Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross‐sectional study
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. Multimo...
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| Veröffentlicht in: | Tropical medicine & international health 2014-11, Vol.19 (11), p.1328-1333 |
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| creator | Hien, Hervé Berthé, Abdramane Drabo, Maxime Koiné Meda, Nicolas Konaté, Blahima Tou, Fatoumata Badini‐Kinda, Fatoumata Macq, Jean |
| description | 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.
Objectifs
Evaluer les profils de la prévalence et de la distribution de la multimorbidité chez les adultes plus âgés en zone urbaine au Burkina‐Faso.
Méthodes
Etude transversale chez les personnes âgées vivant en communauté, âgées de ≥ 60 ans, à Bobo‐Dioulasso. Nous avons effectué des interviews, l'examen clinique et l'examen des dossiers médicaux. La multimorbidité a été définie comme la cooccurrence d'au moins deux maladies chroniques chez une personne, que ce soit par coïncidence ou non.
Résultats
La prévalence globale de la multimorbidité chez les personnes âgées était de 65%. L’âge ≥70 ans était associé à la multimorbidité dans l'analyse multivariée: Rapport de cotes OR ajustés = 1,65; IC95%: 1,01 ‐ 2,68; p = 0,04. Les maladies chroniques les plus courantes étaient: l'hypertension (82%; IC95%: 78 ‐ 86), la malnutrition (39%; IC95%: 34‐44), la déficience visuelle (28%; IC95%: 24 ‐33) et le diabète sucré (27%; IC95%: 22‐31). Les personnes âgées de ≥70 ans présentaient significativement plus de malnutrition (50% vs 31%, p = 0,0003) et de l'arthrose (8% vs 3%, p = 0,01) que celles âgées de 60 à 69 ans.
Conclusions
La prévalence élevée de la multimorbidité nécessite une réorganisation des systèmes de soins de santé en Afrique subsaharienne, en particulier a |
| doi_str_mv | 10.1111/tmi.12377 |
| format | Article |
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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.
Objectifs
Evaluer les profils de la prévalence et de la distribution de la multimorbidité chez les adultes plus âgés en zone urbaine au Burkina‐Faso.
Méthodes
Etude transversale chez les personnes âgées vivant en communauté, âgées de ≥ 60 ans, à Bobo‐Dioulasso. Nous avons effectué des interviews, l'examen clinique et l'examen des dossiers médicaux. La multimorbidité a été définie comme la cooccurrence d'au moins deux maladies chroniques chez une personne, que ce soit par coïncidence ou non.
Résultats
La prévalence globale de la multimorbidité chez les personnes âgées était de 65%. L’âge ≥70 ans était associé à la multimorbidité dans l'analyse multivariée: Rapport de cotes OR ajustés = 1,65; IC95%: 1,01 ‐ 2,68; p = 0,04. Les maladies chroniques les plus courantes étaient: l'hypertension (82%; IC95%: 78 ‐ 86), la malnutrition (39%; IC95%: 34‐44), la déficience visuelle (28%; IC95%: 24 ‐33) et le diabète sucré (27%; IC95%: 22‐31). Les personnes âgées de ≥70 ans présentaient significativement plus de malnutrition (50% vs 31%, p = 0,0003) et de l'arthrose (8% vs 3%, p = 0,01) que celles âgées de 60 à 69 ans.
Conclusions
La prévalence élevée de la multimorbidité nécessite une réorganisation des systèmes de soins de santé en Afrique subsaharienne, en particulier au Burkina‐Faso. Les interventions et les directives pour les soins généralement axées sur des maladies individuelles, devraient être améliorées afin de mieux refléter cette réalité.
Objetivos
Evaluar la prevalencia y los patrones de distribución de la multimorbilidad entre adultos mayores viviendo en zonas urbanas en Burkina Faso.
Métodos
Estudio croseccional entre personas ≥ 60 años viviendo en comunidades en Bobo‐Dioulasso. Hemos realizado entrevistas, exámenes clínicos y revisión de las historias clínicas. La multimorbilidad se definió como la concurrencia de al menos dos enfermedades crónicas en una persona independientemente de su coincidencia.
Resultados
La prevalencia total de multimorbilidad entre personas mayores era del 65%. Tener una edad ≥70 años estaba asociado con la multimorbilidad en un análisis multivariado: OR ajustado= 1.65, IC 95% (1.01‐2.68, p=0.04). Las enfermedades crónicas más comunes eran la hipertensión (82%) IC 95% (78; 86), la desnutrición (39%) IC 95% (34; 44), discapacidad visual (28%) IC 95% (24; 33) y diabetes mellitus (27%) IC 95% (22; 31). Aquellos con edades de ≥70 años estaban significativamente más desnutridos (50% vs. 31%, p= 0.0003) y sufrían más de osteoartritis (8% vs 3%, p=0.01) que aquellos con edades entre los 60‐69 años.
Conclusiones
La alta prevalencia de multimorbilidad requiere de una reorganización de los sistemas de salud en África subsahariana, especialmente en Burkina Faso. Las intervenciones y guías de cuidados dirigidas a enfermedades individuales deberían mejorarse con el fin de reflejar esta realidad.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/tmi.12377</identifier><identifier>PMID: 25164626</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject>adultos mayores ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Burkina Faso - epidemiology ; Chronic Disease - epidemiology ; community‐dwelling ; Comorbidity ; comunidades ; Cross-Sectional Studies ; Diabetes Mellitus - epidemiology ; Epidemiology ; Female ; General aspects ; Humans ; Hypertension - epidemiology ; Male ; Malnutrition - epidemiology ; Medical sciences ; Middle Aged ; Morbidity ; multimorbidity ; multimorbidité ; Multimorbilidad ; Multivariate Analysis ; older adults ; Older people ; Osteoarthritis - epidemiology ; personnes âgées ; Prevalence ; Urban Health - statistics & numerical data ; vie en communauté ; Vision Disorders - epidemiology</subject><ispartof>Tropical medicine & international health, 2014-11, Vol.19 (11), p.1328-1333</ispartof><rights>2014 John Wiley & Sons Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2014 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4887-63d8f1ca8bc13926cab02a7193afdb78d34a69e84c6a66564b0607ee175bcda73</citedby><cites>FETCH-LOGICAL-c4887-63d8f1ca8bc13926cab02a7193afdb78d34a69e84c6a66564b0607ee175bcda73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftmi.12377$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftmi.12377$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28848526$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25164626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hien, Hervé</creatorcontrib><creatorcontrib>Berthé, Abdramane</creatorcontrib><creatorcontrib>Drabo, Maxime Koiné</creatorcontrib><creatorcontrib>Meda, Nicolas</creatorcontrib><creatorcontrib>Konaté, Blahima</creatorcontrib><creatorcontrib>Tou, Fatoumata</creatorcontrib><creatorcontrib>Badini‐Kinda, Fatoumata</creatorcontrib><creatorcontrib>Macq, Jean</creatorcontrib><title>Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross‐sectional study</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>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.
Objectifs
Evaluer les profils de la prévalence et de la distribution de la multimorbidité chez les adultes plus âgés en zone urbaine au Burkina‐Faso.
Méthodes
Etude transversale chez les personnes âgées vivant en communauté, âgées de ≥ 60 ans, à Bobo‐Dioulasso. Nous avons effectué des interviews, l'examen clinique et l'examen des dossiers médicaux. La multimorbidité a été définie comme la cooccurrence d'au moins deux maladies chroniques chez une personne, que ce soit par coïncidence ou non.
Résultats
La prévalence globale de la multimorbidité chez les personnes âgées était de 65%. L’âge ≥70 ans était associé à la multimorbidité dans l'analyse multivariée: Rapport de cotes OR ajustés = 1,65; IC95%: 1,01 ‐ 2,68; p = 0,04. Les maladies chroniques les plus courantes étaient: l'hypertension (82%; IC95%: 78 ‐ 86), la malnutrition (39%; IC95%: 34‐44), la déficience visuelle (28%; IC95%: 24 ‐33) et le diabète sucré (27%; IC95%: 22‐31). Les personnes âgées de ≥70 ans présentaient significativement plus de malnutrition (50% vs 31%, p = 0,0003) et de l'arthrose (8% vs 3%, p = 0,01) que celles âgées de 60 à 69 ans.
Conclusions
La prévalence élevée de la multimorbidité nécessite une réorganisation des systèmes de soins de santé en Afrique subsaharienne, en particulier au Burkina‐Faso. Les interventions et les directives pour les soins généralement axées sur des maladies individuelles, devraient être améliorées afin de mieux refléter cette réalité.
Objetivos
Evaluar la prevalencia y los patrones de distribución de la multimorbilidad entre adultos mayores viviendo en zonas urbanas en Burkina Faso.
Métodos
Estudio croseccional entre personas ≥ 60 años viviendo en comunidades en Bobo‐Dioulasso. Hemos realizado entrevistas, exámenes clínicos y revisión de las historias clínicas. La multimorbilidad se definió como la concurrencia de al menos dos enfermedades crónicas en una persona independientemente de su coincidencia.
Resultados
La prevalencia total de multimorbilidad entre personas mayores era del 65%. Tener una edad ≥70 años estaba asociado con la multimorbilidad en un análisis multivariado: OR ajustado= 1.65, IC 95% (1.01‐2.68, p=0.04). Las enfermedades crónicas más comunes eran la hipertensión (82%) IC 95% (78; 86), la desnutrición (39%) IC 95% (34; 44), discapacidad visual (28%) IC 95% (24; 33) y diabetes mellitus (27%) IC 95% (22; 31). Aquellos con edades de ≥70 años estaban significativamente más desnutridos (50% vs. 31%, p= 0.0003) y sufrían más de osteoartritis (8% vs 3%, p=0.01) que aquellos con edades entre los 60‐69 años.
Conclusiones
La alta prevalencia de multimorbilidad requiere de una reorganización de los sistemas de salud en África subsahariana, especialmente en Burkina Faso. Las intervenciones y guías de cuidados dirigidas a enfermedades individuales deberían mejorarse con el fin de reflejar esta realidad.</description><subject>adultos mayores</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Burkina Faso - epidemiology</subject><subject>Chronic Disease - epidemiology</subject><subject>community‐dwelling</subject><subject>Comorbidity</subject><subject>comunidades</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>multimorbidity</subject><subject>multimorbidité</subject><subject>Multimorbilidad</subject><subject>Multivariate Analysis</subject><subject>older adults</subject><subject>Older people</subject><subject>Osteoarthritis - epidemiology</subject><subject>personnes âgées</subject><subject>Prevalence</subject><subject>Urban Health - statistics & numerical data</subject><subject>vie en communauté</subject><subject>Vision Disorders - epidemiology</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10M1qFTEUB_Agiq3VhS8gARHqYtp8TD6uOy1WCxVd1PVwJsloaia5JhnL7HwEn9EncXrnqiCYzcnix_n4I_SYkhO6vNM6-hPKuFJ30CHlUjScCnl39ycNY0oeoAelXBNC2lbI--iACSpbyeQhsh-y-wbBReMwRIu3UKvLseA04HEK1Y8p9976OmMYU_yE62eHXbAuhxn7iF9N-YuPgM-hpBfY5FTKz-8_ijPVpwgBlzrZ-SG6N0Ao7tG-HqGP56-vzt42l-_fXJy9vGxMq7VqJLd6oAZ0byjfMGmgJwwU3XAYbK-05S3IjdOtkSClkG1PJFHOUSV6Y0HxI3S89t3m9HVypXajL8aFANGlqXRUko0gmtBb-vQfep2mvGy8KsIIZ2JRz1e1Oyy7odtmP0KeO0q62-i7JfpuF_1in-w7Tv3o7B_5O-sFPNsDKAbCkCEaX_46rVstdu50dTc-uPn_E7urdxfr6F_5J5uj</recordid><startdate>201411</startdate><enddate>201411</enddate><creator>Hien, Hervé</creator><creator>Berthé, Abdramane</creator><creator>Drabo, Maxime Koiné</creator><creator>Meda, Nicolas</creator><creator>Konaté, Blahima</creator><creator>Tou, Fatoumata</creator><creator>Badini‐Kinda, Fatoumata</creator><creator>Macq, Jean</creator><general>Blackwell</general><general>Blackwell Publishing Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>201411</creationdate><title>Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross‐sectional study</title><author>Hien, Hervé ; Berthé, Abdramane ; Drabo, Maxime Koiné ; Meda, Nicolas ; Konaté, Blahima ; Tou, Fatoumata ; Badini‐Kinda, Fatoumata ; Macq, Jean</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4887-63d8f1ca8bc13926cab02a7193afdb78d34a69e84c6a66564b0607ee175bcda73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>adultos mayores</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Burkina Faso - epidemiology</topic><topic>Chronic Disease - epidemiology</topic><topic>community‐dwelling</topic><topic>Comorbidity</topic><topic>comunidades</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Male</topic><topic>Malnutrition - epidemiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>multimorbidity</topic><topic>multimorbidité</topic><topic>Multimorbilidad</topic><topic>Multivariate Analysis</topic><topic>older adults</topic><topic>Older people</topic><topic>Osteoarthritis - epidemiology</topic><topic>personnes âgées</topic><topic>Prevalence</topic><topic>Urban Health - statistics & numerical data</topic><topic>vie en communauté</topic><topic>Vision Disorders - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hien, Hervé</creatorcontrib><creatorcontrib>Berthé, Abdramane</creatorcontrib><creatorcontrib>Drabo, Maxime Koiné</creatorcontrib><creatorcontrib>Meda, Nicolas</creatorcontrib><creatorcontrib>Konaté, Blahima</creatorcontrib><creatorcontrib>Tou, Fatoumata</creatorcontrib><creatorcontrib>Badini‐Kinda, Fatoumata</creatorcontrib><creatorcontrib>Macq, Jean</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hien, Hervé</au><au>Berthé, Abdramane</au><au>Drabo, Maxime Koiné</au><au>Meda, Nicolas</au><au>Konaté, Blahima</au><au>Tou, Fatoumata</au><au>Badini‐Kinda, Fatoumata</au><au>Macq, Jean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross‐sectional study</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2014-11</date><risdate>2014</risdate><volume>19</volume><issue>11</issue><spage>1328</spage><epage>1333</epage><pages>1328-1333</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>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.
Objectifs
Evaluer les profils de la prévalence et de la distribution de la multimorbidité chez les adultes plus âgés en zone urbaine au Burkina‐Faso.
Méthodes
Etude transversale chez les personnes âgées vivant en communauté, âgées de ≥ 60 ans, à Bobo‐Dioulasso. Nous avons effectué des interviews, l'examen clinique et l'examen des dossiers médicaux. La multimorbidité a été définie comme la cooccurrence d'au moins deux maladies chroniques chez une personne, que ce soit par coïncidence ou non.
Résultats
La prévalence globale de la multimorbidité chez les personnes âgées était de 65%. L’âge ≥70 ans était associé à la multimorbidité dans l'analyse multivariée: Rapport de cotes OR ajustés = 1,65; IC95%: 1,01 ‐ 2,68; p = 0,04. Les maladies chroniques les plus courantes étaient: l'hypertension (82%; IC95%: 78 ‐ 86), la malnutrition (39%; IC95%: 34‐44), la déficience visuelle (28%; IC95%: 24 ‐33) et le diabète sucré (27%; IC95%: 22‐31). Les personnes âgées de ≥70 ans présentaient significativement plus de malnutrition (50% vs 31%, p = 0,0003) et de l'arthrose (8% vs 3%, p = 0,01) que celles âgées de 60 à 69 ans.
Conclusions
La prévalence élevée de la multimorbidité nécessite une réorganisation des systèmes de soins de santé en Afrique subsaharienne, en particulier au Burkina‐Faso. Les interventions et les directives pour les soins généralement axées sur des maladies individuelles, devraient être améliorées afin de mieux refléter cette réalité.
Objetivos
Evaluar la prevalencia y los patrones de distribución de la multimorbilidad entre adultos mayores viviendo en zonas urbanas en Burkina Faso.
Métodos
Estudio croseccional entre personas ≥ 60 años viviendo en comunidades en Bobo‐Dioulasso. Hemos realizado entrevistas, exámenes clínicos y revisión de las historias clínicas. La multimorbilidad se definió como la concurrencia de al menos dos enfermedades crónicas en una persona independientemente de su coincidencia.
Resultados
La prevalencia total de multimorbilidad entre personas mayores era del 65%. Tener una edad ≥70 años estaba asociado con la multimorbilidad en un análisis multivariado: OR ajustado= 1.65, IC 95% (1.01‐2.68, p=0.04). Las enfermedades crónicas más comunes eran la hipertensión (82%) IC 95% (78; 86), la desnutrición (39%) IC 95% (34; 44), discapacidad visual (28%) IC 95% (24; 33) y diabetes mellitus (27%) IC 95% (22; 31). Aquellos con edades de ≥70 años estaban significativamente más desnutridos (50% vs. 31%, p= 0.0003) y sufrían más de osteoartritis (8% vs 3%, p=0.01) que aquellos con edades entre los 60‐69 años.
Conclusiones
La alta prevalencia de multimorbilidad requiere de una reorganización de los sistemas de salud en África subsahariana, especialmente en Burkina Faso. Las intervenciones y guías de cuidados dirigidas a enfermedades individuales deberían mejorarse con el fin de reflejar esta realidad.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>25164626</pmid><doi>10.1111/tmi.12377</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1360-2276 |
| ispartof | Tropical medicine & international health, 2014-11, Vol.19 (11), p.1328-1333 |
| issn | 1360-2276 1365-3156 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1609508017 |
| source | Wiley Free Content; MEDLINE; IngentaConnect Free/Open Access Journals; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | adultos mayores Age Factors Aged Aged, 80 and over Biological and medical sciences Burkina Faso - epidemiology Chronic Disease - epidemiology community‐dwelling Comorbidity comunidades Cross-Sectional Studies Diabetes Mellitus - epidemiology Epidemiology Female General aspects Humans Hypertension - epidemiology Male Malnutrition - epidemiology Medical sciences Middle Aged Morbidity multimorbidity multimorbidité Multimorbilidad Multivariate Analysis older adults Older people Osteoarthritis - epidemiology personnes âgées Prevalence Urban Health - statistics & numerical data vie en communauté Vision Disorders - epidemiology |
| title | Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross‐sectional study |
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