HIV-associated neurocognitive impairment in stable people living with HIV on ART in rural Tanzania.
HIV Med
; 22(2): 102-112, 2021 02.
Article
de En
| MEDLINE
| ID: mdl-33190352
ABSTRACT
OBJECTIVES:
Few studies have assessed cognitive impairment among healthy people living with HIV (PLWH) who are stable on antiretroviral treatment (ART) in sub-Saharan Africa.METHODS:
We conducted a cross-sectional study among a random sample of stable adult PLWH from rural Tanzania on ART for more than 1 year and without immunological failure or pre-existing neurological disease. We evaluated the prevalence and risk factors for neurocognitive impairment (NCI), assessed through neuropsychological tests, functional and depression questionnaires and defined as a mean Z-score ≤ -1 in two or more cognitive domains.RESULTS:
Among 243 participants [median age = 44.3 years (interquartile range 36-52] and 71% female] we found a rate of NCI of 19.3% (95% confidence interval 14.8-24.8%). Memory and psychomotor domains demonstrated the highest impairment. Independent predictors of NCI were age and self-reported alcohol use. Other classical risk factors were not associated with HIV-associated NCI.CONCLUSION:
Despite effective ART roll-out, NCI remained a prevalent condition in this healthy rural Tanzanian population of PLWH on ART. Age and alcohol use were key risk factors.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Infections à VIH
Type d'étude:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Adult
/
Female
/
Humans
/
Male
Pays/Région comme sujet:
Africa
Langue:
En
Journal:
HIV Med
Sujet du journal:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Année:
2021
Type de document:
Article
Pays d'affiliation:
Espagne