The aim of this study is to estimate the prevalence of cardiometabolic risk factors among people living with HIV (PLWH) in the south Texas region between 2014 and 2018. A total of 2,808 PLWH from the southern Texas region were included using electronic medical records from a combination of health care system databases. The prevalence of cardiometabolic factors such as elevated blood pressure (BP), triglycerides, total cholesterol and blood glucose, low high-density lipoprotein cholesterol (HDL-C), and obesity was evaluated. The association between cardiometabolic risk factors and age, sex, race/ethnicity, and HIV-related variables was evaluated using logistic regression. Approximately 50.8% had elevated BP, followed by low HDL-C (41.7%), elevated glucose (40.3%), elevated triglycerides (35.5%), obesity (27.8%), and elevated total cholesterol (20%). Hispanics had a higher prevalence of low HDL-C (45.5% vs. 39.7%, p = .012), elevated glucose (48.9% vs. 36.3%, p < .001), elevated triglycerides (40.4% vs. 33.0%, p = .001), and obesity (31.3% vs. 26.0%, p = .004) than non-Hispanics. Females had a higher prevalence of low HDL-C (51.9% vs. 39.1%, p < .001), elevated total cholesterol (24.4% vs. 18.8%, p = .010), and obesity (49.5% vs. 21.8%, p < .001) than males. Variables such as age, sex, race/ethnicity, CD4⁺ T cell count, and viral load use were associated with multiple cardiometabolic risk factors. The prevalence of cardiometabolic risk factors remains high among PLWH in the southern Texas region, especially among Hispanics and females.

中文翻译：

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德克萨斯州南部 HIV 感染者心脏代谢危险因素的患病率

本研究的目的是估计 2014 年至 2018 年德克萨斯州南部地区 HIV 感染者 (PLWH) 的心脏代谢危险因素的流行情况。使用来自德克萨斯州南部地区的电子病历，共纳入了来自德克萨斯州南部地区的 2,808 名 PLWH。医疗保健系统数据库的组合。评估了心脏代谢因素的患病率，例如血压升高 (BP)、甘油三酯、总胆固醇和血糖、低高密度脂蛋白胆固醇 (HDL-C) 和肥胖。使用逻辑回归评估心脏代谢危险因素与年龄、性别、种族/民族和 HIV 相关变量之间的关联。大约 50.8% 的人血压升高，其次是低 HDL-C (41.7%)、升高的葡萄糖 (40.3%)、升高的甘油三酯 (35.5%)、肥胖 (27.8%) 和升高的总胆固醇 (20%)。p  = .012)、血糖升高（48.9% 对 36.3%，p  < .001）、甘油三酯升高（40.4% 对 33.0%，p  = .001）和肥胖（31.3% 对 26.0%，p  = .004) 比非西班牙裔。女性的 HDL-C 低（51.9% 对 39.1%，p  < .001）、总胆固醇升高（24.4% 对 18.8%，p  = .010）和肥胖（49.5% 对 21.8%）的患病率较高, p  < .001) 比男性。年龄、性别、种族/民族、CD4 ⁺ T 细胞计数和病毒载量使用等变量与多种心脏代谢风险因素相关。在德克萨斯州南部地区的 PLWH 中，心脏代谢危险因素的患病率仍然很高，尤其是在西班牙裔和女性中。