruit and vegetable consumption (28% and 52%, respectively), high refined sugar and sugar-sweetened beverage intake (31% and 29% daily intake, respectively), regularly skipping breakfast (42%), low nutritional knowledge (37% average score) and insufficient weekly physical activity levels (31%). A third (30%) were current smokers, and 24% engaged in binge drinking. CONCLUSIONS: Our findings of a high prevalence of NCDs and risk factors in AYLHIV highlight the importance of NCD risk screening as part of HIV care for AYLHIV. Such integrated approaches are needed to achieve the dual purpose of improving outcomes through early diagnosis of pre-existing NCDs as well as the prevention of NCD multimorbidity in AYLHIV. This study further demonstrates the need for early intervention on the social, environmental and economic determinants of NCDs targeting adolescents and youth.
dc.format.mediumElectronic
dc.publisherSouth African Medical Association NPC
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectAdolescent
dc.subjectAdult
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHIV Infections
dc.subjectHumans
dc.subjectMale
dc.subjectMultimorbidity
dc.subjectNoncommunicable Diseases
dc.subjectPrevalence
dc.subjectRisk Factors
dc.subjectSouth Africa
dc.subjectYoung Adult
dc.titleHigh prevalence of multimorbidity and non-communicable disease risk factors in South African adolescents and youth living with HIV: Implications for integrated prevention.
dc.typeArticle
dc.publisher.departmentMrc Epidemiology Unit
dc.date.updated2022-06-01T08:38:15Z
prism.endingPage267
prism.issueIdentifier4
prism.publicationDate2022
prism.publicationNameS Afr Med J
prism.startingPage259
prism.volume112
dc.identifier.doi10.17863/CAM.85084
dcterms.dateAccepted2022-04-04
rioxxterms.versionofrecord10.7196/SAMJ.2022.v112i4.15967
rioxxterms.versionVoR
dc.contributor.orcidOni, Tolu [0000-0003-4499-1910]
dc.identifier.eissn2078-5135
rioxxterms.typeJournal Article/Review
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (16/137/34)
cam.issuedOnline2022-04-04
cam.depositDate2022-06-01
pubs.licence-identifierapollo-deposit-licence-2-1
pubs.licence-display-nameApollo Repository Deposit Licence Agreement


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Attribution-NonCommercial 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial 4.0 International