Level of Dietary Diversity and Associated Factors among Adult Patients on HAART at Public Health Facilities of Ambo town, West Shoa Zone Ethiopia

Taye, Kefyalew; Alemayehu, Diriba; Tadesse, Esayas; Tiki, Takele

doi:10.35248/2329-891x.19.7.324

Cited by 4 publications

(13 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall magnitude of low dietary diversity in the current study was 60.1%. The result was consistent with studies done in Mettema (58.8%), 14 Nigeria (62.3%), 18 and Jimma (55.8%); 28 whereas, it was higher than those of studies done in Hiwot Fana and Dilchora Hospitals ART clinics in eastern Ethiopia (28.7%), 7 Butajira (38.8%), 29 Kenya (37.3%), 9 and Rwanda (43%), 20 and it was lower than instudies conducted in Ambo (71%), 11 Dabra Tebor (67.6%), 19 Hossana (69.4%), 30 and east Gojjam (70.5%). 22 This difference might be due to differences in study locations, seasonal variability, socioeconomic status of participants and cut-off points used to determine the outcome variable.…”

Section: Discussionmentioning

confidence: 74%

“…Inability to meet nutritional needs may lead to reduced immunity and increased vulnerability to opportunistic infections (OIs), which can lead to further malnutrition. 11,12 The association between HIV infection and nutrition and the influence of HIV on nutrition is difficult to determine. 13 Micronutrients are important for sustaining suitable immunological responses so preserving proper nutrition, weight, and immune systems should delay disease advancement, delay the asymptomatic phase and increase lifespan.…”

Section: Introductionmentioning

confidence: 99%

“…9,20,21 Studies done in Ethiopia show that low dietary diversity among HIV-positive patients were at levels of 28.7% to 71% and that lower income or wealth status, occupational status, educational status, separated from husband/ wife, media exposure in household, nutritional counseling, shorter duration of ART, taking cotrimoxazole prophylaxis are among the most common factors which affect dietary diversity status of HIV patients on ART. 7,11,14,19,22 Ethiopia had made a notable effort to address the influence of HIV/AIDS on nutrition by establishing national guidelines for taking action to deliver quality care and support to HIV-positive patients. 23 Also, it provided livelihood support and food support and strengthened communitybased nutrition care and support activities for PLHIV through health extension workers and agriculture extension workers in addition to ART, care, and support.…”

Section: Introductionmentioning

confidence: 99%

“…Inability to meet nutritional needs may lead to reduced immunity and increased vulnerability to opportunistic infections (OIs), which can lead to further malnutrition. 11 , 12…”

Section: Introductionmentioning

confidence: 99%

“…Studies done in Ethiopia show that low dietary diversity among HIV-positive patients were at levels of 28.7% to 71% and that lower income or wealth status, occupational status, educational status, separated from husband/wife, media exposure in household, nutritional counseling, shorter duration of ART, taking cotrimoxazole prophylaxis are among the most common factors which affect dietary diversity status of HIV patients on ART. 7 , 11 , 14 , 19 , 22 …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Markos¹,

Lolaso²,

Mengistu

et al. 2020

HIV

View full text Add to dashboard Cite

Background: 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 socioeconomic 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.

show abstract

Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Inability to meet nutritional needs may lead to reduced immunity and increased vulnerability to opportunistic infections (OIs), which can lead to further malnutrition. 11 , 12…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Markos¹,

Lolaso²,

Mengistu

et al. 2020

HIV

View full text Add to dashboard Cite

show abstract

Predictors of underweight among adult patients receiving antiretroviral therapy in Bishoftu general hospital, central Ethiopia: Case-control study

Assefa,

Deksisa,

Abdo

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Underweight affects the overall clinical outcome and quality of life and increases the risk of mortalities in Human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) patients. Though studies have examined the various determinants of being underweight in people living with HIV/AIDS (PLHIV), scanty evidence exists about the influence of dietary diversity scores and dietary counseling on underweight HIV patients in Ethiopia. This study aimed to identify the determinants of being underweight among adult patients receiving antiretroviral therapy at Bishoftu General Hospital, central Ethiopia. Methods An institution-based unmatched case-control study was conducted among 279 participants (93 cases and 186 controls) from April to May 2022. Cases were selected consecutively as they occur, and then two subsequent controls that visited the antiretroviral therapy(ART) clinic were interviewed until the sample size was attained. Data were collected using a pretested structured questionnaire and involved patient interviews and chart review. Bivariate and Multivariable logistic regression was used to identify determinants of underweight. The presence of statistically significant association was declared with p-value <0.05, and a 95% confidence interval was used to show the precision in the measure of the strength of association. Results The response rate of participants was 91.2% for each of the cases and controls. Monthly income of patients ≤2000 birr (AOR = 6.63, 95% CI: 2.96–14.85), absence of support giver (AOR = 3.22, 95% CI: 1.38–7.50), being having an eating problem (AOR = 14.48, 95% CI: 5.06–41.40), dietary diversity score of four to five (AOR = 2.36, 95% CI: 1.92, 6.08), not getting dietary counseling support and advice (AOR = 2.53, 95% CI: 1.11, 5.72) and chewing khat (AOR = 3.36, 95% CI: 1.99,11.33) were determinants of underweight in adult HIV patients. Conclusions This study revealed that household dietary diversity, counseling and education on nutrition, monthly income, eating problems, support giver, and khat chewing were predictors of being underweight in HIV patients. This inquires an integrated nutritional intervention including income-generating activities, counseling and education on nutrition and bad habits, and regular monitoring of the nutritional status during clinic visits.

show abstract

Predictors of Dietary Diversity among HIV Clients in a Low-resource Tertiary Health Facility in Southeast Nigeria: A Cross-sectional Analytical Study

Ezenwosu,

Ugwunna

et al. 2022

Int J Med Health Dev

View full text Add to dashboard Cite

Level of Dietary Diversity and Associated Factors among Adult Patients on HAART at Public Health Facilities of Ambo town, West Shoa Zone Ethiopia

Cited by 4 publications

References 13 publications

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

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

Predictors of underweight among adult patients receiving antiretroviral therapy in Bishoftu general hospital, central Ethiopia: Case-control study

Predictors of Dietary Diversity among HIV Clients in a Low-resource Tertiary Health Facility in Southeast Nigeria: A Cross-sectional Analytical Study

Contact Info

Product

Resources

About