Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross-sectional study
Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross-sectional study
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DOI：
10.1111/tmi.12377
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发表时间：
2014-11-01
影响因子：
3.3
通讯作者：
Macq, Jean
中科院分区：
文献类型：
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作者：
Hien, Herve;Berthe, Abdramane;Macq, Jean
目的评估布基纳法索城市老年人多发病的患病率和分布模式。方法对博博迪乌拉索州60岁以上社区老年人进行横断面研究。我们进行了访谈、临床检查和病历查阅。多病定义为一个人同时发生至少两种慢性病，无论是否巧合。结果老年人中多病的总患病率为65%。多因素分析显示年龄<70岁与多病相关：调整后OR=1.65，95%CI(1.01~2.68，P=0.04)。最常见的慢性病是高血压(82%)、95%CI(78；86)、营养不良(39%)、95%CI(34；44)、视力障碍(28%)、95%CI(24；33)和糖尿病(27%)95%CI(22；31)。70岁组的营养不良(50%比31%，P=0.0003)和骨关节炎(8%比3%，P=0.0003)明显高于60-69岁组。通常侧重于个别疾病的干预和护理指南应加以改进，以更好地反映这一现实。
OBJECTIVES To assess the prevalence and distribution patterns of multimorbidity among urban older adults in Burkina Faso.METHODS Cross-sectional study among community-dwelling elderly people aged >= 60 in Bobo-Dioulasso. We performed interviews, clinical examination and medical record review. Multimorbidity was defined as co-occurrence of at least two chronic diseases in one person whether as a coincidence or not.RESULTS The overall prevalence of multimorbidity among older adults was 65%. Age >= 70 was associated with multimorbidity in multivariate analysis: adjusted OR = 1.65, 95% CI (1.01-2.68, P = 0.04). The most common chronic diseases were hypertension (82%) 95% CI (78; 86), malnutrition (39%) 95% CI (34; 44), visual impairments (28%) 95% CI (24; 33) and diabetes mellitus (27%) 95% CI (22; 31). Those aged >= 70 had significantly more malnutrition (50% vs. 31%, P = 0.0003) and osteoarthritis (8% vs. 3%, P = 0.01) than those aged 60-69.CONCLUSIONS The high prevalence of multimorbidity requires a reorganization of healthcare systems in sub-Saharan Africa, especially in Burkina Faso. Interventions and care guidelines usually focused on individual diseases should be improved to better reflect this reality.