{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:48:30Z","timestamp":1791863310096,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["D43 TW011826"],"award-info":[{"award-number":["D43 TW011826"]}],"id":[{"id":"10.13039\/100000061","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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Sub\u2010Saharan Africa (sSA) bears a high burden of hypertension and HIV, yet blood pressure measurement often relies on single\u2010day, conventional office readings, prone to measurement error. We assessed the short\u2010term repeatability of unattended, automated office BP (uAOBP) and ambulatory blood pressure monitoring (ABPM), and whether reproducibility differs by HIV status in Tanzania. We analyzed data from the Mwanza HIV&amp;CVD cohort study, using measurements from enrollment and 1\u2010month later. Bland\u2010Altman plots visualized mean differences and limits of agreement. Reproducibility of hypertension classification was calculated using Cohen's kappa, with differences by HIV status evaluated using large\u2010sample variance. Of 999 participants enrolled, 750 (384 people with HIV (PWH) and 366 people without HIV (PWoH)) had valid ABPM measurements at both timepoints. The mean difference in systolic blood pressure was significant for uAOBP (\u22121.02\u00a0mmHg; 95% CI \u22121.76, \u22120.27) but not 24\u00a0h ABPM (\u22120.46; \u22121.02, 0.10), with similar results for diastolic blood pressure. Bland\u2010Altman plots showed narrower limits of agreement for ABPM. Kappa statistics were 0.45 (0.33, 0.56) for uAOBP and 0.56 (0.50, 0.62) for 24\u00a0h ABPM. Regression dilution ratios were 0.77 and 0.82 for systolic and diastolic uAOBP and 0.73 and 0.77 for ABPM. Reproducibility did not differ by HIV status. ABPM and uAOBP demonstrated high short\u2010term reproducibility, with ABPM showing greater stability for hypertension classification. Reproducibility did not differ by HIV status, supporting the use of both approaches in sub\u2010Saharan Africa.<\/jats:p>","DOI":"10.1111\/jch.70373","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:42:50Z","timestamp":1791862970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ambulatory and Unattended, Automated Office Blood Pressure in People With and Without HIV in Tanzania: A Cohort Study of Repeatability and Regression to the Mean"],"prefix":"10.1111","volume":"28","author":[{"given":"Megan","family":"Willkens","sequence":"first","affiliation":[{"name":"Center For Global Health, Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Lucinde","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Demography KEMRI\u2010Wellcome Trust Research Programme  Kilifi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cody","family":"Cichowitz","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine University of Colorado School of Medicine, CU Anschutz  Aurora Colorado USA"},{"name":"Center For Global Health Colorado School of Public Health  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Etyang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Demography KEMRI\u2010Wellcome Trust Research Programme  Kilifi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godfrey","family":"Kisigo","sequence":"additional","affiliation":[{"name":"Mwanza Intervention Trials Unit National Institute of Medical Research  Mwanza Tanzania"},{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine, London, Greater London, UK"},{"name":"Weill Bugando School of Medicine, Department of Medicine Catholic University of Health and Allied Sciences  Mwanza Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Ruselu","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine, London, Greater London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Desderius","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine, London, Greater London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily D.","family":"Yan","sequence":"additional","affiliation":[{"name":"Center For Global Health, Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana C.","family":"Krieger","sequence":"additional","affiliation":[{"name":"Weill Cornell Center For Sleep Medicine, Department of Medicine Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard B.","family":"Devereux","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Ayieko","sequence":"additional","affiliation":[{"name":"Mwanza Intervention Trials Unit National Institute of Medical Research  Mwanza Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saidi","family":"Kapiga","sequence":"additional","affiliation":[{"name":"Mwanza Intervention Trials Unit National Institute of Medical Research  Mwanza Tanzania"},{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine, London, Greater London, UK"}],"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 New York USA"},{"name":"Mwanza Intervention Trials Unit National Institute of Medical Research  Mwanza Tanzania"},{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine, London, Greater London, UK"},{"name":"Weill Bugando School of Medicine, Department of Medicine Catholic University of Health and Allied Sciences  Mwanza Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung","family":"Hee Lee","sequence":"additional","affiliation":[{"name":"Center For Global Health, Department of Medicine Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581\u2010019\u20100244\u20102"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)01330\u20101"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010021\u201001981\u2010y"},{"key":"e_1_2_10_5_1","unstructured":"UNAIDS.Global HIV & AIDS statistics\u2014Fact sheet2024."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.121.18884"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.113.02741"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.125.043957"},{"issue":"8","key":"e_1_2_10_9_1","first-page":"1165","article-title":"Comparison and Reproducibility of 4 Methods of Indirect Blood Pressure Measurement in Moderate Hypertension","volume":"88","author":"Denolle T.","year":"1995","journal-title":"Archives Des Maladies Du Coeur Et Des Vaisseaux"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.16531"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000002522"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000087"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148920"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003480"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13975"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.5334\/gh.1542"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(19)30066\u2010X"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000066"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010015\u20100177\u2010z"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA\u20102020\u2010055"},{"issue":"1","key":"e_1_2_10_21_1","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The Measurement of Observer Agreement for Categorical Data","volume":"33","author":"Landis J. R.","year":"1977","journal-title":"Biometrics"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4780080905"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.5334\/gh.1206"},{"key":"e_1_2_10_24_1","unstructured":"World Health Organization.HEARTS: Technical package for cardiovascular disease management in primary health care: Risk\u2010based CVD management.2020. Accessed February 3 2026.https:\/\/www.who.int\/publications\/i\/item\/9789240001367."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.15287"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1000808"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003874"},{"issue":"3","key":"e_1_2_10_28_1","doi-asserted-by":"crossref","first-page":"276","DOI":"10.11613\/BM.2012.031","article-title":"Interrater Reliability: The Kappa Statistic","volume":"22","author":"McHugh M. L.","year":"2012","journal-title":"Biochemia Medica (Zagreb)"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.008994"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a010013"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13933"}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.70373","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jch.70373","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.70373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:42:53Z","timestamp":1791862973000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.70373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jch.70373"],"URL":"https:\/\/doi.org\/10.1111\/jch.70373","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"value":"1524-6175","type":"print"},{"value":"1751-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-05-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70373"}}