Journal article Open Access

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; Negussie Boti; Sultan Hussen; Teklemariam Gultie


MARC21 XML Export

<?xml version='1.0' encoding='UTF-8'?>
<record xmlns="http://www.loc.gov/MARC21/slim">
  <leader>00000nam##2200000uu#4500</leader>
  <datafield tag="856" ind1="4" ind2=" ">
    <subfield code="s">416525</subfield>
    <subfield code="u">https://nadre.ethernet.edu.et/record/4444/files/Prevalence Of Undernutrition.pdf</subfield>
    <subfield code="z">md5:fd30f0cf8a891d0428e93f0f76e8fe03</subfield>
  </datafield>
  <datafield tag="520" ind1=" " ind2=" ">
    <subfield code="a">&lt;p&gt;Introduction: Access to antiretroviral drugs for all infected persons in need is a global&lt;br&gt;
health priority. The primary goals of initiating antiretroviral drugs are to suppress human&lt;br&gt;
immunodeficiency virus viral replication and to restore immune function. However, adequate&lt;br&gt;
nutrition is necessary to manage opportunistic infections and to maintain the immune system.&lt;br&gt;
Therefore, this study aimed to determine the recent prevalence of undernutrition and&lt;br&gt;
associated factors among HIV patients receiving first-line antiretroviral therapy in public&lt;br&gt;
health facilities of Arba Minch town, Gamo zone, Southern Ethiopia.&lt;br&gt;
Methods: Institution-based cross-sectional study was used among 333 adult patients receiving&lt;br&gt;
first-line antiretroviral therapy at public health facilities of Arba Minch town. A simple&lt;br&gt;
random sampling technique was used to select the study subjects. Data were collected&lt;br&gt;
through interviewer-administered questionnaires. Binary and multivariable logistic regression&lt;br&gt;
analyses were used to identify factors associated with undernutrition. A p-value &amp;lt;0.05&lt;br&gt;
with a 95% confidence level was used to declare statistical significance.&lt;br&gt;
Results: The overall prevalence of undernutrition among adult patients receiving first-line&lt;br&gt;
antiretroviral therapy is 23.72% (95% CI: 19.13&amp;ndash;28.27%). Current substance use&lt;br&gt;
(AOR=1.83, 95% CI:1.09&amp;ndash;3.08), duration on antiretroviral therapy (AOR=1.87, 95%&lt;br&gt;
CI:1.06&amp;ndash;3.30), not taking cotrimoxazole preventive therapy (AOR=2.09, 95% CI:1.15&amp;ndash;&lt;br&gt;
3.82), advanced WHO clinical stages (AOR=5.1, 95% CI: 2.9&amp;ndash;7.7), CD4 count less than&lt;br&gt;
350 cell/mm3 (AOR=1.83, 95% CI: 1.09&amp;ndash;3.05) and active tuberculosis (AOR=1.89, 95% CI:&lt;br&gt;
1.02&amp;ndash;3.53) were factors significantly associated with undernutrition among respondents who&lt;br&gt;
were enrolled on first-line antiretroviral therapy.&lt;br&gt;
Conclusion: This study shows that the prevalence of undernutrition was high among adult&lt;br&gt;
patients on first-line antiretroviral therapy. Therefore, this finding shows the need to implement&lt;br&gt;
nutrition programs to improve the nutritional status of adults living with HIV in the study area.&lt;br&gt;
The interventions should emphasise those patients who use the substance, who are in advanced&lt;br&gt;
WHO clinical stage and have active tuberculosis. Besides, emphasis should be given for patients&lt;br&gt;
to undertake cotrimoxazole preventive therapy and to regularly follow their CD4 count.&lt;br&gt;
Keywords: under nutrition, first-line antiretroviral therapy, adult, Ethiopia, HIV&lt;/p&gt;</subfield>
  </datafield>
  <datafield tag="024" ind1=" " ind2=" ">
    <subfield code="a">10.20372/nadre/4444</subfield>
    <subfield code="2">doi</subfield>
  </datafield>
  <datafield tag="980" ind1=" " ind2=" ">
    <subfield code="a">user-amumhs</subfield>
  </datafield>
  <datafield tag="980" ind1=" " ind2=" ">
    <subfield code="a">user-nadre</subfield>
  </datafield>
  <controlfield tag="005">20191221073314.0</controlfield>
  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Negussie Boti</subfield>
    <subfield code="u">Department of Public Health, College of Medicine a</subfield>
  </datafield>
  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Sultan Hussen</subfield>
    <subfield code="u">Department of Public Health, College of Medicine a</subfield>
  </datafield>
  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Teklemariam Gultie</subfield>
    <subfield code="u">1Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia</subfield>
  </datafield>
  <datafield tag="540" ind1=" " ind2=" ">
    <subfield code="u">http://www.opendefinition.org/licenses/odc-by</subfield>
    <subfield code="a">Open Data Commons Attribution License</subfield>
  </datafield>
  <datafield tag="542" ind1=" " ind2=" ">
    <subfield code="l">open</subfield>
  </datafield>
  <datafield tag="980" ind1=" " ind2=" ">
    <subfield code="a">publication</subfield>
    <subfield code="b">article</subfield>
  </datafield>
  <datafield tag="773" ind1=" " ind2=" ">
    <subfield code="a">10.20372/nadre/4443</subfield>
    <subfield code="i">isVersionOf</subfield>
    <subfield code="n">doi</subfield>
  </datafield>
  <datafield tag="260" ind1=" " ind2=" ">
    <subfield code="c">2019-11-27</subfield>
  </datafield>
  <datafield tag="100" ind1=" " ind2=" ">
    <subfield code="a">Bilcha Oumer</subfield>
    <subfield code="u">1Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia</subfield>
  </datafield>
  <datafield tag="245" ind1=" " ind2=" ">
    <subfield code="a">Prevalence Of Undernutrition And Associated Factors Among Adults Receiving First-Line Antiretroviral Treatment In Public Health Facilities Of Arba Minch Town, Southern Ethiopia</subfield>
  </datafield>
  <controlfield tag="001">4444</controlfield>
  <datafield tag="650" ind1="1" ind2="7">
    <subfield code="a">cc-by</subfield>
    <subfield code="2">opendefinition.org</subfield>
  </datafield>
</record>
202
33
views
downloads
All versions This version
Views 202202
Downloads 3333
Data volume 13.7 MB13.7 MB
Unique views 7676
Unique downloads 2525

Share

Cite as