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

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.

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Magnitude and determinants of nonadherence and nonreadiness to highly active antiretroviral therapy among people living with HIV/AIDS in Northwest Ethiopia: a cross - sectional study

AIDS Research and Therapy ◽

10.1186/1742-6405-7-2 ◽

2010 ◽

Vol 7 (1) ◽

pp. 2 ◽

Cited By ~ 11

Author(s):

Belay Tessema ◽

Fantahun Biadglegne ◽

Andargachew Mulu ◽

Assefa Getachew ◽

Frank Emmrich ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Highly Active Antiretroviral Therapy ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

People Living With Hiv ◽

Sectional Study ◽

Cross Sectional ◽

Highly Active ◽

Living With Hiv ◽

Hiv Aids

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Prevalence of Undernutrition and Associated Factors among Adult People Living with HIV/AIDS and on ART in Achefer District, North West Ethiopia: Cross-Sectional study

10.21203/rs.3.rs-39316/v1 ◽

2020 ◽

Author(s):

Yosef Wasihun ◽

Mengistu Yayehrad ◽

Samuel Dagne ◽

Yonatan Menber ◽

Tadesse Awoke ◽

...

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Sectional Study ◽

Cross Sectional ◽

North West ◽

Under Nutrition ◽

North West Ethiopia ◽

Living With Hiv ◽

Hiv Aids

Abstract Introduction: Human immunodeficiency virus/ Acquired immunodeficiency syndrome (HIV/AIDS) is one of the major public health Problem worldwide and its epidemic is occurring in populations where malnutrition is already endemic. Ethiopia is among the countries most affected by under nutrition and HIV epidemic in the region. The objective of this study was to determine the prevalence of under nutrition and associated factors among adult people living with HIV/AIDS and on ART in Achefer Woreda, North West Ethiopia.Methods and Materials: Institution based cross sectional study design was used and conducted from May 01–30/2015. Systematic random sampling technique was used to select the study subjects and the data was collected using clinical assessment, measurements and interviewer administered questionnaire. To identify independent predictors of under nutrition of adult people living with HIV/AIDS and on ART, we performed multivariable logistic regression analyses using SPSS version 20 with CI of 95% at p-value < 0. 05.Result: Three hundred fifty HIV/AIDS on ART patients were included in the study. The overall prevalence of under nutrition was 26.9% and females were most affected 57 (18.1%). Anti-retroviral treatment duration of 6-11months and 12–24 months (AOR = 4.72, 95% CI, 1.10-20.35) and (AOR = 6.93, 95% CI, 1.614–29.754) respectively, WHO Stage two and three (AOR = 3.01, 95% CI,1.061–8.534) and (AOR = 12.56, 95% CI, 4.27–36.99) respectively and dietary counseling (AOR = 0.20, 95% CI, .05-.78) were significantly associated with under nutrition.Conclusion and Recommendation: Undernutrition was high in PLWHA and on ART. ART duration, WHO clinical staging, presence of eating problem and dietary counselling were the predictors for under nutrition of HIV patients on ART. Only increasing access to ART can’t solve problem of under nutrition, therefore nutrition therapy and support, site expansion also as an accessory to the initiation of ART should be considered.

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Adherence to antiretroviral therapy and the associated factors among people living with HIV/AIDS in Northern Peru: a cross-sectional study

AIDS Research and Therapy ◽

10.1186/s12981-019-0238-y ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 2

Author(s):

Juan M. Leyva-Moral ◽

Blanca K. Loayza-Enriquez ◽

Patrick A. Palmieri ◽

Genesis M. Guevara-Vasquez ◽

Ursula E. Elias-Bravo ◽

...

Keyword(s):

Antiretroviral Therapy ◽

Associated Factors ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Sectional Study ◽

Cross Sectional ◽

Northern Peru ◽

Living With Hiv ◽

Hiv Aids

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Assessment of adherence to highly active antiretroviral therapy and associated factors among people living with HIV at Debrebrihan Referral Hospital and Health Center, Northeast Ethiopia: a cross-sectional study

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s79328 ◽

2015 ◽

pp. 75 ◽

Cited By ~ 1

Author(s):

Zewdu Shewangizaw ◽

Abush Ketema

Keyword(s):

Antiretroviral Therapy ◽

Highly Active Antiretroviral Therapy ◽

Associated Factors ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Sectional Study ◽

Cross Sectional ◽

Highly Active ◽

Northeast Ethiopia ◽

Living With Hiv

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Stigma towards People Living on HIV/AIDS and Associated Factors among Nurses’ Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study

Advances in Nursing ◽

10.1155/2017/6792735 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Mohammed Hassen Salih ◽

Gizachew Assefa Tessema ◽

Endeshaw Admassu Cherkos ◽

Abebaw Jember Ferede ◽

Degefaye Zelalem Anlay

Keyword(s):

Health Care ◽

Associated Factors ◽

Cross Sectional Study ◽

People Living With Hiv ◽

Sectional Study ◽

Self Administration ◽

Cross Sectional ◽

Health Institution ◽

Living With Hiv ◽

Hiv Aids

Introduction. HIV/AIDS-related stigma occurs in the world towards people living with HIV/AIDS in a different form. Stigma among nurses in health care setting is one of the main challenges towards the prevention and management of HIV/AIDS in developing countries. It is one of the main reasons keeping patients from seeking health care service. Therefore assessing the magnitude of stigma and associated factors towards people living on HIV/AIDS among nurses is of paramount importance for the quality of nursing care as well as service utilization. Methods. An institutional based cross-sectional study was conducted in March 2013. Pretested and structured questionnaire via self-administration was used in the tool of HIV/AIDS Stigma Instrument-Nurse (HASI-N). Data were entered using EPI info version 3.5.3 and transferred to SPSS version 20 for further analysis. Descriptive statistics were conducted to summarize the sample characteristics. A backward stepwise logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors. Results. A total of 386 nurses participated yielding a response rate of 97.2%. Nearly two-thirds (64.5%) of them have shown stigma towards people living with HIV/AIDS in the health institution. Qualification level of diploma or certificate, lack of training, experiences of <06 years, low HIV patient caseload seen in the last six months, and the absence of guidelines/protocols about HIV/AIDS in their health institution were associated factors for stigma. Conclusions. The findings of this research showed high magnitude of stigma towards people living with HIV/AIDS among nurses. For stigma to be decreased nurses need to update their knowledge through training and experience sharing with senior staff. And it is crucial that the Ethiopian Ministry of Health, Amhara Regional Health Bureau, and the two hospitals work for decreasing stigma by creating educational development, ensuring accessibility of guidelines about HIV/AIDS, and providing access to training.

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High prevalence of neurocognitive disorders observed among adult people living with HIV/AIDS in Southern Ethiopia: a cross-sectional study

10.1101/416362 ◽

2018 ◽

Author(s):

Megbaru Debalkie Animut ◽

Muluken Bekele Sorrie ◽

Yinager Workneh ◽

Manaye yihune Teshale

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Neurocognitive Disorders ◽

People Living With Hiv ◽

Neurocognitive Disorder ◽

Sectional Study ◽

Cross Sectional ◽

Hiv Associated Neurocognitive Disorder ◽

Living With Hiv ◽

Hiv Aids

AbstractBackgroundComprehensive care given to people living with HIV/AIDS is improving from time to time; however, their concurrent cognitive illness is still ignored, under screened and treated particularly in developing countries. And this problem is also striking in Ethiopia. Therefore, the objective of this study was to assess HIV-associated neurocognitive disorders and associated factors among adult people living with HIV/AIDS.MethodsAn institution based cross sectional study was conducted in Gamo Gofa zone public Hospitals from April to May, 2017. The systematic random sampling technique was used to select a total of 697 people living with HIV/AIDS. Data was collected using structured interviewer administered questionnaire and International HIV Dementia Scale was used to screen HIV-associated neurocognitive deficits. Data was entered using Epidata version 3.1 and analyzed using SPSS version 20. Both bivariable and multivariable logistic regression analyses were performed to identify associated factors. A P value 0.05 with 95% confidence level was used to declare statistical significance.ResultA total of 684 study participants were included with a 98 % response rate. From the total participants, 56% were females while 44% were males. The mean (±SD) age of the participants was 38.8±8.8years.The prevalence of HIV-associated neurocognitive disorder was 67.1% (95%CI; 63.6, 70.5). The multivariable logistic analysis indicated that body mass index 16 kg/m2 (AOR 4.149 (1.512-11.387)), being married (AOR 0.9 (0.604-0.623), unemployment (AOR 5.930 (3.013-11.670) and being in WHO clinical stage T3 category (AOR 2.870 (1.098-7.500) were the key predictors of HIV-associated neurocognitive disorders among people living with HIV/AIDS.ConclusionIn this study the prevalence of HIV-associated neurocognitive disorder is higher than the earlier reports in Ethiopia and Africa. The associated factors also vary from that of earlier studies. This indicates the need for formulating preventive mental health programs and policies for people living with HIV/AIDS.

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