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This study assessed the magnitude of NCDs and associated factors among adult PLHIV attending ART clinics in general hospitals of Sidama Region, Ethiopia. We conducted a hospital-based cross-sectional study, involving 422 PLHIV selected through systematic random sampling. Data were collected using Kobo Toolbox and analyzed with SPSS version 26. Logistic regression identified factors associated with NCDs. The magnitude of NCDs was 24.8% (95% CI: 20.6%, 28.9%). The most common conditions included hypertension (7%), diabetes (5.7%), cardiovascular diseases (4.8%), cancers (4%), and chronic respiratory diseases (3.3%). Older age, urban residence, opportunistic infections, overweight\/obesity, and abnormal waist circumference were significantly associated factors. NCDs are common among adult PLHIV in the region, necessitating integrated ART and NCD screening.<\/jats:p>","DOI":"10.1177\/23259582261444518","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:48:15Z","timestamp":1776775695000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Magnitude of Noncommunicable Diseases and Associated Factors among Adult People Living with HIV Attending ART Clinics of General Hospitals in Sidama Region, Ethiopia"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1233-8899","authenticated-orcid":false,"given":"Amelo","family":"Bolka","sequence":"first","affiliation":[{"name":"Yirgalem Hospital Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frehiwot","family":"Mesfin","sequence":"additional","affiliation":[{"name":"Yirgalem Hospital Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7215-7450","authenticated-orcid":false,"given":"Selamawit","family":"Sikuare","sequence":"additional","affiliation":[{"name":"Yirgalem Hospital Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"WHO. 2023. 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The role of inflammation and immune activation in non-AIDS related co-morbidities in HIV infection: determinants and outcomes. SOJ Immunol. 2019;7(1):1\u201313.","journal-title":"SOJ Immunol"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-022-11503-2"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42269-024-01288-x"},{"key":"e_1_3_4_13_2","unstructured":"NDMC. Burden of non-communicable diseases in Ethiopia. https:\/\/ndmc.ephi.gov.et\/download\/burden-of-non-communicable-diseases-ncd-in-ethiopia-2\/#. 2025."},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjph-2024-002288"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30374-2"},{"key":"e_1_3_4_16_2","unstructured":"WHO. 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