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Traditional and psychosocial factors associated with non-communicable diseases among people living with HIV in Cambodia

A cross-sectional study

Bibliographic Data

ID19443309
AuthorsBeverly Wen Xin Wong (National University of Singapore and National University Health System), Pheak Chhoun (0000-0001-6369-0190, KHANA Center for Population Health Research), Sovannary Tuot (0000-0001-8617-4578, KHANA Center for Population Health Research), Bora Ngov (National Center for HIV/AIDS, Dermatology and STD), Sovannarith Samreth (0000-0003-4850-2176, National Center for HIV/AIDS, Dermatology and STD), Vichea Ouk (0009-0006-5659-8402, National Center for HIV/AIDS, Dermatology and STD), Siyan Yi (0000-0002-3045-5386, National University of Singapore and National University Health System, corresponding author)
Year2025
Volume37
Issue7
Pages1194-1207
Publication date2025-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2494792
PMID40267262
OpenAlexW4409722799
LanguageEN
References cited48

We examined traditional and psychosocial factors associated with self-reported diabetes, hypertension, raised cholesterol, and multimorbidity among 4,089 people living with HIV in Cambodia. Participants were recruited from 20 antiretroviral therapy (ART) clinics across nine provinces and the capital city in 2021. Multiple logistic regression analyses assessed the associations between sociodemographic variables, HIV-related information, and psychosocial factors with the outcome variables. The prevalence of diabetes, hypertension, and raised cholesterol were 7.8%, 16.9%, and 6.6%, respectively. Non-adherence to ART (adjusted odds ratio [aOR]: 1.55, 95% confidence interval [CI]: 1.04-2.32), low self-efficacy in attending ART clinics regularly (aOR: 2.02, 95% CI: 1.16-3.53), and poor quality of life (aOR: 1.48, 95% CI: 1.13-1.94) were significantly associated with all outcomes. Interestingly, lower perceived social support was significantly associated with lower odds of hypertension (aOR: 0.52, 95% CI: 0.33-0.83) and multimorbidity (aOR: 0.40, 95% CI: 0.20-0.80). Past experiences with HIV-related stigma and discrimination were significantly associated with a higher likelihood of diabetes (aOR: 1.97, 95% CI: 1.23-3.15) and multimorbidity (aOR: 1.87, 95% CI: 1.23-2.85). Community-based interventions to enhance peer support and reduce stigma and discrimination may help decrease non-communicable diseases (NCDs), and integrating HIV and NCD programs could improve healthcare access among people living with HIV

Cross-sectional study · Environmental health · Family medicine · Non-communicable disease · Psychiatry · Psychosocial · Public health · HIV-related health complications and treatments · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Gerontology

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