scholarly journals Nutritional risk and nutritional status in hospitalized older adults living with HIV in Shenzhen, China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoning Liu ◽  
Jing Cao ◽  
Zheng Zhu ◽  
Xia Zhao ◽  
Jing Zhou ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Albumin Level ◽  
Nutritional Risk ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Living With Hiv

Abstract Background Nutrition is a crucial factor that can impact morbidity and mortality in older people living with HIV (PLWH). Studies on nutritional risk and nutritional status in all age groups in PLWH have been conducted. However, few studies have focused on nutritional risk in older PLWH. This study aimed to describe the nutritional risk and nutritional status in older PLWH, and explore factors associated with nutritional risk and undernutrition status. Methods We conducted a cross-sectional study. We recruited participants aged 50 years or older from the Third People’s Hospital of Shenzhen from January 2016 to May 2019. Nutritional risk and nutritional status were evaluated by the Nutritional Risk Screening 2002 (NRS 2002) tool, body mass index (BMI), albumin level, and prealbumin level on the first day of admission. Logistic regression models were used to identify the factors associated with undernutrition based on the BMI, albumin, and prealbumin criteria. Results A total of 196 older PLWH were included in the analysis. We found that 36% of hospitalized older PLWH had nutritional risk, and 12–56% of them had undernutrition based on the BMI, albumin, and prealbumin criteria. An increased nutritional risk score was associated with older age (β = 0.265 CI [0.021, 0.096], P = 0.002), a higher viral load (β = − 0.186 CI [− 0.620, − 0.037], P = 0.028), a lower BMI (β = − 0.287 CI [− 0.217, − 0.058], P = 0.001), and a lower albumin level (β = − 0.324 CI [− 8.896, − 1.230], P = 0.010). The CD4 count was associated with the prevalence of undernutrition based on the albumin criterion (OR = 15.637 CI [2.742, 89.178], P = 0.002). Conclusion Our study indicated that nutritional screening, assessment, and management should be routinely performed in hospitalized older PLWH. HIV-specific measures should be used to assess nutritional risk, and albumin, BMI, and other assessments should be used in combination to identify undernutrition in older PLWH.

scholarly journals Factors associated with HIV-related stigma toward people living with HIV among nurses in Liangshan Yi Autonomous Prefecture, China: a cross-sectional study

2019 ◽  
Author(s):  
Yao Yin ◽  
Angela Chia-Chen Chen ◽  
Shaoping Wan ◽  
Hong Chen
Keyword(s):  
Online Survey ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Factors Associated ◽  
Related Stigma ◽  
Tertiary Hospitals ◽  
Living With Hiv

Abstract Background The Liangshan Yi Autonomous Prefecture has one of the most serious human immunodeficiency virus (HIV) epidemics in China. Evidence shows HIV-related stigma toward people living with HIV (PLWH) among nurses impedes HIV prevention and treatment. However, only limited research about HIV-related stigma toward PLWH from the perspective of nurses in Liangshan has been conducted. This cross-sectional study aimed to assess HIV-related stigma toward PLWH among nurses and determine factors associated with it in Liangshan, China. Methods Using a stratified, random cluster sampling method, registered nurses (N=1,248; primary hospitals=102, secondary hospitals=592, tertiary hospitals=554) were recruited 10 hospitals in Liangshan. All participants completed an anonymous online survey measuring sociodemographic characteristics, HIV-related stigma and HIV knowledge. We used multiple stepwise regression analysis to examine factors associated with HIV-related stigma toward PLWH among these nurses. Results The mean score of HIV-related stigma among nurses was 50.7 (SD = 8.3; range 25-78). Nurses who were more experienced, had higher levels of education, and were working in tertiary hospitals reported higher level of HIV-related stigma. Those who had better HIV knowledge, reported a willingness to receive HIV-related training, were working in areas that had a high prevalence of HIV, had prior experience working in acquired immune deficiency syndrome (AIDS) specialized hospitals, and worked in hospitals that had policies to protect PLWH showed a lower level of HIV-related stigma toward PLWH. Conclusions Findings suggested that providing culturally congruent education and training about HIV and care, and having hospitals that promoted policies protecting PLWH, may reduce HIV-related stigma toward PLWH among nurses in China.

scholarly journals Nutritional status and associated factors among people living with HIV/AIDS in Ghana: cross-sectional study of highly active antiretroviral therapy clients

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Beauty Mawuenam Nanewortor ◽  
Farrukh Ishaque Saah ◽  
Prince Kubi Appiah ◽  
Hubert Amu ◽  
Kwaku Kissah-Korsah
Keyword(s):  
Nutritional Status ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Highly Active ◽  
Good Nutrition ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background Nutrition among people living with HIV/AIDS (PLWHA) is essential in their care and management as it has implication for their immune function. We examined the nutritional status and associated factors among HIV positive clients accessing Highly Active Anti-Retroviral Therapy (HAART) at a public hospital in Ghana. Methods This was a descriptive cross-sectional study of 152 clients. Anthropometric measurements for weight and height were carried out in 2019. Data were analysed using SPSS 22.0. Descriptive and analytical statistics comprising frequency, percentage, and binary logistic regression were adopted in presenting the results. Results Seventy-nine percent and 74% of the clients had good nutrition knowledge and attitude, respectively. Also, 42% were malnourished (underweight = 13.8%, and overweight = 28.3%). Clients with primary (AOR = 0.36, 95% CI = 0.07–1.84), JSS/JHS (AOR = 0.26, 95% CI = 0.08–0.84), SSS/SHS (AOR = 0.22, 95% CI = 0.05–1.02) and tertiary (AOR = 0.26, 95% CI = 0.08–0.88) were less likely to be malnourished compared with those with no formal education. Those with good nutrition-related knowledge were 56% (AOR = 0.44, 95% CI = 0.18–1.09) less likely to be malnourished than those with poor knowledge; this was however, not statistically significant. Conclusion We found a high prevalence of malnutrition among the clients which militates against progress towards achieving the Sustainable Development Goal targets 3.3 and 3.4 of stopping AIDS epidemic and preventing premature deaths from malnutrition. Our findings justify the need for the implementation of innovative interventions by stakeholders in Ghana’s health industry to improve the nutritional status of people living with the disease.

scholarly journals Experience of fatigue and related factors among HIV-infected adults attending ART clinic in Ethiopia; a cross-sectional study

2020 ◽  
Author(s):  
Moges Baye ◽  
Berihu Fisseha ◽  
Mulugeta Bayisa Chala ◽  
Solomon Mekonnen Abebe ◽  
Balamurugan Janakiraman
Keyword(s):  
Weight Loss ◽  
Low Income ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Living With Hiv

Abstract Background: Fatigue is one of the most common bothersome HIV-related morbidity. The HIV prevalence in Ethiopia is heterogeneous by sex, geographic areas, and population groups. In Ethiopia, there is a need to estimate the burden of fatigue among HIV/Acquired Immune Deficiency Syndrome (AIDS) adults to gain regional insight into this disabling symptom.Method: An institutional-based cross-sectional study was conducted among 392 HIV/AIDS patients attending an antiretroviral therapy clinic at the University of Gondar Hospital, Ethiopia using a systematic random sampling technique. Data were collected using a structured questionnaire, nine-item version Fatigue Severity Scale (FSS), and PHQ-9 (Patients Health Questionnaire 9). Logistic regression model was used to identify factors associated with the reported presence of fatigue.Result: The mean age of the participants was 40.5 ± 8.5 years. The prevalence of HIV-related fatigue was 53.3% and about 66% of HIV-infected women experienced fatigue. The factors associated with fatigue experience were; female gender (AOR: 0.196, 95%CI; 0.05, 0.92), being married (AOR: 0.13, 95% CI 0.23, 0.7), low income (AOR: 12.3, 95% CI 2.5, 60.15), unemployed (AOR: 3.9, 95%CI (1.02, 14.739), parity (AOR: 7.99, 95% CI 1.66, 38.41), being anemia (AOR: 13.34, 95% CI 2.74, 65.01), mild weight loss (AOR: 4.9 95% CI 4.33, 19.5) and moderate weight loss (AOR: 5.5 95% CI 3.11, 21.3), respectively.Conclusion: The findings of this study revealed that experiencing fatigue is quite high among adults living with HIV. It is important for health care professionals and people living with HIV to understand; the possible causes of fatigue, remedies, and ways to reclaim energy. The predisposing factors and complications that cause fatigue should be aggressively diagnosed and treated by the clinicians.

Prevalence of COVID-19-like Symptoms among People Living with HIV, and Using Antiretroviral Therapy for Prevention and Treatment

2020 ◽  
Vol 18 (5) ◽  
pp. 373-380 ◽  
Author(s):  
SeyedAhmad SeyedAlinaghi ◽  
Maryam Ghadimi ◽  
Mahboubeh Hajiabdolbaghi ◽  
Mehrnaz Rasoolinejad ◽  
Ladan Abbasian ◽  
...  
Keyword(s):  
Respiratory Symptoms ◽  
Antiretroviral Treatment ◽  
Clinical Symptoms ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Shortness Of Breath ◽  
Sectional Study ◽  
Limited Data ◽  
Cross Sectional ◽  
Living With Hiv

Background: COVID-19 has spread globally with remarkable speed, and currently, there is limited data available exploring any aspect of the intersection between HIV and SARSCoV- 2 co-infection. Objective: To estimate the prevalence of clinical symptoms associated with COVID-19 among people living with HIV (PLWH) in Tehran, Iran. Design: Cross-sectional study. Methods: A total of 200 PLWH were recruited through the positive club via sampling, and completed the symptom-based questionnaire for COVID-19, which was delivered by trained peers. Results: Of 200 participants, respiratory symptoms, including cough, sputum, and shortness of breath, were the most prevalent among participants, but only one person developed symptoms collectively suggested COVID-19 and sought treatments. Conclusions: It appears that existing infection with HIV or receiving antiretroviral treatment (ART) might reduce the susceptibility to the infection with SARS-CoV-2 or decrease the severity of the infection acquired. Further research is needed to understand causal mechanisms.

scholarly journals Symptoms of common mental disorders and adherence to antiretroviral therapy among adults living with HIV in rural Zimbabwe: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049824
Author(s):  
Andreas D Haas ◽  
Cordelia Kunzekwenyika ◽  
Stefanie Hossmann ◽  
Josphat Manzero ◽  
Janneke van Dijk ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Suicidal Ideation ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Art Adherence ◽  
Sectional Study ◽  
Cross Sectional ◽  
Living With Hiv

ObjectivesTo examine the proportion of people living with HIV who screen positive for common mental disorders (CMD) and the associations between CMD and self-reported adherence to antiretroviral therapy (ART).SettingSixteen government-funded health facilities in the rural Bikita district of Zimbabwe.DesignCross-sectional study.ParticipantsHIV-positive non-pregnant adults, aged 18 years or older, who lived in Bikita district and had received ART for at least 6 months.Outcome measuresThe primary outcome was the proportion of participants screening positive for CMD defined as a Shona Symptoms Questionnaire score of 9 or greater. Secondary outcomes were the proportion of participants reporting suicidal ideation, perceptual symptoms and suboptimal ART adherence and adjusted prevalence ratios (aPR) for factors associated with CMD, suicidal ideation, perceptual symptoms and suboptimal ART adherence.ResultsOut of 3480 adults, 18.8% (95% CI 14.8% to 23.7%) screened positive for CMD, 2.7% (95% CI 1.5% to 4.7%) reported suicidal ideations, and 1.5% (95% CI 0.9% to 2.6%) reported perceptual symptoms. Positive CMD screens were more common in women (aPR 1.67, 95% CI 1.19 to 2.35) than in men and were more common in adults aged 40–49 years (aPR 1.47, 95% CI 1.16 to 1.85) or aged 50–59 years (aPR 1.51, 95% CI 1.05 to 2.17) than in those 60 years or older. Positive CMD screen was associated with suboptimal adherence (aPR 1.53; 95% CI 1.37 to 1.70).ConclusionsA substantial proportion of people living with HIV in rural Zimbabwe are affected by CMD. There is a need to integrate mental health services and HIV programmes in rural Zimbabwe.Trial registration numberNCT03704805.

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