Lloyd-Sherlock Peter, Amoakoh-Coleman Mary
School of International Development, University of East Anglia, Earlham Road, Norwich, NR4 7HT, UK.
Department of Epidemiology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
Soc Sci Med. 2020 Feb 27;250:112887. doi: 10.1016/j.socscimed.2020.112887.
This paper provides a critical review of publications containing information about specific health effects on older adults of interventions and policies in sub-Saharan Africa. Interventions and policies fell into the following categories: testing or treating HIV, the provision of pensions, screening for non-communicable diseases (NCDs), health service financing and interventions related to visual conditions. The review finds that the relevant literature is very limited relative to the size of older populations in the region. Conditions of particular relevance to older adults, such as NCDs, are under-represented and most studies treat older people as a single category, typically including all adults aged 50 and over. The paper concludes that evidence about the health effects of interventions and policies on the region's rapidly growing older populations remains minimal, and that this both reflects and reinforces a bias against older people in health policy.
本文对撒哈拉以南非洲地区关于干预措施和政策对老年人特定健康影响的出版物进行了批判性综述。干预措施和政策分为以下几类：艾滋病毒检测或治疗、养老金提供、非传染性疾病（NCD）筛查、卫生服务融资以及与视力状况相关的干预措施。综述发现，相对于该地区老年人口规模而言，相关文献非常有限。与老年人特别相关的疾病，如非传染性疾病，在文献中所占比例不足，而且大多数研究将老年人视为一个单一类别，通常包括所有50岁及以上的成年人。本文得出结论，关于干预措施和政策对该地区迅速增长的老年人口健康影响的证据仍然很少，这既反映了卫生政策中对老年人的偏见，也强化了这种偏见。
