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

Fitsum Weldegebreal,1 Tesfaye Digaffe,1 Frehiwot Mesfin,2 Habtamu Mitiku1 1Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiop...

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Autores principales:	Weldegebreal F, Digaffe T, Mesfin F, Mitiku H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Dietary Diversity HIV/AIDS Adults antiretroviral treatment Ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/610208406f994529bce822c7d04d949d
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spelling	oai:doaj.org-article:610208406f994529bce822c7d04d949d2021-12-02T00:23:13ZDietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia1179-1373https://doaj.org/article/610208406f994529bce822c7d04d949d2018-05-01T00:00:00Zhttps://www.dovepress.com/dietary-diversity-and-associated-factors-among-hiv-positive-adults-att-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Fitsum Weldegebreal,1 Tesfaye Digaffe,1 Frehiwot Mesfin,2 Habtamu Mitiku1 1Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia Background: Nutritional care is considered a crucial component of comprehensive care for people living with HIV/AIDS (PLWHA), particularly in resource-limited settings where malnutrition and food insecurity are endemic problems, and low quality monotonous diets are the norm. The findings of this study provide baseline information on dietary diversity and related factors for health care providers so that they will be able to improve nutritional care and support activity. Therefore, the aim of this study was to assess dietary diversity and associated factors among HIV positive adults (18–65 years old) attending antiretroviral therapy (ART) clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia. Patients and methods: An institution-based cross-sectional study was conducted from November 2015 to February 2016 at the ART clinics of Hiwot Fana and Dilchora Hospitals. Using a systematic random sampling technique, a total of 303 patients were selected from all adults attending the ART clinics. The data were collected with a 95% CI used to show association between dietary diversity and independent factors. Results: A total of 303 adult HIV positive individuals on ART participated in the study and 62.4% were females. The largest numbers of participants (49.5%) were 30–40 years of age. Eighty-seven (28.7%) participants had low dietary diversity (≤4 food groups). Duration of antiretroviral treatment was the factor significantly associated with dietary diversity: respondents with a duration of antiretroviral treatment of more than 2 years were almost two times more likely to have high dietary diversity compared with those with less than a year of antiretroviral treatment (adjusted odds ratio =0.490; 95% CI: 0.091, 0.978). Conclusion: Low dietary diversity was found to be a nutritional problem among HIV positive adults. Duration of antiretroviral treatment was the predictor of low dietary diversity. Therefore, appropriate dietary management of side effects of ART is important. Keywords: dietary diversity, HIV/AIDS, adults, antiretroviral treatment, EthiopiaWeldegebreal FDigaffe TMesfin FMitiku HDove Medical PressarticleDietary DiversityHIV/AIDSAdultsantiretroviral treatmentEthiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 63-72 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dietary Diversity HIV/AIDS Adults antiretroviral treatment Ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	Dietary Diversity HIV/AIDS Adults antiretroviral treatment Ethiopia Immunologic diseases. Allergy RC581-607 Weldegebreal F Digaffe T Mesfin F Mitiku H Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia
description	Fitsum Weldegebreal,1 Tesfaye Digaffe,1 Frehiwot Mesfin,2 Habtamu Mitiku1 1Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2Department of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia Background: Nutritional care is considered a crucial component of comprehensive care for people living with HIV/AIDS (PLWHA), particularly in resource-limited settings where malnutrition and food insecurity are endemic problems, and low quality monotonous diets are the norm. The findings of this study provide baseline information on dietary diversity and related factors for health care providers so that they will be able to improve nutritional care and support activity. Therefore, the aim of this study was to assess dietary diversity and associated factors among HIV positive adults (18–65 years old) attending antiretroviral therapy (ART) clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia. Patients and methods: An institution-based cross-sectional study was conducted from November 2015 to February 2016 at the ART clinics of Hiwot Fana and Dilchora Hospitals. Using a systematic random sampling technique, a total of 303 patients were selected from all adults attending the ART clinics. The data were collected with a 95% CI used to show association between dietary diversity and independent factors. Results: A total of 303 adult HIV positive individuals on ART participated in the study and 62.4% were females. The largest numbers of participants (49.5%) were 30–40 years of age. Eighty-seven (28.7%) participants had low dietary diversity (≤4 food groups). Duration of antiretroviral treatment was the factor significantly associated with dietary diversity: respondents with a duration of antiretroviral treatment of more than 2 years were almost two times more likely to have high dietary diversity compared with those with less than a year of antiretroviral treatment (adjusted odds ratio =0.490; 95% CI: 0.091, 0.978). Conclusion: Low dietary diversity was found to be a nutritional problem among HIV positive adults. Duration of antiretroviral treatment was the predictor of low dietary diversity. Therefore, appropriate dietary management of side effects of ART is important. Keywords: dietary diversity, HIV/AIDS, adults, antiretroviral treatment, Ethiopia
format	article
author	Weldegebreal F Digaffe T Mesfin F Mitiku H
author_facet	Weldegebreal F Digaffe T Mesfin F Mitiku H
author_sort	Weldegebreal F
title	Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia
title_short	Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia
title_full	Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia
title_fullStr	Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia
title_full_unstemmed	Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, eastern Ethiopia
title_sort	dietary diversity and associated factors among hiv positive adults attending antiretroviral therapy clinics at hiwot fana and dilchora hospitals, eastern ethiopia
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/610208406f994529bce822c7d04d949d
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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

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