Prevalence and risk factors of type II diabetes mellitus among people living with HIV in Texas

Bibliographic Data

ID19444156
AuthorsJustin R Buendia (0000-0003-4018-0109, Texas Department of State Health Services), Sabeena Sears (0000-0003-2275-3372, Texas Department of State Health Services), Elyse Griffin (Texas Department of State Health Services), Osaro Mgbere (0000-0002-2863-6284, Houston Health and Human Services Department), Osaro O Mgbere (Houston Health Department, Houston, TX, USA)
Year2022
Volume34
Issue7
Pages900-907
Publication date2022-07-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2021.1925212
PMID33975492
OpenAlexW3159980865
LanguageEN
References cited44

This study aimed to determine the prevalence and risk factors associated with type II diabetes mellitus (T2DM) among people living with HIV (PLWH). Cross-sectional data of 989 PLWH in Texas obtained from the 2015–2017 Texas and Houston Medical Monitoring Project were examined. T2DM was identified by formal medical chart diagnosis, insulin/oral hypoglycemic prescriptions, or most recent fasting blood glucose ≥126 mg/dL. T2DM adjusted prevalence ratios and 95% confidence intervals (CIs) were estimated using multiple logistic regression. Participants were mostly male (72%), ≥40 years (68%), overweight (31%) or obese (28%) and virally suppressed (62%). T2DM prevalence was 15% with variations by age, body mass index, education and health insurance (p < 0.05 for all). Compared to PLWH ≥60 years, 18–39-year-olds had significantly lower likelihood of T2DM (p < 0.001). Overweight and obese PLWH were 2.11 (95% CI: 1.23–3.63) and 3.89 times (95% CI: 2.30–6.56) more likely to have T2DM compared to normal weight PLWH. Over 1 in 6 PLWH in Texas had T2DM, with age and BMI as significant predictors. Since DM is a risk factor for cardiovascular disease and PLWH are living longer, increased education and lifestyle modification interventions are warranted to prevent T2DM development among PLWH

Body mass index · Confidence interval · Diabetes mellitus · Logistic regression · Obesity · Overweight · Psychological intervention · Type 2 Diabetes Mellitus · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Gestational Diabetes Research and Management · HIV-related health complications and treatments · Medicine · Endocrinology · Gerontology · Internal Medicine

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