Prevalence and Risk Factors of HIV-Associated Neurocognitive Disorders in Rural Southwestern Uganda.
Jane Kasozi Namagga, Godfrey Zari Rukundo, Joachim G Voss
PMID 31461736WHAT IT FOUND
58% of adults living with HIV in rural southwestern Uganda scored below the screening cutoff for HIV-associated neurocognitive disorders.
Women had lower odds; older age and peasant farming were linked to higher odds.
Key findings
0158% of participants scored below the screening cutoff for possible HAND.
02In the adjusted model, female participants had lower odds of HAND (OR 0.54), while older age and peasant farming had higher odds (OR 1.03 and OR 1.70).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The IHDS alone could not identify the different HAND categories. No detailed neuropsychological assessment was possible because formally trained personnel were lacking. The sample came from two TASO centers in rural Southwestern Uganda, so it may not represent all of Uganda. People aged 50 or older were excluded, even though age was associated with HAND within the 18 to 50 range. People with other causes of cognitive impairment were excluded, so the findings apply only to those without those listed conditions.
Declared interests
The authors declared no conflicts of interest. The study had NIH extramural research support, and the team worked together on design, analysis, and writing.
The easy way to misread this
Do not read the 58% figure as confirmed dementia or as proof that peasant farming causes HAND. The IHDS cannot identify HAND categories, and the study only reported associations.