&lt;p&gt;Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia&lt;/p&gt;

Zemede, Zale; Tariku, Eshetu Zerihun; Kote, Mesfin; Estifanos, Wubshet

doi:10.2147/hiv.s200120

Cited by 16 publications

(31 citation statements)

References 30 publications

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“…The study was intended to assessing magnitude of under nutrition and associated factors. The study indicated the magnitude of under nutrition was 18.8% (95%, CI (15.1%-23%), it is in line with study conducted in Arba minchi(18.2%) (38), Study conducted in south Africa(18.2%) (38), study conducted in Asella (18.3%) (44) and in Addis Ababa (15.1%) (24). The nding is in line with study conducted in Addis Ababa might be due to similarity in socio-economic level and health service accessibility.…”

Section: Discussionsupporting

confidence: 87%

Undernutrition and associated factors among HIV-Infected adults receiving ART at Health centers, Lega Tafo and Surrounding, Ethiopia, 2021

Belcha¹

2021

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Background: Globally 38 million people were living with HIV in 2019. In Africa, 25 million people are living with HIV/AIDS undernutrition and food insecurity is endemic. Hence the study aimed to assess the magnitude of undernutrition and associated factors among HIV-infected adults receiving ART. Methods: Institutional based cross-sectional study was conducted among HIV/AIDS patients who following the ART service was selected by a simple random sampling method. The data were collected by direct interview, using a structured questionnaire. Descriptive statistics and a Logistic regression model were employed. Result: The study revealed that the magnitude of under-nutrition was 18.8%. The history of opportunistic infection (AOR=4.518:95% CI: 2.304-8.857), Patients taking ART for less than one year (AOR=3.675:95% CI: 1.831-7.377) household food insecure (AOR= 3.113:95% CI: 1.628-5.950) and dietary diversity score (AOR=2.340:95% CI: 1.221-4.485) were found to have a statistically significant association with undernutrition. Conclusion: The magnitude of undernutrition among people living with HIV/AIDS was found to be high. Having an opportunistic infection, duration of taking ART treatment, household food security status, and dietary diversity status were found to statistically significant association with undernutrition.

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Section: Discussionsupporting

confidence: 87%

Undernutrition and associated factors among HIV-Infected adults receiving ART at Health centers, Lega Tafo and Surrounding, Ethiopia, 2021

Belcha¹

2021

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“…According to this study the prevalence of under-nutrition was close to that of a study conducted in various parts of Ethiopia; 30% in hospitals in the east Harerge zone (12), 25.2% in Butajira hospital (24), and 27% in Nekemte referral hospital (25), However the prevalence of this study was lower than 60.2%, west Gojam zone public hospitals (17), 46.8% in Jimma University specialized hospital (16) 43% in south west Oromia region (14), and higher than study conducted in 12.3% in Dilla university hospital (26) 18.2% in Arba Minch area public health facilities (15).…”

Section: Discussioncontrasting

confidence: 61%

“…Patients who use any substance in the last three months were four times more likely develop under nutrition as compared to those who had not use. Study done in Arbamnch and Canada showed that Current tobacco-smoking adults enrolled in ART programs were at higher risk of being undernourished (15,30). However, study in Nepal showed behavioral factors like alcohol and smoking were found to have no association with under nutrition (31).…”

Section: Discussionmentioning

confidence: 97%

“…Body mass index (BMI) was calculated by dividing the weight in kg by square of height in meter. Under-nutrition was categorized as BMI below 18.5 Kg/m2 (15).…”

Section: Data Processing and Analysismentioning

confidence: 99%

“…In Ethiopia, studies have been conducted to investigate malnutrition among adult HIV positive individuals (11)(12)(13)(14)(15)(16)(17). However, no study has been conducted on large scale, incorporating a number of health facilities covering large demographic areas and socio-cultural diversity.…”

Section: Introductionmentioning

confidence: 99%

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Malnutrition status, and its Associated Factors among Adult HIV Positive Attending ART at Public Hospitals of Bench Sheko Zone, South West, Ethiopia, 2020

Shifera¹,

Molla²,

Mesafint³

et al. 2021

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Background: Almost 1.9 billion adults worldwide are overweight or obese, while 462 million are underweight. These are primarily found in countries with low and middle-incomes, like Ethiopia. Under nutrition is the frequent health problem among peoples living with HIV/AIDS, however no large-scale research, including a number of health facilities has been conducted in Ethiopia. So this study aimed to assess the nutritional status and under nutrition related factors among HIV/AIDS patients attending ART follow-up in public hospitals of Bench Sheko zones, south west, Ethiopia.Methods: In November/2020, a cross-sectional facility study design was carried out in all public hospitals in the Bench Sheko zone. To pick the study participants, a systematic sampling technique was used. Data were collected via face-to-face interviews and entered into Epi-data 3.1, then exported to SPSS version 24 for statistical analysis. In order to identify the candidate and independent determinants of under-nutrition, bivariate and multivariable logistic regression analyses were carried out respectively. Independent determinants of under-nutrition were measured using adjusted odds ratio with their corresponding 95% confidence level at P-value of < 0.05 cut of point.Results: A total of four hundred two adult HIV-positive patients who were attending in ART clinics were participated with 98% response rate. The proportion of under nutrition (BMI<18.5 kg/m2), normal nutrition (BMI 18.5–24.9 kg/m2) and overweight or obese (BMI ≥25 kg/m2) patients were 29.2% [95% CI: (24.6-33.5)], 61.2% [95% CI: (56.5-66.3)], and 9.6% [95% CI: (6.6-12.9)] respectively. Out of under nutrition patients, severe malnutrition (BMI<16 kg/m2) accounted of 5.6%. Factors food insecurity [AOR: 3.26, 95% CI: (1.79-5.92)], poor ART adherence [AOR: 4.22, 95% CI: (1.47-12.14)], CD4 cell count ≤ 200 [AOR: 5.73, 95% CI: (2.45-13.13)], and substance user [AOR: 4.11, 95% CI: (2.31-7.30)] was independent factors of under nutrition.Conclusion: This study found that the prevalence of malnutrition was high compared to other settings. The government should also pay due attention to improving the treatment of HIV/AIDS by offering nutritional support services in hospitals. Moreover policymaker and heath care professionals consider the effects of these factors for nutrition while providing ART service.

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Prevalence of malnutrition and associated factors among adult patients on Antiretroviral Therapy follow up care in Jimma Medical Center, Southwest Ethiopia

Daka

Ergiba

2019

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Background: Malnutrition especially under nutrition is the main problem that is seen over people living with HIV/AIDS and can occur at any age. Multiple factors contributed to malnutrition of HIV/AIDS patients and it need immediate identification and prompt action. The objective of this study was to assess the nutritional status of patients and identify factors associated with malnutrition among HIV/AIDS patients on follow-up care in Jimma medical center, Southwest Ethiopia. Methods: A cross-sectional study design was conducted from March-April, 2016. Data was collected retrospectively from clinical records of HIV/AIDS patients enrolled for follow up care in ART clinic from June 2010 to January 2016. Binary and multiple variable logistic regression was done to identify independent predictor of malnutrition. Results: Data of 971 patients were included in the study. The prevalence of under nutrition (BMI<18.5) was (36.8%) (95% CI: 33.8%-39.8%) and out of which severe malnutrition accounts 9.7%. Overweight and obese was 8.6%. Malnutrition was more likely among widowed patients (AOR=1.7, 95% CI, 1.034-2.798), patients in the WHO clinical AIDS staging of three (AOR=2.3, 95% CI, 1.392-3.693) and four (AOR=3.2, 95% CI, 1.667-5.943), patients with CD4 cell count of <200 cells/mm3 (AOR=2.0, 95% CI, 1.463-2.837) and patients with a functional status of bedridden (AOR=4.677, 95% CI, 1.761-12.419) and ambulatory (AOR=2.763, 95% CI, 1.833-4.165). Conclusion: Both under nutrition and overweight are prevalent among HIV/AIDS patients in Jimma Medical Center, Ethiopia. Malnutrition was significantly associated with clinical outcome of patients. Hence, nutritional assessment, care and support should be strengthened. Critical identification of malnourished patients and prompt interventions should be undertaken.

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<p>Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia</p>

Cited by 16 publications

References 30 publications

Undernutrition and associated factors among HIV-Infected adults receiving ART at Health centers, Lega Tafo and Surrounding, Ethiopia, 2021

Undernutrition and associated factors among HIV-Infected adults receiving ART at Health centers, Lega Tafo and Surrounding, Ethiopia, 2021

Malnutrition status, and its Associated Factors among Adult HIV Positive Attending ART at Public Hospitals of Bench Sheko Zone, South West, Ethiopia, 2020

Prevalence of malnutrition and associated factors among adult patients on Antiretroviral Therapy follow up care in Jimma Medical Center, Southwest Ethiopia

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