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

Zale Zemede,1 Befikadu Tariku,2 Mesfin Kote,2 Wubshet Estifanos31Arba Minch Zuria District Health Office, Arba Minch, Ethiopia; 2Department of Public Health, Arba Minch University, Arba Minch, Ethiopia; 3Department of Nursing, Arba Minch University, Arba Minch, EthiopiaBackground: Undernutrition con...

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Autores principales:	Zemede Z, Tariku B, Kote M, Estifanos W
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	ART undernutrition malnutrition HIV/AIDS Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/0a9b79edce204dec8ad02a22a0334f03
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spelling	oai:doaj.org-article:0a9b79edce204dec8ad02a22a0334f032021-12-02T07:07:39ZUndernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia1179-1373https://doaj.org/article/0a9b79edce204dec8ad02a22a0334f032019-07-01T00:00:00Zhttps://www.dovepress.com/undernutrition-and-associated-factors-among-hiv-positive-adult-patient-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Zale Zemede,1 Befikadu Tariku,2 Mesfin Kote,2 Wubshet Estifanos31Arba Minch Zuria District Health Office, Arba Minch, Ethiopia; 2Department of Public Health, Arba Minch University, Arba Minch, Ethiopia; 3Department of Nursing, Arba Minch University, Arba Minch, EthiopiaBackground: Undernutrition constitutes an important threat to the success of HIV programs in sub-Saharan Africa, and failure to effectively address it may jeopardize the benefits gained so far in the fight against HIV. The aim of the study was to assess undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in Arba Minch area, south Ethiopia.Methods: A facility-based cross-sectional study was conducted in 2017. There were 351 adult individual study participants who were enrolled in ART clinics in Arba Minch area public health facilities. Variables with P-value less than 0.25 on binary logistic regression analysis were entered into a multivariate logistic regression model to outline the independent predictors of undernutrition. CI of 95% was used to assess precision of the study.Results: Out of all the participants, 18.23% (95% CI: 14.52–22.65) were undernourished. The prevalence of undernutrition was significantly lower among those consuming food from five or more food groups per day (AOR: 0.33; 95% CI: 0.16–0.71) and undergoing ART for more than a year (AOR: 0.24; 95% CI: 0.08–0.73). On the contrary, the prevalence was significantly higher among those who were currently smoking tobacco (AOR: 6.67; 95% CI: 1.45–30.76). In addition, those with WHO clinical stage 3 had a significantly higher prevalence of undernutrition compared to those with WHO clinical stage 1 (AOR: 311; 95% CI: 1.47–6.60).Conclusion: The prevalence of undernutrition was high among adults with HIV/AIDS enrolled in ART clinics in the study area. The prevalence of undernutrition was lower among those who consumed diverse food groups and had been receiving ART for longer (more than a year).On the contrary, the prevalence of undernutrition was higher among those who consumed tobacco and with higher WHO clinical stage. Therefore, efforts should be made to enhance the dietary diversity of these individuals.Keywords: ART, undernutrition, malnutrition, dietary diversity score, DSS, WHO clinical stageZemede ZTariku BKote MEstifanos WDove Medical PressarticleARTundernutritionmalnutritionHIV/AIDSImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 11, Pp 147-154 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	ART undernutrition malnutrition HIV/AIDS Immunologic diseases. Allergy RC581-607
spellingShingle	ART undernutrition malnutrition HIV/AIDS Immunologic diseases. Allergy RC581-607 Zemede Z Tariku B Kote M Estifanos W Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia
description	Zale Zemede,1 Befikadu Tariku,2 Mesfin Kote,2 Wubshet Estifanos31Arba Minch Zuria District Health Office, Arba Minch, Ethiopia; 2Department of Public Health, Arba Minch University, Arba Minch, Ethiopia; 3Department of Nursing, Arba Minch University, Arba Minch, EthiopiaBackground: Undernutrition constitutes an important threat to the success of HIV programs in sub-Saharan Africa, and failure to effectively address it may jeopardize the benefits gained so far in the fight against HIV. The aim of the study was to assess undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in Arba Minch area, south Ethiopia.Methods: A facility-based cross-sectional study was conducted in 2017. There were 351 adult individual study participants who were enrolled in ART clinics in Arba Minch area public health facilities. Variables with P-value less than 0.25 on binary logistic regression analysis were entered into a multivariate logistic regression model to outline the independent predictors of undernutrition. CI of 95% was used to assess precision of the study.Results: Out of all the participants, 18.23% (95% CI: 14.52–22.65) were undernourished. The prevalence of undernutrition was significantly lower among those consuming food from five or more food groups per day (AOR: 0.33; 95% CI: 0.16–0.71) and undergoing ART for more than a year (AOR: 0.24; 95% CI: 0.08–0.73). On the contrary, the prevalence was significantly higher among those who were currently smoking tobacco (AOR: 6.67; 95% CI: 1.45–30.76). In addition, those with WHO clinical stage 3 had a significantly higher prevalence of undernutrition compared to those with WHO clinical stage 1 (AOR: 311; 95% CI: 1.47–6.60).Conclusion: The prevalence of undernutrition was high among adults with HIV/AIDS enrolled in ART clinics in the study area. The prevalence of undernutrition was lower among those who consumed diverse food groups and had been receiving ART for longer (more than a year).On the contrary, the prevalence of undernutrition was higher among those who consumed tobacco and with higher WHO clinical stage. Therefore, efforts should be made to enhance the dietary diversity of these individuals.Keywords: ART, undernutrition, malnutrition, dietary diversity score, DSS, WHO clinical stage
format	article
author	Zemede Z Tariku B Kote M Estifanos W
author_facet	Zemede Z Tariku B Kote M Estifanos W
author_sort	Zemede Z
title	Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia
title_short	Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia
title_full	Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia
title_fullStr	Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia
title_full_unstemmed	Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia
title_sort	undernutrition and associated factors among hiv-positive adult patients enrolled in antiretroviral therapy (art) clinics in the arba minch area, southern ethiopia
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/0a9b79edce204dec8ad02a22a0334f03
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Undernutrition and associated factors among HIV-positive adult patients enrolled in antiretroviral therapy (ART) clinics in the Arba Minch area, southern Ethiopia

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