High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme

Nigusso, Fikadu Tadesse; Mavhandu-Mudzusi, Azwihangwisi Helen

doi:10.1177/0260106020971855

Cited by 10 publications

(12 citation statements)

References 52 publications

(76 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…HIV infection and malnutrition are significant public health problems that affect 1•6 and 340 million children from Africa, respectively (1) . Children with perinatally acquired HIV infection (CPHIV) are especially vulnerable to stunting due to HIV-specific morbidity and a high prevalence of nutritional deficiencies (2,3) . Malnourished CPHIV are at elevated risk of death relative to HIV-uninfected peers (4) .…”

Section: Introductionmentioning

confidence: 99%

Association of serum PUFA and linear growth over 12 months among 6–10 years old Ugandan children with or without HIV

Pobee

Fenton

Sikorskii

et al. 2022

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To quantify PUFA-associated improvement in linear growth among children aged 6–10 years. Design: Serum fatty acids (FA), including essential FA (EFA) (linoleic acid (LA) and α-linolenic acid (ALA)) were quantified at baseline using GC-MS technology. FA totals by class (n-3, n-6, n-9, PUFA and SFA) and FA ratios were calculated. Height-for-age Z-score (HAZ) relative to WHO population reference values were calculated longitudinally at baseline, 6 and 12 months. Linear regression models estimated PUFA, HIV status and their interaction-associated standardised mean difference (SMD) and 95 % CI in HAZ over 12 months. Setting: Community controls and children connected to community health centre in Kampala, Uganda, were enrolled. Participants: Children perinatally HIV-infected (CPHIV, n 82), or HIV-exposed but uninfected (CHEU, n 76) and community controls (n 78). Results: Relative to highest FA levels, low SFA (SMD = 0·31, 95 % CI: 0·03, 0·60), low Mead acid (SMD = 0·38, 95 % CI: 0·02, 0·74), low total n-9 (SMD = 0·44, 95 % CI: 0·08, 0·80) and low triene-to-tetraene ratio (SMD = 0·42, 95 % CI: 0·07, 0·77) predicted superior growth over 12 months. Conversely, low LA (SMD = -0·47, 95 % CI: −0·82, −0·12) and low total PUFA (sum of total n-3, total n-6 and Mead acid) (SMD = -0·33 to −0·39, 95 % CI: −0·71, −0·01) predicted growth deficit over 12 months follow-up, regardless of HIV status. Conclusion: Low n-3 FA (ALA, EPA and n-3 index) predicted growth deficits among community controls. EFA sufficiency may improve stature in school-aged children regardless of HIV status. Evaluating efficacy of diets low in total SFA, sufficient in EFA and enriched in n-3 FA for improving child growth is warranted.

show abstract

Section: Introductionmentioning

confidence: 99%

Association of serum PUFA and linear growth over 12 months among 6–10 years old Ugandan children with or without HIV

Pobee

Fenton

Sikorskii

et al. 2022

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…In another food insecurity report, 93% of households in the informal settlements, (making 75% of Lusaka’s urban population) were food insecure 7 affirming nutrition vulnerabilities in some urban sub-populations. Food insecurity has been found to be a major cause of undernutrition, thus compromising treatment outcomes among PLHIV 8, 9 .…”

Section: Discussionmentioning

confidence: 99%

“…were food insecure 7 affirming nutrition vulnerabilities in some urban sub-populations. Food insecurity has been found to be a major cause of undernutrition, thus compromising treatment outcomes among PLHIV 8,9 .…”

Section: Figure 1: Participant Enrolment Flowmentioning

confidence: 99%

Undernutrition and associated factors among people living with HIV under NACS assessment in Muchinga Province, Zambia, 2019-2020

Sadoki

Kinge

Jojozi

et al. 2022

Preprint

View full text Add to dashboard Cite

IntroductionGood nutrition in People Living with HIV (PLHIV) has a good influence on treatment outcomes and in turn a better quality of life. Despite, the significant role it plays, many patients have limited access to Nutritional Assessment Counselling and Support (NACS). We evaluated undernutrition in people living with HIV and associated factors in Muchinga Province, Zambia, from October 2019 to March 2020.Material and MethodsThis was secondary analysis of routine program data of HIV-positive clients on ART enrolled at EQUIP-supported health facilities in Muchinga. Undernutrition was determined using body mass index (BMI) calculations and classified as undernutrition (<18.5 kg/m2), normal (18.5 – 24.9 kg/m2) or over-nutrition (overweight, 25 – 29.9 kg/m2 and obese, 25 – 29.9 kg/m2). Multivariate-adjusted odds ratios (aOR) were used to assess factors associated with undernutrition.ResultsOf the 506 eligible clients under NACS, the mean age was 34.9 years ± 13.5SD, with 251 (approximately 50%) between the ages of 21 – 39 years. More than half (67%) were females, 284 (56%) were urban residents, and 180 (35.6 %) were unemployed. The majority (approximately 71%) were on the TLE regimen with a median duration on ART treatment of ∼3 years (IQR=1– 6). There were 233 (46%) who had a normal BMI, 191 (37.7%) who had under-nutrition, and 82 (16.2%) who had over-nutrition (9.7% overweight: 6.5% obesity). Clients in the urban area (aOR= 2.0; 95%CI: 1.28 – 3.1), unemployed (aOR= 2.4 (1.18-4.69)2.4; 95%CI: 1.18 – 4.69), married (aOR= 2.3; 95%CI: 1.26 – 4.38) and being on TLD (aOR= 2.8; 95%CI: 1.23 – 6.23) were more likely to be under-nourished.ConclusionNACS played a vital role in identifying HIV-positive clients who required more specialized care for improved clinical health outcomes. There is a need to strengthen HIV and nutrition integration in low-resourced countries with high HIV burden for improved treatment outcomes and quality of life.

show abstract

“…Despite significant advances in HIV treatment, PWH continue to experience numerous psychosocial stressors including HIV-related stigma, interpersonal conflict and violence related to HIV disclosure, HIV-and non-HIV-related grief and loss, and HIV-and non-HIVrelated material hardship [4][5][6]. This is particularly relevant among PWH in sub-Saharan Africa (SSA) where the majority of PWH reside and where the burden of material hardship, interpersonal violence, and HIV-related stigma has been well-documented [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Coping Strategies and Symptoms of Mental Health Disorders Among People with HIV Initiating HIV Care in Cameroon

et al. 2023

View full text Add to dashboard Cite

Little is known about the coping strategies used among people with HIV (PWH), especially in sub-Saharan Africa, and the extent to which adaptive or maladaptive coping strategies are associated with symptoms of mental health disorders. We interviewed 426 PWH initiating HIV care in Cameroon and reported the prevalence of adaptive and maladaptive coping strategies, overall and by presence of symptoms of depression, anxiety, and PTSD. Log binominal regression was used to estimate the association between each type of coping strategy (adaptive or maladaptive) and symptoms of each mental health disorder, separately. Adaptive and maladaptive coping strategies were commonly reported among PWH enrolling in HIV care in Cameroon. Across all mental health disorders assessed, greater maladaptive coping was associated with higher prevalence of depression, anxiety, and PTSD. Adaptive coping was not associated with symptoms of any of the mental health disorders assessed in bivariate or multivariable models. Our study found that PWH endorsed a range of concurrent adaptive and maladaptive coping strategies. Future efforts should explore the extent to which coping strategies change throughout the HIV care continuum. Interventions to reduce maladaptive coping have the potential to improve the mental health of PWH in Cameroon.

show abstract

High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme

Cited by 10 publications

References 52 publications

Association of serum PUFA and linear growth over 12 months among 6–10 years old Ugandan children with or without HIV

Association of serum PUFA and linear growth over 12 months among 6–10 years old Ugandan children with or without HIV

Undernutrition and associated factors among people living with HIV under NACS assessment in Muchinga Province, Zambia, 2019-2020

Coping Strategies and Symptoms of Mental Health Disorders Among People with HIV Initiating HIV Care in Cameroon

Contact Info

Product

Resources

About