Gbeasor-Komlanvi Fifonsi Adjidossi, Tchankoni Martin Kouame, Adjonko Ama Boilassi, Zida-Compaore Wendpouiré Ida Carine, Kouakou Nicolas Konan, Belo Mofou, Agbonon Amegnona, Ekouevi Didier Koumavi
Faculty of Health Sciences, University of Lomé.
African Center of Research in Epidemiology and Public Health, Lomé.
J Public Health Afr. 2020 Oct 27;11(1):1302. doi: 10.4081/jphia.2020.1302. eCollection 2020 Apr 29.
The number of older adults is increasing worldwide, including in sub-Saharan Africa (SSA). However, there is a paucity of data on the overall health status of older adults living in SSA. To assess the prevalence and factors associated with poor Self-Rated Health (SRH) among community-dwelling older adults in Lomé, Togo, we conducted a cross-sectional study from January to June 2019 in Lomé among community-dwelling older adults aged 50 years and older. A 30- minute questionnaire was used to collect socio-demographic characteristics, medical history, patterns of medication use and use of herbal products and dietary supplements during a face-to-face interview. SRH was assessed using a single item: with response fair or poor defining poor SRH. A total of 344 respondents with median age 63 years, (IQR: 55-72) were enrolled in the study. Women represented 57.6% of the sample. Overall prevalence of poor SRH was 56.4% (95%CI: 51.0-61.9) and was the highest among females (62.6% vs 47.9%; P=0.007) and participants ³60 years (61.5% vs 51.1%; P=0.021). Female sex, aged ≥60 years, osteoarthritis, hospitalization within the 12 months preceding the survey, polypharmacy, and the use of herbal products were factors associated with poor SRH (P<0.05). More than half of community- dwelling older adults had poor SRH in Lomé. Further studies are needed to guide policymakers in their efforts to design and implement meaningful policies to improve older adults health conditions.
全球老年人数量不断增加，撒哈拉以南非洲地区（SSA）亦是如此。然而，关于生活在SSA地区老年人整体健康状况的数据却十分匮乏。为评估多哥洛美社区居住的老年人中自评健康状况不佳（SRH）的患病率及其相关因素，我们于2019年1月至6月在洛美对50岁及以上的社区居住老年人开展了一项横断面研究。通过一份30分钟的问卷，在面对面访谈中收集社会人口学特征、病史、用药模式以及草药产品和膳食补充剂的使用情况。SRH通过一个单项进行评估：回答为“一般”或“差”定义为SRH不佳。共有344名年龄中位数为63岁（四分位间距：55 - 72岁）的受访者纳入研究。女性占样本的57.6%。SRH不佳的总体患病率为56.4%（95%置信区间：51.0 - 61.9），在女性中最高（62.6%对47.9%；P = 0.007），在60岁及以上参与者中也最高（61.5%对51.1%；P = 0.021）。女性、年龄≥60岁、骨关节炎、调查前12个月内住院、多重用药以及使用草药产品是与SRH不佳相关的因素（P < 0.05）。洛美地区超过一半的社区居住老年人SRH不佳。需要进一步研究以指导政策制定者努力设计和实施有意义的政策来改善老年人的健康状况。
