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首页> 外文期刊>Advances in Sexual Medicine >TB/HIV Coinfection and Other Medical Co-Morbidity in Older Adults (50 - 64 Years) in Botswana: Evidence from 2013 Botswana AIDS Impact Survey (BAIS IV)
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TB/HIV Coinfection and Other Medical Co-Morbidity in Older Adults (50 - 64 Years) in Botswana: Evidence from 2013 Botswana AIDS Impact Survey (BAIS IV)

机译：博茨瓦纳老年人（50-64岁）的结核病/艾滋病毒合并感染及其他合并症：2013年博茨瓦纳艾滋病影响调查（BAIS IV）的证据

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Background: Many older adults (50 - 64 years) in Botswana with HIV do not know they are infected with TB. Some with TB disease are unaware of their HIV status, yet HIV/TB coinfection is high. The study aims to determine the prevalence of TB among older adults with HIV, their HIV/AIDS knowledge and vulnerability to hypertension, diabetes and asthma using the 2013 BAIS IV data. Material and Methods: The BAIS IV study, from which the data for this article is derived, used a stratified two-stage probability sampling design. The first stage was the selection of 297 Enumeration Areas (EAs) as Primary Sampling Units and second stage was selection of households (5,415) in the EAs. The study targeted all usual members of the selected households aged 6 weeks and above for the Biomarker or testing for HIV and those aged 10 - 64 years old for the behavioral questionnaire. Results: The study shows that the older adults (50 - 64 years) with TB have a low level of education and HIV prevalence is very high (44% for age 50 - 54, 40.6% for age 55 - 59 and 68.4% for age 60 - 64 years). The rate of HIV/TB coinfection, 21.9%, is high and prevalence of TB among the older adults is 8.6% (13%, males and 5.3%, females) while only 0.8% are currently on treatment. Only 67.2% know that if a pregnant mother is infected with HIV, there is a way of preventing transmission of the virus to the child. Age, level of education, marital status and employment status significantly (p < 0.01) predict TB diagnosis and treatment. Conclusion: The study concludes that lower education seems to be an obstacle to accessing TB treatment. Therefore, older adults’ awareness and knowledge of the symptoms of both diseases (TB and HIV), mode of infection and treatment need to adequately improve through increased education to overcome health challenges when infected with asthma, diabetes and high blood pressure/hypertension.
机译：背景：博茨瓦纳的许多艾滋病毒感染者（50-64岁）不知道自己感染了结核病。一些患有结核病的人不知道自己的艾滋病毒状况，但艾滋病毒/结核病合并感染率很高。这项研究旨在使用2013年BAIS IV数据确定艾滋病毒感染者中的结核病患病率，其艾滋病毒/艾滋病知识以及对高血压，糖尿病和哮喘的易感性。资料和方法：从本文得出数据的BAIS IV研究使用了分层的两阶段概率抽样设计。第一阶段是选择297个枚举区作为主要抽样单位，第二阶段是选择EA中的住户（5,415个）。该研究针对选定的6周及以上家庭的所有普通成员进行生物标志物或HIV检测，以及10-64岁的家庭进行行为问卷调查。结果：研究表明，患有结核病的老年人（50-64岁）受教育程度较低，艾滋病毒感染率很高（50-54岁占44％，55-59岁占40.6％，年龄为68.4％ 60-64岁）。 HIV / TB合并感染率高达21.9％，老年人中TB的患病率为8.6％（男性为13％，女性为5.3％），而目前只有0.8％正在接受治疗。只有67.2％的人知道，如果怀孕的母亲感染了艾滋病毒，则有一种方法可以防止病毒传播给孩子。年龄，受教育程度，婚姻状况和就业状况显着（p <0.01）可预测结核病的诊断和治疗。结论：研究得出的结论是，较低的教育似乎是获得结核病治疗的障碍。因此，老年人需要通过加强教育以克服感染哮喘，糖尿病和高血压/高血压的健康挑战，来充分提高对这两种疾病（结核病和艾滋病毒），感染和治疗方式的认识和知识。

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