Profiles of Elderly People Infected with HIV and Response to Antiretroviral Treatment in Burkina Faso: A Retrospective Cohort Study

Background: In sub-Saharan Africa, few studies exist on elderly HIV-positive populations. Therefore, we aimed to examine the profiles of elderly people living with HIV (PLHIV) in Burkina Faso and their response to antiretroviral therapy (ART). Methods: We reviewed the monitoring and treatment of PLH...

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Bibliographic Details
Published in:Journal of the International Association of Providers of AIDS Care 2017-07, Vol.16 (4), p.405-411
Main Authors: Diallo, Ismaël, Meda, Nicolas, Ouédraogo, Smaïla, Poda, Armel, Hema, Arsène, Sagna, Yempabou, Sawadogo, Lynda M., Drabo, Youssouf J., Ouedraogo, Dieu-Donné
Format: Article
Language:English
Subjects:
Adult
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Antiretroviral therapy
Burkina Faso
CD4 Lymphocyte Count
Cohort analysis
Elder care
Female
Health risk assessment
HIV
HIV Infections - complications
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - immunology
Human immunodeficiency virus
Humans
Hypercholesterolemia - complications
Hyperglycemia - complications
Hypertension - complications
Hypertriglyceridemia - complications
Male
Medical treatment
Middle Aged
Older people
Prescription drugs
Retrospective Studies
Risk factors
Survival Rate
Tests
Treatment Outcome
Viral Load
Youth
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Summary:Background: In sub-Saharan Africa, few studies exist on elderly HIV-positive populations. Therefore, we aimed to examine the profiles of elderly people living with HIV (PLHIV) in Burkina Faso and their response to antiretroviral therapy (ART). Methods: We reviewed the monitoring and treatment of PLHIV over the age of 50 years and then compared with the monitoring and treatment of PLHIV under 50 years. Results: A total of 3367 patients were included. The median age of elderly people was 54.5 years and of young people was 34.9 years (P = .03). In both the groups, screening was performed following clinical suspicion (64.9% in elderly versus 56% in young people; P < .001). Cardiovascular risk factors were generally more significant in the elderly people. The risk of death while on ART was 2.3 times higher in elderly people (P < .001). Conclusion: HIV infection in older people occurs in those who already have some cardiovascular risk factors. Particular attention should be given to multidisciplinary care for the elderly individuals.
ISSN:2325-9582
2325-9574
2325-9582
DOI:10.1177/2325957417709088