Publications by authors named "J Killewo"

Purpose: To explore the enabling factors, barriers, and strategies to improve retention in HIV care and adherence to antiretroviral therapy (ART) among adults (18 years and above) living with HIV in Dar es Salaam, Tanzania.

Methods: We conducted a descriptive qualitative study to better understand and explore enablers, barriers, and strategies to improve retention in HIV care and adherence to antiretroviral therapy (ART) among PLHIV in Dar es Salaam, Tanzania. Focus group discussions (FGD) were conducted with a semi-structured discussion guide between December 2021 and June 2022.

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  • Alcohol consumption in Tanzania is higher than the global average, with the study focusing on how factors like depressive symptoms and cognitive performance influence drinking habits.
  • Participants included 2,299 Tanzanian adults, revealing that increased depressive symptoms led to an 8.4% higher likelihood of drinking, but actual consumption decreased by 2.3 drinks for each severity increase in depression.
  • The study found that men drank more than women, Christians drank more than Muslims, and cognitive ability played a role in moderating alcohol consumption among middle-aged and elderly adults dealing with depression.
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  • * Common chronic conditions included hypertension (51.3%), anemia (34.1%), and obesity (32.2%), with 73.7% of participants experiencing multimorbidity.
  • * Women had higher rates of obesity and ischemic heart disease, while older age was linked to an increase in several health issues, indicating a significant prevalence of multimorbidity in sub-Saharan Africa.
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To curb HIV infection rate in Tanzania, antiretroviral therapy (ART) has been scaled up since 2006, and in 2019, the country shifted to regimen including dolutegravir as a default first line. We assessed the success of ART and the contribution of HIV drug resistance (HIVDR) to unsuppressed viral loads. Between February and May 2023 a cross-sectional survey with random sampling was conducted in the six clinics in an urban cohort in Dar es Salaam.

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Background: Depression is a global mental health challenge. We assessed the prevalence of depressive symptoms and their association with age, chronic conditions, and health status among middle-aged and elderly people in peri-urban Dar es Salaam, Tanzania.

Methods: Depressive symptoms were measured in 2,220 adults aged over 40 years from two wards of Dar es Salaam using the ten-item version of the Center of Epidemiologic Studies Depression Scale (CES-D-10) and a cut-off score of 10 or higher.

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