Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo.
PLoS One. 2021 Feb 2;16(2):e0246151. doi: 10.1371/journal.pone.0246151. eCollection 2021.
This study aimed to describe HIV testing uptake, as well as HIV prevalence and its associated factors among older adults aged ≥50 years in health facilities in Togo.
A cross-sectional study was carried out from February 2018 to June 2019 among hospitalized older adults aged ≥50 years in tertiary and secondary hospitals in Togo. HIV testing was performed according to the national algorithm. Socio-demographic data and HIV testing history were collected using a standardized questionnaire.
A total of 619 patients (43.9% female) of median age 61 years, (IQR: 55-70) were recruited and offered HIV testing. Among them, 25.7% had never previously tested for HIV. In total, 91.6% (567/619) accepted HIV testing while 8.4% (52/619) refused to be tested. Of those who tested, forty patients were HIV positive, yielding a prevalence of 7.1%. Twenty-three patients (57.5%) were newly diagnosed with HIV infection. In multivariable analysis, two factors were associated with HIV infection: living alone (aOR = 5.83; 95%CI = [2.26-14.53]) and being <60 years (aOR = 3.12; 95%CI = [1.51-6.66]).
The majority of older adults in this study accepted testing for HIV and almost three in five HIV positive older adults were newly diagnosed with HIV as a result of this testing. There is an urgent need to integrate older adults into responses to the HIV epidemic and to strengthen targeted prevention care and treatment in this population.
本研究旨在描述 HIV 检测的接受情况，以及 HIV 的流行率及其在多哥卫生机构≥50 岁老年人中的相关因素。
2018 年 2 月至 2019 年 6 月，在多哥的三级和二级医院对≥50 岁的住院老年人进行了一项横断面研究。根据国家算法进行 HIV 检测。使用标准化问卷收集社会人口统计学数据和 HIV 检测史。
共纳入 619 名患者（43.9%为女性），年龄中位数为 61 岁（IQR：55-70），并提供 HIV 检测。其中，25.7%的患者以前从未进行过 HIV 检测。共有 91.6%（567/619）接受了 HIV 检测，而 8.4%（52/619）拒绝检测。在接受检测的患者中，有 40 人 HIV 阳性，患病率为 7.1%。有 23 名患者（57.5%）新诊断出 HIV 感染。在多变量分析中，有两个因素与 HIV 感染相关：独居（aOR=5.83；95%CI=[2.26-14.53]）和年龄<60 岁（aOR=3.12；95%CI=[1.51-6.66]）。
本研究中的大多数老年人接受了 HIV 检测，接受检测的 HIV 阳性老年人中，近五分之三是由于这次检测而新诊断出 HIV 感染。迫切需要将老年人纳入艾滋病流行应对措施，并加强该人群的针对性预防护理和治疗。
