Prevalence and patterns of multimorbidity among the elderly in Burkina Faso: cross‐sectional study. Issue 11 (28th August 2014)

• Record Type: Journal Article
• Authors: Hien, Hervé; Berthé, Abdramane; Drabo, Maxime Koiné; Meda, Nicolas; Konaté, Blahima; Tou, Fatoumata; Badini‐Kinda, Fatoumata; Macq, Jean
• Is Part Of: Tropical medicine & international health. Volume 19:Issue 11(2014:Nov.)
• Page Start: 1328
• Page End: 1333
• Publication Date: 2014-08-28
• Subjects: Tropical medicine -- Periodicals; Public health -- Periodicals; 616.988
• DOI: 10.1111/tmi.12377
• Languages: English
• ISSNs: 1360-2276

Abstract

<abstract abstract-type="main" id="tmi12377-abs-0001"> <title>Abstract</title> <sec id="tmi12377-sec-0001" sec-type="section"> <title>Objectives</title> <p>To assess the prevalence and distribution patterns of multimorbidity among urban older adults in Burkina Faso.</p> </sec> <sec id="tmi12377-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="tmi12377-sec-0003" sec-type="section"> <title>Results</title> <p>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, <italic>P</italic> = 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% <italic>vs</italic>. 31%, <italic>P</italic> = 0.0003) and osteoarthritis (8% <italic>vs</italic>. 3%, <italic>P</italic> = 0.01) than those aged 60–69.</p> </sec> <sec id="tmi12377-sec-0004" sec-type="section"> <title>Conclusions</title> <p>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.</p> </sec> </abstract>