Skip to main content

Prevalence of self-reported diabetes risk factors and integration of diabetes screening and referral at two urban HIV care and treatment clinics in Zambia.

Publication ,  Journal Article
Baumgartner, JN; Nyambe, N; Vasudevan, L; Kasonde, P; Welsh, M
Published in: PloS one
January 2022

People living with HIV (PLWH) on antiretroviral therapy (ART) are living longer and are at risk of HIV co-morbidities including non-communicable diseases (NCDs), particularly in low-resource settings. However, the evidence base for effectively integrating HIV and NCD care is limited. The Chronic Health Care (CHC) checklist, designed to screen for multiple NCDs including a 6-item diabetes self-report screener, was implemented at two PEPFAR-supported HIV clinics in Kabwe and Kitwe, Zambia. Study objectives were to describe the HIV care and treatment population and their self-reported diabetes-related symptoms, and to evaluate provider-initiated screening and referral post-training on the CHC checklist. This cross-sectional study enrolled 435 adults receiving combination ART services. Clinic exit interviews revealed 46% self-reported at least one potential symptom, and 6% self-reported three or more symptoms to the study team, indicating risk for diabetes and need for further diagnostic testing. In comparison, only 8% of all participants reported being appropriately screened for diabetes by their health provider, with less than 1% referred for further testing. This missed opportunity for screening and referral indicates that HIV-NCD integration efforts need more fully resourced and multi-pronged approaches in order to ensure that PLWH who are already accessing ART receive the comprehensive, holistic care they need.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2022

Volume

17

Issue

9

Start / End Page

e0275203

Related Subject Headings

  • Zambia
  • Self Report
  • Risk Factors
  • Referral and Consultation
  • Prevalence
  • Noncommunicable Diseases
  • Humans
  • HIV Infections
  • General Science & Technology
  • Diabetes Mellitus
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Baumgartner, J. N., Nyambe, N., Vasudevan, L., Kasonde, P., & Welsh, M. (2022). Prevalence of self-reported diabetes risk factors and integration of diabetes screening and referral at two urban HIV care and treatment clinics in Zambia. PloS One, 17(9), e0275203. https://doi.org/10.1371/journal.pone.0275203
Baumgartner, Joy Noel, Namakau Nyambe, Lavanya Vasudevan, Prisca Kasonde, and Michael Welsh. “Prevalence of self-reported diabetes risk factors and integration of diabetes screening and referral at two urban HIV care and treatment clinics in Zambia.PloS One 17, no. 9 (January 2022): e0275203. https://doi.org/10.1371/journal.pone.0275203.
Baumgartner, Joy Noel, et al. “Prevalence of self-reported diabetes risk factors and integration of diabetes screening and referral at two urban HIV care and treatment clinics in Zambia.PloS One, vol. 17, no. 9, Jan. 2022, p. e0275203. Epmc, doi:10.1371/journal.pone.0275203.

Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2022

Volume

17

Issue

9

Start / End Page

e0275203

Related Subject Headings

  • Zambia
  • Self Report
  • Risk Factors
  • Referral and Consultation
  • Prevalence
  • Noncommunicable Diseases
  • Humans
  • HIV Infections
  • General Science & Technology
  • Diabetes Mellitus