{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:34:25Z","timestamp":1790163265918,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T00:00:00Z","timestamp":1537920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["R25 TW009337"],"award-info":[{"award-number":["R25 TW009337"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>HIV\u2010positive adults with hypertension have increased risk of mortality but HIV clinics often do not provide hypertension care. The authors integrated hypertension management into existing HIV services at a large clinic in Haiti. Of 1729 documented HIV\u2010positive adults presenting for care at the GHESKIO HIV clinic between March and July 2016, 551 screened positive for hypertension, with systolic blood pressure \u2265140\u00a0mmHg and\/or diastolic blood pressure \u226590\u00a0mmHg. A convenience sample of 100 patients from this group received integrated hypertension and HIV care for 6\u00a0months. At time of identification, patients were screened for proteinuria and initiated on antihypertensive medication. Hypertension and HIV visits coincided; medications were free. Outcomes were retention in care and change in blood pressure over 6\u00a0months. Average blood pressure over 6\u00a0months was described using linear mixed\u2010effects model. Of 100 HIV\u2010positive adults with hypertension referred for integrated care, three were ineligible due to comorbidities. Among 97 participants, 82% (N\u00a0=\u00a080) remained in care at 6\u00a0months from time of positive hypertension identification. 96% (N\u00a0=\u00a093) were on antiretroviral therapy with median CD4+ count of 442 cells\/\u00b5L (IQR 257\u2010640). Estimated average blood pressure over 6\u00a0months decreased from systolic 160\u00a0mmHg (CI 156, 165) to 146\u00a0mmHg (CI 141, 150), <jats:italic>P<\/jats:italic>\u2010value &lt;0.0001, and diastolic 105\u00a0mmHg (CI 102, 108) to 93\u00a0mmHg (CI 89, 96), <jats:italic>P<\/jats:italic>\u2010value &lt;0.0001. HIV and hypertension management were successfully integrated at a HIV clinic in Haiti. Integrated management is essential to combat the growing burden of cardiovascular disease among HIV\u2010positive adults.<\/jats:p>","DOI":"10.1111\/jch.13392","type":"journal-article","created":{"date-parts":[[2018,9,27]],"date-time":"2018-09-27T06:26:43Z","timestamp":1538029603000},"page":"1485-1492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Integrating hypertension services at an HIV clinic in Port\u2010au\u2010Prince, Haiti: A report from the field"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9001-3918","authenticated-orcid":false,"given":"Kathleen F.","family":"Walsh","sequence":"first","affiliation":[{"name":"Center for Global Health, Department of Medicine Weill Cornell Medicine  New York City New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Center for Global Health, Department of Medicine Weill Cornell Medicine  New York City New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoria","family":"Martelly","sequence":"additional","affiliation":[{"name":"The Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Melissa","family":"Pierre","sequence":"additional","affiliation":[{"name":"The Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junon","family":"Joseph","sequence":"additional","affiliation":[{"name":"The Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myrlene","family":"Gustin","sequence":"additional","affiliation":[{"name":"The Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert N.","family":"Peck","sequence":"additional","affiliation":[{"name":"Center for Global Health, Department of Medicine Weill Cornell Medicine  New York City New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel W.","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Center for Global Health, Department of Medicine Weill Cornell Medicine  New York City New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean William","family":"Pape","sequence":"additional","affiliation":[{"name":"Center for Global Health, Department of Medicine Weill Cornell Medicine  New York City New York"},{"name":"The Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO)  Port\u2010au\u2010Prince Haiti"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"McNairy","sequence":"additional","affiliation":[{"name":"Center for Global Health, Department of Medicine Weill Cornell Medicine  New York City New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61766-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001723"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0125-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu701"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.3728"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-017-0651-4"},{"key":"e_1_2_8_8_1","unstructured":"Haiti: Overview.2017.https:\/\/www.worldbank.org\/en\/country\/haiti\/overview. 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