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oai:figshare.com:article/34048876 2026-10-01T17:37:57Z category_7 category_21 category_46 category_734 category_64 category_106 category_132 category_134 portal_5 item_type_6 month_year_10_2026

<p>Inclusivity in global research.</p> Ronald Thiersaint (25157836) Romaine Nephtalie Mésidor (25157839) Valérie Pelletier (659242) Chesnel Parny Norcéide (25157842) Jean Géto Dubé (25157845) Harold Prévil (25157848) Kesner François (3815527) Jean Baptiste T. Koama (25157851) Michael A. Melchior (13961579) Macarthur Charles (4807740) Medicine Biotechnology Immunology Biological Sciences not elsewhere classified Cancer Science Policy Infectious Diseases Virology sole independent predictor retrospective cohort study obesity remained stable integrated care models guide integrated care among 318 participants older women living older receiving care incident renal insufficiency 78 &# 8211 40 &# 8211 005 &# 8211 haiti remain limited compared ncd prevalence &# 8805 northern haiti older plhiv yet data xlink "> two hospitals september 30 secondary analysis incident ncds hypertension rose highest risk high proportion growing burden findings underscore female sex communicable diseases art initiation antiretroviral therapy adjusted analysis 72 ). 6 %. 6 %, <div><p>The growing burden of non-communicable diseases (NCDs) among aging people living with HIV (PLHIV) represents a major public health challenge, yet data to guide integrated care in Haiti remain limited. To address this gap, we conducted a retrospective cohort study of PLHIV aged 40 years and older receiving care at two hospitals in northern Haiti. Using electronic medical record data from routine HIV clinical visits between July 1 and September 30, 2015, we compared NCD prevalence at ART initiation and after ≥12 months of follow-up. We also identified baseline risk factors associated with incident NCDs, with a secondary analysis focused specifically on predictors of incident renal insufficiency. Among 318 participants, 65.7% had one or more NCD at ART initiation, increasing to 70.8% after ≥12 months. The prevalence of hypertension rose from 37.1% to 47.2% and diabetes from 7.9% to 12.6%, while overweight/obesity remained stable (14.5% to 15.7%). In contrast, renal insufficiency prevalence decreased from 31.1% to 22.6%. In the adjusted analysis, female sex was the sole independent predictor for developing at least one incident NCD (AOR: 3.29; 95% CI: 1.40–7.72). In the secondary analysis for incident renal insufficiency, female sex (AOR: 5.88; 95% CI: 1.78–19.50) and elevated systolic blood pressure (AOR: 1.052; 95% CI: 1.005–1.101) were the only significant predictors. A high proportion of older PLHIV in northern Haiti are affected by NCDs. These findings underscore the need for integrated care models, particularly for older women living with HIV, who appear to be at the highest risk for developing new NCDs.</p></div> 2026-10-01T17:37:53Z Text Journal contribution 10.1371/journal.pgph.0007175.s002 https://figshare.com/articles/journal_contribution/_p_Inclusivity_in_global_research_p_/34048876 CC BY 4.0