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Demographic and epidemiological characteristics of HIV opportunistic infections among older adults in Nigeria
Background: In view of the maturing HIV epidemic in sub-Saharan Africa, better understanding of its epidemiology among older adults is necessary in order to design appropriate care and treatment programmes for them. Objectives: To describe the demographic and epidemiological characteristics of HIV o...
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Published in: | African health sciences 2017-06, Vol.17 (2), p.315-321 |
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Main Authors: | , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that cite this one |
Online Access: | Get full text |
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Summary: | Background: In view of the maturing HIV epidemic in sub-Saharan Africa,
better understanding of its epidemiology among older adults is
necessary in order to design appropriate care and treatment programmes
for them. Objectives: To describe the demographic and epidemiological
characteristics of HIV opportunistic infections among newly enrolled
patients aged 50 years and above in Ibadan, South-West Nigeria.
Methods: Analysis of data extracted from electronic records of 17, 312
subjects enrolled for HIV/AIDS care and treatment between January 2006
and December 2014 at the ART clinic, University College Hospital,
Ibadan. Results: Age of the patients ranged from 18 to 90 years with a
mean of 36.4 years (SD= 10.3) with older adults constituting 12.0%
(2075). Among older adults, about half (52.9%) were females. Majority
(59.1%) were currently married while 25.9% were widowed. Prevalence of
opportunistic infections was 46.6%. The commonest opportunistic
infections (OIs) were: oral candidiasis (27.6%), chronic diarrhoea
(23.5% and peripheral neuropathy (14.8%). Significant factors
associated with opportunistic infections in older adults were: CD4
count less than 350 (OR=3.12, CI: 2.29-4.25) and hepatitis C virus
co-infection (OR=2.17, CI: 1.14-4.13). Conclusion: There is need for
prompt response to the peculiar challenges associated with the emerging
shift in the epidemiology of HIV and associated infections in
sub-Saharan Africa. |
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ISSN: | 1680-6905 1729-0503 1680-6905 |
DOI: | 10.4314/ahs.v17i2.4 |