Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia

Melese Markos,1 Tsegaye Lolaso,2 Abrham Mengistu,3 Zerihun Tariku1 1Department of Public Health, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia; 2School of Public Health, College of Health and Medicine Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Depa...

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Autores principales:	Markos M, Lolaso T, Mengistu A, Tariku Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	dietary diversity hiv positives patients southern ethiopia. Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/e3b955b1311141df9c2eefddc28a65c4
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spelling	oai:doaj.org-article:e3b955b1311141df9c2eefddc28a65c42021-12-02T15:16:30ZDietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia1179-1373https://doaj.org/article/e3b955b1311141df9c2eefddc28a65c42020-12-01T00:00:00Zhttps://www.dovepress.com/dietary-diversity-and-associated-factors-among-adult-hiv-positive-pati-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Melese Markos,1 Tsegaye Lolaso,2 Abrham Mengistu,3 Zerihun Tariku1 1Department of Public Health, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia; 2School of Public Health, College of Health and Medicine Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Public Health, College of Health and Medicine Science, Wachamo University, Hossaina, EthiopiaCorrespondence: Melese Markos Tel +251-916-138-371Email melesemarkos@gmail.comBackground: 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 socio-economic 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.Keywords: dietary diversity, HIV positives, patients, southern, EthiopiaMarkos MLolaso TMengistu ATariku ZDove Medical Pressarticledietary diversityhiv positivespatientssouthernethiopia.Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 12, Pp 859-868 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	dietary diversity hiv positives patients southern ethiopia. Immunologic diseases. Allergy RC581-607
spellingShingle	dietary diversity hiv positives patients southern ethiopia. Immunologic diseases. Allergy RC581-607 Markos M Lolaso T Mengistu A Tariku Z Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia
description	Melese Markos,1 Tsegaye Lolaso,2 Abrham Mengistu,3 Zerihun Tariku1 1Department of Public Health, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia; 2School of Public Health, College of Health and Medicine Science, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Public Health, College of Health and Medicine Science, Wachamo University, Hossaina, EthiopiaCorrespondence: Melese Markos Tel +251-916-138-371Email melesemarkos@gmail.comBackground: 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 socio-economic 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.Keywords: dietary diversity, HIV positives, patients, southern, Ethiopia
format	article
author	Markos M Lolaso T Mengistu A Tariku Z
author_facet	Markos M Lolaso T Mengistu A Tariku Z
author_sort	Markos M
title	Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia
title_short	Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia
title_full	Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia
title_fullStr	Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia
title_full_unstemmed	Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia
title_sort	dietary diversity and associated factors among adult hiv positive patients on anti-retroviral therapy in public hospitals of kembata tembaro zone, southern ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e3b955b1311141df9c2eefddc28a65c4
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Dietary Diversity and Associated Factors Among Adult HIV Positive Patients on Anti-Retroviral Therapy in Public Hospitals of Kembata Tembaro Zone, Southern Ethiopia

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