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. 2021 Feb 2;16(2):e0246151.
doi: 10.1371/journal.pone.0246151. eCollection 2021.

HIV testing uptake and prevalence among hospitalized older adults in Togo: A cross-sectional study

Fifonsi Adjidossi Gbeasor-Komlanvi  1   2 , Wendpouire Ida Carine Zida-Compaore  2 , Arnold Junior Sadio  1   2 , Martin Kouame Tchankoni  2 , Balakiyem Magnim Kadangha  2 , Mounerou Salou  3 , Anoumou Claver Dagnra  3   4 , Didier Koumavi Ekouevi  1   2   5
Affiliations

HIV testing uptake and prevalence among hospitalized older adults in Togo: A cross-sectional study

Fifonsi Adjidossi Gbeasor-Komlanvi et al. PLoS One. .

Abstract

Objectives: This study aimed to describe HIV testing uptake, as well as HIV prevalence and its associated factors among older adults aged ≥50 years in health facilities in Togo.

Methods: A cross-sectional study was carried out from February 2018 to June 2019 among hospitalized older adults aged ≥50 years in tertiary and secondary hospitals in Togo. HIV testing was performed according to the national algorithm. Socio-demographic data and HIV testing history were collected using a standardized questionnaire.

Results: A total of 619 patients (43.9% female) of median age 61 years, (IQR: 55-70) were recruited and offered HIV testing. Among them, 25.7% had never previously tested for HIV. In total, 91.6% (567/619) accepted HIV testing while 8.4% (52/619) refused to be tested. Of those who tested, forty patients were HIV positive, yielding a prevalence of 7.1%. Twenty-three patients (57.5%) were newly diagnosed with HIV infection. In multivariable analysis, two factors were associated with HIV infection: living alone (aOR = 5.83; 95%CI = [2.26-14.53]) and being <60 years (aOR = 3.12; 95%CI = [1.51-6.66]).

Conclusion: The majority of older adults in this study accepted testing for HIV and almost three in five HIV positive older adults were newly diagnosed with HIV as a result of this testing. There is an urgent need to integrate older adults into responses to the HIV epidemic and to strengthen targeted prevention care and treatment in this population.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. HIV testing history and uptake among hospitalized older adults in Togo in 2018–2019.
See this image and copyright information in PMC

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