Screening for geriatric syndromes among older adults living with HIV in Burkina Faso, Côte d’Ivoire, and Togo

IF 0.4 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2026-01-01 DOI:10.3917/spub.263.0177

Raoul Moh, Fifonsi A Gbeasor-Komlanvi, Konan Roland Oussou, Zoguéhi Arnaud Kévin Dayoro, Moustapha Dramé, Armel G Poda, Yves Binan, Aristophane Tanon, Didier Koumavi Ekouevi, Pierre de Beaudrap, Clotilde Allavena

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Abstract

Objective: To assess the status of care for older people living with HIV in Burkina Faso (BF), Côte d’Ivoire (CI), and Togo (TG).

Methods: A cross-sectional site assessment was conducted from January to March 2022 in BF, CI, and TG. Care centers with an active cohort of more than 500 people living with HIV were surveyed.

Results: A total of 61,006 people living with HIV were followed up at the 27 sites surveyed. More than a third (34%) were aged 50 years or older, and 98.4 % were on antiretroviral treatment. Routinely, 88.8% (n=24) of care centers collected data on comorbidities, mainly high blood pressure (23/24) and diabetes (21/24). In three centers, screening for six geriatric syndromes was carried out: depression (3/3), malnutrition (2/3), urinary incontinence (2/3), visual impairment (2/3), and dementia (2/3). No gold standard screening tools were used to screen for these geriatric syndromes. There were geriatricians in the three countries surveyed (CI: 8; TG: 1; BF: 1), but only CI had a geriatric center.

Conclusion: Geriatric syndromes are rarely systematically screened among older people living with HIV, who represent nearly one-third of active cohorts in West Africa. There is a need to provide holistic care with screening tools tailored to the local context.

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在布基纳法索、Cote d '科特迪瓦和多哥对艾滋病毒阳性老年人进行老年综合征筛查。

目的：评估布基纳法索（BF）老年艾滋病毒感染者的护理状况。te d& # 8217;科特迪瓦（CI）和多哥（TG）。方法：于2022年1月至3月对BF、CI和TG进行横断面现场评估。对护理中心的500多名艾滋病毒感染者进行了调查。结果：在27个调查地点共随访了61006名艾滋病毒感染者。超过三分之一（34%）的人年龄在50岁或以上，98.4岁；%接受抗逆转录病毒治疗。88.8% （n=24）的护理中心例行收集合并症数据，主要是高血压（23/24）和糖尿病（21/24）。在三个中心，对六种老年综合征进行了筛查：抑郁症（3/3）、营养不良（2/3）、尿失禁（2/3）、视力障碍（2/3）和痴呆（2/3）。没有金标准筛选工具用于筛选这些老年综合征。被调查的三个国家都有老年病医生（CI: 8; TG: 1; BF: 1），但只有CI有老年病中心。结论：老年艾滋病毒感染者很少进行系统筛查，他们占西非活跃人群的近三分之一。有必要提供适合当地情况的全面护理和筛查工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc