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Among adults with hypertension, the association of inadequate hypertension control with greater dementia risk is similar by HIV status, according to results published in AIDS. Jennifer Lam, PhD, MPH, and colleagues studied demographically matched people with and without HIV between July 1, 2013, and December 31, 2021, who were at least 50 years old and had a hypertension diagnosis but no dementia diagnosis. A disease management index captured degree and duration above the hypertension treatment goals. Each year of inadequate SBP control was associated with greater dementia risk in both people with HIV (adjusted hazard ratio [aHR]=1.26, 0.92–1.64) and without HIV (aHR=1.27 (1.21–1.33); P-interaction=0.85). Inadequate DBP control was also associated with greater dementia risk in both people with and without HIV. “We found no evidence that worse hypertension control explains the greater cumulative incidence of dementia among people with HIV,” the authors wrote.
