scholarly journals Household Food Insecurity Associated With Antiretroviral Therapy Adherence Among HIV-Infected Patients in Windhoek, Namibia

2014 ◽  
Vol 67 (4) ◽  
pp. e115-e122 ◽  
Author(s):  
Steven Y. Hong ◽  
Theresa J. Fanelli ◽  
Anna Jonas ◽  
Justice Gweshe ◽  
Francina Tjituka ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Food Insecurity ◽  
Household Food Insecurity ◽  
Therapy Adherence ◽  
Household Food ◽  
Antiretroviral Therapy Adherence

scholarly journals Food Insecurity, Nutritional Status, and Factors Associated with Malnutrition among People Living with HIV/AIDS Attending Antiretroviral Therapy at Public Health Facilities in West Shewa Zone, Central Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Delelegn Yilma Gebremichael ◽  
Kokeb Tesfamariam Hadush ◽  
Ermiyas Mulu Kebede ◽  
Robel Tezera Zegeye
Keyword(s):  
Public Health ◽  
Antiretroviral Therapy ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Household Food Insecurity ◽  
Aids Patients ◽  
Public Health Facilities ◽  
Factors Associated ◽  
Household Food ◽  
Hiv Aids

Background. In resource limited settings, HIV/AIDS patients lack access to sufficient nutritious foods, which poses challenges to the success of antiretroviral therapy. HIV/AIDS and malnutrition are still major public health problems in Ethiopia. Though measuring nutritional status is an essential part of ART program, little evidence exists on food insecurity and nutritional status of HIV/AIDS patients in Ethiopia. Hence, the study aimed to determine food insecurity and nutritional status and contextual determinants of malnutrition among HIV/AIDS patients in West Shewa Zone, Ethiopia. Methods. Institution-based cross-sectional study was conducted among HIV/ADIS patients who have been attending antiretroviral therapy at public health facilities in West Shewa Zone from April to May 2016, Ethiopia. The sample size was 512 and study participants were selected from each facilities using systematic random sampling method. Data were collected using pretested questionnaire by trained data collectors. Data were entered to Epi-Info 3.5.1 for Windows and analyzed using SPSS version 22. Logistic regression analyses were conducted to determine independent factors associated with malnutrition. Results. Prevalence of malnutrition was 23.6% (95% CI: 19.7%–27.4%) and prevalence of household food insecurity was 35.2% (95% CI: 31.1%–39.0%). Factors significantly associated with malnutrition among HIV/AIDS patients were unemployment (AOR = 3.4; 95% CI: 1.8–5.3), WHO clinical stages III/IV (AOR = 3.3; 95% CI: 1.8–6.5), CD4 count less than 350 cells/μl (AOR = 2.0; 95% CI: 1.8–4.2), tuberculosis (AOR = 2.3; 95% CI: 1.3–4.9), duration on antiretroviral therapy (AOR = 1.8; 95% CI: 1.2–2.9), and household food insecurity (AOR = 5.3; 95% CI: 2.5–8.3). Conclusions. The findings revealed high prevalence of malnutrition and household food insecurity among HIV/AIDS patients attended ART. The negative interactive effects of undernutrition, inadequate food consumption, and HIV infection demand effective cross-sectorial integrated programs and effective management of opportunistic infections like tuberculosis.

scholarly journals Multi-measure assessment of adherence to Antiretroviral Therapy among children under five years living with HIV in Jinja, Uganda

2020 ◽  
Author(s):  
Jacquellyn Nambi Ssanyu ◽  
Mary Nakafeero ◽  
Fred Nuwaha
Keyword(s):  
Antiretroviral Therapy ◽  
Food Insecurity ◽  
P Value ◽  
Household Food Insecurity ◽  
Viral Load Suppression ◽  
Children Under Five ◽  
Under Five ◽  
Household Food ◽  
Living With Hiv

Abstract Background: Adherence to Antiretroviral Therapy (ART) is required to achieve HIV viral load suppression. However, children under five years in Jinja, Uganda, had been shown to have low HIV suppression rates. This study aimed to determine the level of ART non-adherence among these children and the associated factors. Methods: Data for the cross-sectional study was collected from April to July 2019, from caregivers of 206 children under five years living with HIV who were attending health facilities in Jinja and had been on ART for at least three months. Non-adherence was measured using a Visual Analog Scale that assessed both dosing and timing non-adherence, and by determining the Proportion of Days Covered by the medication. A questionnaire administered to the caregivers was used to collect the data, together with medical record review. A child was only considered adherent if they had adherence greater than 95% on all the measures. The data was analysed using Modified Poisson Regression, taking a p-value less than 0.05 as statistically significant. Results: Of the 206 children, 73.8% were older than 2 years, and 52.9% were female. Likewise, the majority of caregivers were female (93.7%). Using the combined adherence measure, 57.3% of the children were categorised as non-adherent. School/day-care attendance, Prevalence Ratio (PR) = 1.25 (p = 0.042), the caregiver having higher than a primary school education, PR = 0.72 (p = 0.044) and satisfaction with the quality of service at the health facility, PR = 0.97 (p <0.001) were associated with non-adherence. Household food insecurity was also associated with non-adherence: PR = 1.55 (p = 0.011) for mild food insecurity, PR= 1.75 (p = 0.001) for moderate insecurity and PR = 1.48 (p = 0.015) for severe food insecurity. Conclusions: Children under five years in Jinja had a high level of ART non-adherence. It is important to engage schools to support adherence among children living with HIV. Addressing household food insecurity and improving the quality of paediatric ART services would also reduce the barriers to optimal adherence.

scholarly journals Food Insecurity as a Barrier to Sustained Antiretroviral Therapy Adherence in Uganda

PLoS ONE ◽  
2010 ◽  
Vol 5 (4) ◽  
pp. e10340 ◽  
Author(s):  
Sheri D. Weiser ◽  
David M. Tuller ◽  
Edward A. Frongillo ◽  
Jude Senkungu ◽  
Nozmu Mukiibi ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Food Insecurity ◽  
Therapy Adherence ◽  
Antiretroviral Therapy Adherence

scholarly journals Impact of COVID-19 on child malnutrition, obesity in women and household food insecurity in underserved urban settlements in Sri Lanka: a prospective follow up study

2021 ◽  
pp. 1-24
Author(s):  
Renuka Jayatissa ◽  
Himali Herath ◽  
Amila Gayan Perera ◽  
Thulasika Thejani Dayaratne ◽  
Nawmali Dhanuska De Alwis ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Food Insecurity ◽  
Child Malnutrition ◽  
Nutrition Status ◽  
Household Food Insecurity ◽  
Follow Up Study ◽  
Household Food ◽  
Before And After ◽  
Urban Settlements

Abstract Objectives: To determine changes and factors associated with child malnutrition, obesity in women and household food insecurity before and after the first wave of COVID-19 pandemic. Design: A prospective follow up study. Setting: In 2019, the baseline Urban Health and Nutrition Study (UHNS-2019) was conducted in 603 households, which were selected randomly from 30 clusters to represent underserved urban settlements in Colombo. In the present study, 35% of households from the UHNS-2019 cohort were randomly selected for repeat interviews, one year after the baseline study and 6 months after COVID-19 pandemic in Sri Lanka. Height/length and weight of children and women were re-measured, household food insecurity was reassessed, and associated factors were gathered through interviewer administered questionnaires. Differences in measurements at baseline and follow-up studies were compared. Participants: A total of 207 households, comprising 127 women and 109 children were included. Results: The current prevalence of children with wasting and overweight was higher in the follow-up study than at baseline UHNS-2019 (18.3%vs13.7%;p=0.26 and 8.3%vs3.7%;p=0.12 respectively). There was a decrease in prevalence of child stunting (14.7%vs11.9%;p=0.37). A change was not observed in overall obesity in women, which was around 30.7%. Repeated lockdown was associated with a significant reduction in food security from 57% in UHNS-2019 to 30% in the current study (p<0.001). Conclusions: There was an increase in wasting and overweight among children while women had a persistent high prevalence of obesity. This population needs suitable interventions to improve nutrition status of children and women to minimise susceptibility to COVID-19.

scholarly journals Household food insecurity and health in a high migration area in rural Honduras

2021 ◽  
pp. 100885
Author(s):  
Sanjeev Kumar ◽  
Nicholas A. Christakis ◽  
Rafael Pérez-Escamilla
Keyword(s):  
Food Insecurity ◽  
Household Food Insecurity ◽  
Household Food ◽  
High Migration

scholarly journals Illicit Drug Use in Canada and Implications for Suicidal Behaviors, and Household Food Insecurity: Findings from a Large, Nationally Representative Survey

2021 ◽  
Vol 18 (12) ◽  
pp. 6425
Author(s):  
Nicola Luigi Bragazzi ◽  
Dan Beamish ◽  
Jude Dzevela Kong ◽  
Jianhong Wu
Keyword(s):  
Suicidal Ideation ◽  
Drug Use ◽  
Food Insecurity ◽  
Drug Users ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Household Food Insecurity ◽  
Household Food ◽  
Suicidal Attempts ◽  
Nationally Representative

Background and Aims: Illicit drug use is an ongoing health and social issue in Canada. This study aimed to investigate the prevalence of illicit drug use and its implications for suicidal behaviors, and household food insecurity in Canada. Design: Cross-sectional population survey. Setting: Canada, using the 2015–2016 Canadian Community Health Survey, a nationally representative sample selected by stratified multi-stage probability sampling. Participants: A total of 106,850 respondents aged ≥ 12 years who had completed information on illicit drug use. Measurements: Illicit drug use was assessed through a series of questions about illicit drug use methods. Respondents who reported lifetime illicit drug use but no past-year use were considered to have prior illicit drug use. In this survey, illicit drug use included cannabis use. Findings: Overall, the prevalence of lifetime, past-year, and prior illicit drug use was 33.2% (9.8 million), 10.4% (3.1 million), and 22.7% (6.7 million), respectively. In models adjusting for sociodemographic covariates, prior illicit drug use was significantly associated with increased odds of past-year suicidal ideation (adjusted odds ratio [AOR] 1.21, 95% CI 1.04–1.40), and plans (1.48, 1.15–1.91), and past-year household food insecurity (1.27, 1.14–1.41), and the odds were much higher among prior injecting drug users than prior non-injecting drug users. No significant correlation was found between prior illicit drug use and past-year suicidal attempts, but there was a strong association between past-year illicit drug use and past-year suicidal attempts. Conclusions: Our findings suggest that even after people have stopped taking illicit drugs, prior illicit drug use, especially for prior injecting drug use, continues to be associated with increased risks of subsequent suicidal ideation, and plans, and household food insecurity.

Sign in / Sign up

Export Citation Format

Share Document