The Effects of Nutritional Knowledge on the Dietary Practices of People Living with HIV in Kayole Division, Nairobi-Kenya

Muthamia, Olive Gaceri; Mwangi, Alice; Mbugua, Samuel

doi:10.11648/j.ijnfs.20140306.27

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…is result is congruent with a study done in Ethiopia [35,36] and Kenya [37] which revealed that lack of food diversity is an important issue, particularly in developing countries where diets consist of mainly starchy staples with less access to nutrient-rich food [38]. is is because dietary diversity has been recognized as an indicator of food security, with consumption of more food groups suggesting better nourishment and improved micronutrient intake.…”

Section: Discussionsupporting

confidence: 88%

Reducing Undernutrition through Counseling on Diversified Food Intake among Adult People Living with HIV on HAART, Northern Ethiopia

Tedla

Berhe

Gebremariam

et al. 2020

Journal of Nutrition and Metabolism

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Background. HIV/AIDS and malnutrition are interrelated and exacerbate one another in a vicious cycle. As HIV infection progresses it causes catabolic state and increases susceptibility to other infections, leading to progressive aggravation of undernutrition. However, data are lacking in Ethiopia on determinants of undernutrition among people living with HIV on antiretroviral therapy. Therefore, this study aimed to assess determinants of undernutrition among adult HIV/AIDS patients in Northern Ethiopia. Method. Facility-based unmatched case-control study was conducted among 324 randomly selected people living with HIV on antiretroviral therapy (ART). A structured and pretested interviewer questionnaire was used to collect data, while digital Seca weight and Seca measuring rod were used to measure weight and height, respectively. Logistic regression was used to identify independent factors of undernutrition, and p value <0.05 was declared for statistical significance. All statistical analyses were performed using SPSS 21™. Result. This study revealed that people of younger age and those on ART (AOR = 0.29 (95% CI: 0.10, 0.84)) had low risk of being undernourished. However, average individual monthly income (AOR = 2.61 (95% CI: 1.48, 4.61)), not receiving nutritional counseling during visits (AOR = 2.5 (95% CI: 1.52–3.89)), and low diet diversity (AOR = 10.55 (95% CI: 4.17, 26.73)) had higher odds of undernutrition among people living with HIV/AIDS. Conclusion. Age of patients, average monthly income, nutritional counseling during visits, and diet diversity were the independent factors of undernutrition. Counseling on well-timed and sufficient consumption of nutritious foods, economic strengthening, and livelihood activities is important. Future longitudinal study is necessary to elucidate the problem of undernutrition among people living with HIV/AIDS.

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Section: Discussionsupporting

confidence: 88%

Reducing Undernutrition through Counseling on Diversified Food Intake among Adult People Living with HIV on HAART, Northern Ethiopia

Tedla

Berhe

Gebremariam

et al. 2020

Journal of Nutrition and Metabolism

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“…This has significant impact and warrants counseling on the practice of dietary diversity as part of comprehensive HAART intervention programs. Both PBC and subjective norm explained 25.9% of the variance in the inclination toward dietary diversity, which is less than the findings of a study done in Kenya 41 on healthy diet behavior of PLWHIV. Studies revealed that subjective norm and perceived behavioral control (PBC) are pertinent predictors of intention to increase dietary diversity practice at home.…”

Section: Discussioncontrasting

confidence: 73%

Intention Toward Dietary Diversity Among Adult People Living With HIV in Public Hospitals in Southwest Ethiopia Using Theory of Planned Behavior. A Mixed Methods Study

Tekelehaimanot

Belachew

Gudina

et al. 2021

INQUIRY

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Dietary diversity is a crucial element of an inclusive care for people living with HIV (PLWHIV), particularly in resource-limited countries where undernutrition, poor intention, and poor attitude toward diversified diets are the common challenges. The aim of this study was to assess the Intention toward dietary diversity behavior among adult PLWHIV in Jimma zone public hospitals, South West Ethiopia. A hospital-based survey was carried out in 5 public institutions among sampled 403 adult PLWHIV. Data were entered into EpiData, and exported to SPSS version 20 for analysis. Relationships among variables were assessed using correlation coefficients. The multivariable linear regression model was fitted to assess predictors of behavioral inclination toward dietary diversity at P-value ≤ .05. The quantitative data was supplemented by qualitative data, which was collected through key informant interviews and analyzed thematically. The significant predictors of intention to use dietary diversity were attitude (β = .196, P < .01) and subjective norm (β = .390, P < .01) of adult PLWHIV. The constructs of theory of planned behavior (TPB) independently explained the variance in inclination toward dietary diversity by 25.7%. All the intermediate, proximal, and distal components of TPB explained the final model with 32.2% of variance in the intention to use dietary diversity. The qualitative findings indicated that delivery of HIV care requires a drive for livelihood development and economic improvement, creating a sense of responsibility for sustainable HIV care by creating behavioral change at the individual level. Conclusion: Dietary inadequacy was strongly correlated with being in the sociodemographic groups that are at heightened risk of adverse clinical outcomes. It is worthwhile to investigate behavioral intention as a potential determinant of the clinical outcomes rather than choose symptomatic treatment of malnutrition. Conclusion: Dietary inadequacy was strongly correlated with being in the sociodemographic groups that are at heightened risk of adverse clinical outcomes. It is worthwhile to investigate behavioral intention as a potential determinant of the clinical outcomes rather than choose symptomatic treatment of malnutrition.

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“…This finding is similar with the studies done in Motta Town, East Gojjam Zone, Northwest Ethiopia, 22 and Nairobi-Kenya. 32 The possible explanation for this result might be that those HIV patients who got nutritional counseling had higher chance about awareness of nutrition impacts dietary diversity. As an individual's nutritional understanding increases, the consumption of foods from different food groups also growths.…”

Section: Discussionmentioning

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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The Effects of Nutritional Knowledge on the Dietary Practices of People Living with HIV in Kayole Division, Nairobi-Kenya

Cited by 9 publications

References 11 publications

Reducing Undernutrition through Counseling on Diversified Food Intake among Adult People Living with HIV on HAART, Northern Ethiopia

Reducing Undernutrition through Counseling on Diversified Food Intake among Adult People Living with HIV on HAART, Northern Ethiopia

Intention Toward Dietary Diversity Among Adult People Living With HIV in Public Hospitals in Southwest Ethiopia Using Theory of Planned Behavior. A Mixed Methods Study

<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>

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