Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia

Bilcha Oumer,1 Negussie Boti,2 Sultan Hussen,2 Teklemariam Gultie1 1Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorresp...

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Autores principales:	Oumer B, Boti N, Hussen S, Gultie T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	under nutrition first-line antiretroviral therapy adult ethiopia hiv Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/d02cdd95d9864271b37327e8643e83ed
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spelling	oai:doaj.org-article:d02cdd95d9864271b37327e8643e83ed2021-12-02T09:45:50ZPrevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia1179-1373https://doaj.org/article/d02cdd95d9864271b37327e8643e83ed2019-11-01T00:00:00Zhttps://www.dovepress.com/prevalence-of-undernutrition-and-associated-factors-among-adults-recei-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Bilcha Oumer,1 Negussie Boti,2 Sultan Hussen,2 Teklemariam Gultie1 1Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Negussie BotiDepartment of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaEmail hanehalid@gmail.comIntroduction: Access to antiretroviral drugs for all infected persons in need is a global health priority. The primary goals of initiating antiretroviral drugs are to suppress human immunodeficiency virus viral replication and to restore immune function. However, adequate nutrition is necessary to manage opportunistic infections and to maintain the immune system. Therefore, this study aimed to determine the recent prevalence of undernutrition and associated factors among HIV patients receiving first-line antiretroviral therapy in public health facilities of Arba Minch town, Gamo zone, Southern Ethiopia.Methods: Institution-based cross-sectional study was used among 333 adult patients receiving first-line antiretroviral therapy at public health facilities of Arba Minch town. A simple random sampling technique was used to select the study subjects. Data were collected through interviewer-administered questionnaires. Binary and multivariable logistic regression analyses were used to identify factors associated with undernutrition. A p-value <0.05 with a 95% confidence level was used to declare statistical significance.Results: The overall prevalence of undernutrition among adult patients receiving first-line antiretroviral therapy is 23.72% (95% CI: 19.13–28.27%). Current substance use (AOR=1.83, 95% CI:1.09–3.08), duration on antiretroviral therapy (AOR=1.87, 95% CI:1.06–3.30), not taking cotrimoxazole preventive therapy (AOR=2.09, 95% CI:1.15–3.82), advanced WHO clinical stages (AOR=5.1, 95% CI: 2.9–7.7), CD4 count less than 350 cell/mm3 (AOR=1.83, 95% CI: 1.09–3.05) and active tuberculosis (AOR=1.89, 95% CI: 1.02–3.53) were factors significantly associated with undernutrition among respondents who were enrolled on first-line antiretroviral therapy.Conclusion: This study shows that the prevalence of undernutrition was high among adult patients on first-line antiretroviral therapy. Therefore, this finding shows the need to implement nutrition programs to improve the nutritional status of adults living with HIV in the study area. The interventions should emphasise those patients who use the substance, who are in advanced WHO clinical stage and have active tuberculosis. Besides, emphasis should be given for patients to undertake cotrimoxazole preventive therapy and to regularly follow their CD4 count.Keywords: under nutrition, first-line antiretroviral therapy, adult, Ethiopia, HIVOumer BBoti NHussen SGultie TDove Medical Pressarticleunder nutritionfirst-line antiretroviral therapyadultethiopiahivImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 11, Pp 313-320 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	under nutrition first-line antiretroviral therapy adult ethiopia hiv Immunologic diseases. Allergy RC581-607
spellingShingle	under nutrition first-line antiretroviral therapy adult ethiopia hiv Immunologic diseases. Allergy RC581-607 Oumer B Boti N Hussen S Gultie T Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia
description	Bilcha Oumer,1 Negussie Boti,2 Sultan Hussen,2 Teklemariam Gultie1 1Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Negussie BotiDepartment of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaEmail hanehalid@gmail.comIntroduction: Access to antiretroviral drugs for all infected persons in need is a global health priority. The primary goals of initiating antiretroviral drugs are to suppress human immunodeficiency virus viral replication and to restore immune function. However, adequate nutrition is necessary to manage opportunistic infections and to maintain the immune system. Therefore, this study aimed to determine the recent prevalence of undernutrition and associated factors among HIV patients receiving first-line antiretroviral therapy in public health facilities of Arba Minch town, Gamo zone, Southern Ethiopia.Methods: Institution-based cross-sectional study was used among 333 adult patients receiving first-line antiretroviral therapy at public health facilities of Arba Minch town. A simple random sampling technique was used to select the study subjects. Data were collected through interviewer-administered questionnaires. Binary and multivariable logistic regression analyses were used to identify factors associated with undernutrition. A p-value <0.05 with a 95% confidence level was used to declare statistical significance.Results: The overall prevalence of undernutrition among adult patients receiving first-line antiretroviral therapy is 23.72% (95% CI: 19.13–28.27%). Current substance use (AOR=1.83, 95% CI:1.09–3.08), duration on antiretroviral therapy (AOR=1.87, 95% CI:1.06–3.30), not taking cotrimoxazole preventive therapy (AOR=2.09, 95% CI:1.15–3.82), advanced WHO clinical stages (AOR=5.1, 95% CI: 2.9–7.7), CD4 count less than 350 cell/mm3 (AOR=1.83, 95% CI: 1.09–3.05) and active tuberculosis (AOR=1.89, 95% CI: 1.02–3.53) were factors significantly associated with undernutrition among respondents who were enrolled on first-line antiretroviral therapy.Conclusion: This study shows that the prevalence of undernutrition was high among adult patients on first-line antiretroviral therapy. Therefore, this finding shows the need to implement nutrition programs to improve the nutritional status of adults living with HIV in the study area. The interventions should emphasise those patients who use the substance, who are in advanced WHO clinical stage and have active tuberculosis. Besides, emphasis should be given for patients to undertake cotrimoxazole preventive therapy and to regularly follow their CD4 count.Keywords: under nutrition, first-line antiretroviral therapy, adult, Ethiopia, HIV
format	article
author	Oumer B Boti N Hussen S Gultie T
author_facet	Oumer B Boti N Hussen S Gultie T
author_sort	Oumer B
title	Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia
title_short	Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia
title_full	Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia
title_fullStr	Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia
title_full_unstemmed	Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia
title_sort	prevalence of undernutrition and associated factors among adults receiving first-line antiretroviral treatment in public health facilities of arba minch town, southern ethiopia
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/d02cdd95d9864271b37327e8643e83ed
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Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia

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