LAUSR

PURPOSE To estimate the prevalence of cardiometabolic risk factors among people living with HIV (PLWH) in the south of Texas region between 2014 and 2018. METHODS A total of 2,808 PLWH from the southern Texas region were included using electronic medical records from a combination of healthcare systems' databases. The prevalence of cardiometabolic factors such as elevated blood pressure, triglycerides, total-cholesterol and blood glucose, low HDL-cholesterol and obesity was evaluated. The association between cardiometabolic risk factors and age, sex, race/ethnicity and HIV related variables was evaluated using logistic regression. RESULTS Approximately 50.8% had elevated blood pressure, followed by low HDL-cholesterol (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-cholesterol (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 including age, sex, race/ethnicity, CD4+ T-cell count, and viral load use were associated with multiple cardiometabolic risk factors. CONCLUSIONS The prevalence of cardiometabolic risk factors remains high among PLWH in the southern Texas region, especially among Hispanics and females.