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Demographic and epidemiological characteristics of HIV opportunistic infections among older adults in Nigeria.
- Source :
-
African health sciences [Afr Health Sci] 2017 Jun; Vol. 17 (2), pp. 315-321. - Publication Year :
- 2017
-
Abstract
- 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.<br />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.<br />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.<br />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).<br />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.
- Subjects :
- AIDS-Related Opportunistic Infections etiology
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
CD4 Lymphocyte Count
Coinfection epidemiology
Coinfection virology
Hepatitis C complications
Humans
Middle Aged
Nigeria epidemiology
Risk Factors
Young Adult
AIDS-Related Opportunistic Infections epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1729-0503
- Volume :
- 17
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- African health sciences
- Publication Type :
- Academic Journal
- Accession number :
- 29062325
- Full Text :
- https://doi.org/10.4314/ahs.v17i2.4