High Blood Pressure and Related Factors Among Individuals at High Risk for HIV/Sexually Transmitted Infections

J Clin Hypertens (Greenwich). 2016 Jun;18(6):572-80. doi: 10.1111/jch.12714. Epub 2015 Oct 30.


Data from a social network-based human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention study with a total of 330 men and women at high risk for HIV/STIs were used to examine the relationships between substance use, depressive symptoms, general health, cardiovascular disease risk factors, sociodemographic characteristics, and systolic/diastolic blood pressure (SBP/DBP). Approximately 60% of the participants had prehypertension to stage 2 hypertension. In the base model, older patients (P<.0001), men (P=.003), and patients with poorer self-reported health (P=.029) were significantly associated with high SBP, whereas older age (P<.001) and higher body mass index (P<.001) were significantly associated with higher DBP. After adjusting for the base model, high frequency of alcohol drinking and high frequency of binge drinking remained significant for high SBP and DBP. These data suggest that future cardiovascular disease programs should target moderate alcohol consumption to improve blood pressure among individuals at high risk for HIV/STIs.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Baltimore / epidemiology
  • Body Mass Index
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / psychology
  • Humans
  • Hypertension / epidemiology*
  • Male
  • Middle Aged
  • Randomized Controlled Trials as Topic
  • Risk Factors
  • Self Report
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / psychology
  • Substance-Related Disorders / epidemiology*