Profiles of Elderly People Infected with HIV and Response to Antiretroviral Treatment in Burkina Faso: A Retrospective Cohort Study

J Int Assoc Provid AIDS Care. 2017 Jul/Aug;16(4):405-411. doi: 10.1177/2325957417709088. Epub 2017 Jun 2.

Abstract

Background: In sub-Saharan Africa, few studies exist on elderly HIV-positive populations. Therefore, we aimed to examine the profiles of elderly people living with HIV (PLHIV) in Burkina Faso and their response to antiretroviral therapy (ART).

Methods: We reviewed the monitoring and treatment of PLHIV over the age of 50 years and then compared with the monitoring and treatment of PLHIV under 50 years.

Results: A total of 3367 patients were included. The median age of elderly people was 54.5 years and of young people was 34.9 years ( P = .03). In both the groups, screening was performed following clinical suspicion (64.9% in elderly versus 56% in young people; P < .001). Cardiovascular risk factors were generally more significant in the elderly people. The risk of death while on ART was 2.3 times higher in elderly people ( P < .001).

Conclusion: HIV infection in older people occurs in those who already have some cardiovascular risk factors. Particular attention should be given to multidisciplinary care for the elderly individuals.

Keywords: ART; Bobo-Dioulasso; Burkina Faso; HIV; elderly.

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Burkina Faso
  • CD4 Lymphocyte Count
  • Female
  • HIV Infections / complications*
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / immunology
  • Humans
  • Hypercholesterolemia / complications
  • Hyperglycemia / complications
  • Hypertension / complications
  • Hypertriglyceridemia / complications
  • Male
  • Middle Aged
  • Retrospective Studies
  • Survival Rate
  • Treatment Outcome
  • Viral Load

Substances

  • Anti-HIV Agents