The ART Advantage: Health Care Utilization for Diabetes and Hypertension in Rural South Africa

Citation:

Jennifer Manne-Goehler, Livia Montana, Francesc Xavier Gómez-Olivé, Julia Rohr, Guy Harling, Ryan G. Wagner, Alisha Wade, Chodziwadziwa W. Kabudula, Pascal Geldsetzer, Kathleen Kahn, Stephen Tollman, Lisa F. Berkman, Till W. Bärnighausen, and Thomas A. Gaziano. 2017. “The ART Advantage: Health Care Utilization for Diabetes and Hypertension in Rural South Africa.” JAIDS Journal of Acquired Immune Deficiency Syndromes, 75, 5, Pp. 561-567.

Abstract:

Background: The prevalence of diabetes and hypertension has increased in HIV-positive populations, but there is limited understanding of the role that antiretroviral therapy (ART) programs play in the delivery of services for these conditions. The aim of this study is to assess the relationship between ART use and utilization of health care services for diabetes and hypertension.Methods: Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa is a cohort of 5059 adults. The baseline study collects biomarker-based data on HIV, ART, diabetes, and hypertension and self-reported data on health care utilization. We calculated differences in care utilization for diabetes and hypertension by HIV and ART status and used multivariable logistic regressions to estimate the relationship between ART use and utilization of services for these conditions, controlling for age, sex, body mass index, education, and household wealth quintile.