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Paper Title

Impacts of HIV Subtype on Occurrence of the HIV - Dementia among the HIV Patients who are on HIV-1 Antiretroviral therapy in Dar es salaam and Njombe region, Tanzania

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Registration ID: IJNRD_213186

Published ID: IJNRD2402161

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Keywords

HIV-1, HIV-2, HIV 1+2 dual Infections, Dementia, Antiretroviral therapy

Abstract

HIV/AIDS -dementia is a common complex condition that occurs to the patients infected with Human immunodeficiency virus (HIV) with CD4 less than 200 cell/ml. HIV-Dementia occurs when the HIV virus spreads to the brain and Central nerve system. Antiretroviral therapy (ART) can reduce the occurrence HIV dementia if timely initiated and properly used during the course of the treatment. We aimed to determine the relationship between Dementia and HIV subtype in people leaving with HIV (PLHIV) on HIV-1 ART. A hospital based retrospective cross-sectional study conducted in Njombe and Dar es salaam region in Tanzania. HIV-seropositive (HIV+) individuals who were on HIV -1 ART regimen from 2016 to 2021 were recruited in the study. Questionnaire and WHO AIDS-Dementia Assessment tool (2012) and The International HIV-Dementia Scale were used to assess the presence of dementia among the HIV patients on ART. All data gathered were entered in the SPSS version 26.0 for analysis and interpretation. Frequencies and Percentage was used to interpret data. Univariate Logistic regression and Chi-square were used to find the association of the occurrence of HIV dementia. A total of 300 PLHIV were recruited in the study, whereas, 140 (46.7%) were male and 160 (53.3%) female. The mean age of the participants was 35 (± 0.24) years and ranged from 15–90 years old. Overall, 132(44.0%) of the participants had dementia. The higher prevalence of dementia were observed in 59.2% participants with HIV-1/HIV-2 (PLHIV-1+2), 54.6% with HIV-2 (PLHIV-2) and 38.2% for participants with HIV-1 (PLHIV-1) infection . After adjusting age, sex, level of education, marital status, monthly income, occupation, baseline CD4, weight and baseline viral load; PLHIV-2 had 1.81 fold increased risk of dementia (RR 1.81, 95% CI 1.33 to 2.36) and PLHIV-1+2 had 1.71 fold high risk of dementia compared with PLHIV-1 infected (RR 1.71, 95% CI 1.27 to 2.29) compared with HIV-1 patients. Age, sex, level of education, marital status, monthly income and occupation were observed as perpetuating factors for occurrence of the HIV dementia. The study documented high risks of occurrence of the HIV dementia among the PLHIV-2 and PLHIV-1+2 participants Also the study observed age, sex , economic status and marital status as perpetuating for occurrence of HIV dementia. Therefore, the study recommend the use of the proper ART regimen for HIV-2 and HIV 1+2 dual infection to reduce the occurrence of the HIV-dementia among the HIV patients.

How To Cite (APA)

Kigumi Hamimu Omary, Mmbaga Blandina Theophil,, Nyanda Elias Ntinginya, Olomi Willyhelmina, , & Vianney John-Mary (February-2024). Impacts of HIV Subtype on Occurrence of the HIV - Dementia among the HIV Patients who are on HIV-1 Antiretroviral therapy in Dar es salaam and Njombe region, Tanzania. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 9(2), b481-b488. https://ijnrd.org/papers/IJNRD2402161.pdf

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Other Publication Details

Paper Reg. ID: IJNRD_213186

Published Paper Id: IJNRD2402161

Research Area: Medical Science

Author Type: Foreign Author

Country: Morogoro, Morogoro, Tanzania, United Republic of

Published Paper PDF: https://ijnrd.org/papers/IJNRD2402161.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2402161

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