Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
J Acquir Immune Defic Syndr. 2010 Oct;55(2):239-44. doi: 10.1097/QAI.0b013e3181e9b3f2.
Health challenges faced by older people in developing countries are often neglected amidst a wide range of competing priorities. This is evident in the HIV field where the upper age limit for reporting HIV prevalence remains 49 years. However, the long latency period for HIV infection, and the fact that older people continue to be sexually active, suggests that HIV and AIDS are likely to affect older people. To better understand this, we studied mortality due to AIDS in people aged 50 and older in an area of rural Kenya with high rates of HIV infection.
A community health worker-administered verbal autopsy system was introduced in Nyanza Province, encompassing 63,500 people. Algorithms were used to determine cause of death.
A total of 1228 deaths were recorded during the study period; 368 deaths occurred in people aged 50 years and older. AIDS was the single most common cause of death, causing 27% of all deaths. AIDS continued to be the main cause of death up to age 70 years, causing 34% of deaths in people aged 50-59 years and 23% of deaths in people aged 60-69 years.
AIDS remains the principle cause of death among older people in Nyanza Province in western Kenya up until the age of 70 years. Greater efforts are needed to integrate older people into the HIV response and to better understand the specific vulnerabilities and challenges faced by this group.
在发展中国家，老年人面临的健康挑战往往被忽视，因为有许多优先事项需要应对。这在艾滋病毒领域尤为明显，该领域报告艾滋病毒流行率的上限仍然是 49 岁。然而，艾滋病毒感染的潜伏期很长，而且老年人仍保持着性活跃，这表明艾滋病毒和艾滋病很可能影响老年人。为了更好地了解这一点，我们研究了在肯尼亚农村一个艾滋病毒感染率较高的地区，50 岁及以上人群因艾滋病导致的死亡率。
在纳安萨省引入了社区卫生工作者管理的口头尸检系统，覆盖 63500 人。使用算法确定死因。
在研究期间共记录了 1228 例死亡；368 例死亡发生在 50 岁及以上的人群中。艾滋病是单一最常见的死亡原因，导致 27%的死亡。艾滋病一直是 70 岁以下人群的主要死因，在 50-59 岁人群中导致 34%的死亡，在 60-69 岁人群中导致 23%的死亡。
在肯尼亚西部的纳安萨省，艾滋病仍然是老年人死亡的主要原因，直到 70 岁。需要更加努力地将老年人纳入艾滋病毒应对措施，并更好地了解这一群体所面临的具体脆弱性和挑战。
