{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T02:45:07Z","timestamp":1780541107201,"version":"3.54.1"},"reference-count":66,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Cameroon, people living with HIV (PLHIV) receiving antiretroviral therapy (ART) have a high prevalence of hypertension (HTN) and an increased risk of cardiovascular mortality. Managing HTN in this population is a major challenge. This qualitative study, conducted at the Yaound\u00e9 Central Hospital, Cameroon, in 2024, explored the barriers and facilitators to hypertension management in PLHIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study involved 15 participants, including 9 PLHIV diagnosed with hypertension, 03 healthcare providers, and 03 psychosocial agents. A quota sampling approach was used to recruit participants. Data was collected through 12 in-depth interviews and a focus group with 3 psychosocial agents. Data collection took place over a period of 5 months, from January to May 2024. A semistructured interview guide was used to explore participants\u2019 perceptions of hypertension management. Data analysis was based on the COM-B model to interpret the results, using NVivo software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Identified barriers included a lack of knowledge about hypertension, difficulties in accessing medications due to high costs, and psychosocial issues such as family stress affecting treatment adherence. Additionally, cultural and religious beliefs, such as a preference for traditional treatments and miraculous healings, limited engagement with conventional medicine. However, facilitators included regular visits for ART follow-up, which allowed for hypertension screening, and financial support from families that facilitated access to treatment. The proactive involvement of healthcare providers and continuous communication also contributed to treatment adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study highlights the need for interventions that address socio-economic, cultural, and medical barriers to improve hypertension management in PLHIV, particularly through enhancing access to care and raising awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582251383981","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T08:18:36Z","timestamp":1759997916000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Barriers and Facilitators of Hypertension Care Among PLHIV at Yaound\u00e9 Central Hospital, Cameroon. Qualitative Research 2024"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3447-0582","authenticated-orcid":false,"given":"Francis Duhamel","family":"Nang Nang","sequence":"first","affiliation":[{"name":"Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon"},{"name":"Cameroonian Alliance for the Strengthening of the Health System (ACRSS), Yaound\u00e9, Cameroon"},{"name":"Cameroonian Society of Epidemiology (CaSE), Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliane","family":"Kuate Mfeukeu","sequence":"additional","affiliation":[{"name":"University of Yaounde 1"},{"name":"Yaounde Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita Marie","family":"Ifoue","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Pascal","family":"Kengne","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center"},{"name":"Department of Medicine, University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul Junior","family":"Cheubo","sequence":"additional","affiliation":[{"name":"Cameroonian Society of Epidemiology (CaSE), Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Pierre Junior","family":"Tchitetchoun","sequence":"additional","affiliation":[{"name":"Cameroonian Society of Epidemiology (CaSE), Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois Anicet","family":"Onana","sequence":"additional","affiliation":[{"name":"International Center for Multidisciplinary Research at the University of Lisala, Democratic Republic of Congo"},{"name":"Catholic University of Central Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrice","family":"Djouma Nembot","sequence":"additional","affiliation":[{"name":"Cameroonian Society of Epidemiology (CaSE), Yaound\u00e9, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastase","family":"Dzudie","sequence":"additional","affiliation":[{"name":"Clinical Research Education Networking and Consultancy (CRENC), Cameroon"},{"name":"Department of Global Health and Population Lown Scholars Program Harvard T.H. 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