Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia

Weldegebreal, Fitsum; Digaffe, Tesfaye; Mesfin, Frehiwot; Mitiku, Habtamu

doi:10.2147/hiv.s138638

Cited by 20 publications

(42 citation statements)

References 19 publications

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“…Food insecurity and poor nutritional status causes lower CD4 cell counts, poor adherence to ART, decreased viral suppression, and increase morbidity and mortality. It can also accelerate the development of opportunistic infections and result in the progress of AIDS-related illnesses among People Living with HIV AIDS [8].…”

Section: Introductionmentioning

confidence: 99%

Food Insecurity among People Living with HIV/AIDS on ART Follower at Public Hospitals of Western Ethiopia

Oluma

Abadiga

Mosisa

et al. 2020

International Journal of Food Science

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Background. Food insecurity and HIV/AIDS are intertwined in a vicious cycle through nutritional, mental health, and behavioral pathways. Food insecurity is a potentially important barrier to the success of antiretroviral treatment, increased hospitalizations, and higher morbidity among HIV-infected individuals in resource-poor settings particularly in sub-Saharan Africa including Ethiopia. Therefore, the purpose of this study was to assess the prevalence of food insecurity among people living with HIV/AIDS on follow up at public hospitals of western Ethiopia. Methods. An institutional-based cross-sectional study design was conducted on a sample of 428 among people living with HIV/AIDS on follow up at public hospitals of western Ethiopia. A systematic random sampling technique was used to include all participants. Data was collected using interviewer-administered structured questionnaires. The data were entered into Epi data version 3.1 and then exported into Statistical Package for the Social Sciences window version 21 for analysis. Descriptive and inferential statistics were employed. Bivariable logistic and multivariable logistic analyses were used with AOR at CI 95% and p<0.05 were used. Result. The finding of the study revealed that the majority of the respondents 221(53.1%) were female. The mean age of the respondents was 32.92±7.304 years and 197 (47.4%) of the study participants were between 30 to 39 years’ age group. The level of food insecurity among PLWHA receiving ART therapy was 68.8% which was partitioned as mild (23.32%), moderate (29.09%), and severe (16.35%) food in secured. Being single [AOR=3.5071.377,8.934], illiterate [AOR=5.2341.747,15.686], cigarette smoking [AOR=3.5772.104,6.081], presence of anemia (AOR=2.6501.563,4.493], and inadequate dietary diversity [AOR=2.8701.088,7.569] were predictors of food insecurity. Conclusion. The prevalence of food insecurity was high. Educational status, marital status, cigarette smoking, presence of anemia, opportunistic infection, and inadequate dietary diversity were the major significant factors affecting food insecurity. We recommended a national health policy maker to integrate food and nutrition interventions as part of a package of care, treatment, and support services for people living with HIV and ART follower patients.

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Section: Introductionmentioning

confidence: 99%

Food Insecurity among People Living with HIV/AIDS on ART Follower at Public Hospitals of Western Ethiopia

Oluma

Abadiga

Mosisa

et al. 2020

International Journal of Food Science

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“…These problems are due to insufficient food consumption and altered metabolic situations, aggravating the reduced balance of energy and nutrients in patients even when they are treated with antiretroviral therapy (ART). 7,8 Nutrition is a significant component of inclusive care for HIV-positive patients and is particularly so in resource-limited settings where malnutrition and food insecurity are endemic. 9 Dietary management of HIV-positive patients is key to supporting their capacity to continue participating in the workforce and contributing to socio-economic growth.…”

Section: Introductionmentioning

confidence: 99%

<p>Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia</p>

Markos¹,

Lolaso²,

Mengistu

et al. 2020

HIV

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Background: Nutrition is a significant factor in all stages of HIV. Dietary management of HIV-positive patients is key to supporting their capacity to continue participating in the workforce and contributing to socioeconomic growth. Few studies have been conducted regarding this important public health problem of dietary diversity throughout the developing countries including Ethiopia. Therefore, this study assesses the magnitude and factors associated with dietary diversity among HIV-positive patients attending antiretroviral therapy (ART) clinics at Public Hospitals in Kembata Tembaro Zoni, Southern Ethiopia. Methods and Materials: An institutional-based cross-sectional study was conducted from January 01/2019 to 30/2019 on 341 adult HIV-positive patients on ART at two randomly selected public hospitals in the study area. A systematic random sampling technique was applied to select study subjects from each facility proportionally. Bivariable and multivariable logistic regression analyses were done to identify factors associated with individual dietary diversity. Logistic regression analysis with 95% confidence interval (CI) was estimated to measure the strength of association. Level of significance for statistical tests was set at p <0.05. Results: This study shows 60.1% (95% CI: 55-65) of patients had inadequate dietary diversity. Average monthly income of less than 1000 Ethiopian Birr (AOR: 1.82, 95% CI: 1.04-3.17), being female (AOR = 2.99, 95% CI: 1.67-5.37), duration of ART less than 1 year (AOR = 3.77, 95% CI: 1.42-10.02) and lack of dietary counseling (AOR =0.54, 95% CI: 0.30-0.97) were factors associated with low dietary diversity. Conclusion: Low dietary diversity was a major nutritional problem in HIV-positive patients. Low average monthly income, being female, duration of participants on ART, and lack of dietary counseling were the factors associated with low dietary diversity. To alleviate these problems, exceptional attention in nutritional care should be given to HIV-positive patients and they require appropriate counseling and support during early initiation of ART.

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“…Also, the mean dietary diversity score (DDS) was 4, which is below the minimum [27]. While other study showed that 28.7% of HIV/AIDS patients had low DDS [9]. Thus, the aforementioned factor and study area context makes ART clients vulnerable to malnutrition; even if, there is signi cant improvement after ART enrollment.…”

Section: Discussionmentioning

confidence: 93%

“…In addition, it is among one of the clinical targets to be achieved through ART follow up period. The study from eastern Ethiopia showed that 28.7% of HIV/AIDS patients had low Dietary diversity score [9].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Episodes of Under nutrition and its Predictors among HIV Positive Adults in Public Hospitals, Guraghe Zone: Linear Mixed model

Abdu¹,

Mekonnen

2020

Preprint

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Background: More than one-fourth of adult HIV patients had malnutrition which has high risk of relapse after treatment. Hence, assessing the longitudinal episodes and its predictors has great importance. Therefore, this study was aimed to assess the longitudinal trends of under nutrition and its predictors among HIV positive adults attending Public Hospitals in southwest Ethiopia, 2019. Methods: Longitudinal study with repeated measure was conducted among 519 randomly selected records of adult HIV clients who were on treatment. Malnutrition was assessed using the records of weight and height at different points of follow up (0, 6, 12, 18 and 24 months of ART follow up). Analysis of variance, analysis of covariance and spaghetti plot were done to compare the mean change in BMI across different repeated measures. To assess predictors of malnutrition episodes, linear mixed model was used considering fixed and random variables. Thus, parameter estimate, and p-value with 95% confidence interval was estimated via maximum likelihood method. From the model information criteria, Akaikes information criteria (AIC) were used to assess model fitness with smaller value as indicative of better model fit.Results: a total of 480 records were reviewed with mean age of 36 years (± 9 years). A total of 354(73.8%) of clients mentioned that they got dietary counseling. While, 34.6% of them got nutritional support. Statistical significant increasing trend of mean BMI score across the five follow up intervals (F statistics = 13.9, p value = 0.0001) were observed. Being male (β = -0.72; P = 0.044), with problem of eating difficulty (β = -1.61; p = 0.0001), having anemia (β = -1.51; p = 0.003), shorter follow up interval (β = 0.04.; p = 0.129), not getting nutritional counselling (β = 0.63; p =0.32) and diarrheal disease (β = -0.04; p = 0.129) were negatively associated with improvement in BMI indices. Conclusions: Improvement was seen in nutritional status after initiation of ART. Presence of eating disorder, anemia, not getting nutritional counseling, short follow interval were predictors of under nutrition. In addition to giving better nutritional counseling, the health professionals working in ART clinic should emphasize for early detection, and treatment of eating disorders, diarrheal disease and others.

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Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia

Cited by 20 publications

References 19 publications

Food Insecurity among People Living with HIV/AIDS on ART Follower at Public Hospitals of Western Ethiopia

Food Insecurity among People Living with HIV/AIDS on ART Follower at Public Hospitals of Western Ethiopia

<p>Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia</p>

Longitudinal Episodes of Under nutrition and its Predictors among HIV Positive Adults in Public Hospitals, Guraghe Zone: Linear Mixed model

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