scholarly journals Predictors of dietary diversity among adults on antiretroviral therapy in Debre Tabor Hospital, northwest Ethiopia: A cross-sectional study

2020 ◽  
Author(s):  
Kassaw Wubnew Zerihun ◽  
Esmael Ali Muhammad ◽  
Gashaw Andargie Biks ◽  
Aysheshim Kassahun Belew ◽  
Melkamu Tamir Hunegnaw
Keyword(s):  
Antiretroviral Therapy ◽  
Dietary Diversity ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Debre Tabor

Abstract Background: Diversified diet to improve better tolerates human immunodeficiency virus drugs, enhance antiretroviral therapy adherence and maintain a healthy weight to reduce mortality and morbidity. Therefore, the aim of this study was to assess dietary diversity and associated factors among adult human immunodeficiency virus positive patients who were on antiretroviral therapy at Debre Tabor Hospital northwest EthiopiaMethods: Institutional based cross-sectional study was conducted at Debre Tabor Hospital and participants selected by the systematic random sampling techniques. Data collection was done by using a structured interview questionnaire. Dietary diversity was computed from all food and drink list consumed in the 24 hours preceding the survey. A variable having p- value < 0.2 in the bivariate logistic regression was entered into the multivariable logistic regression, and independent variables having p-value < 0.05 was considered as significantly associated. Results: Of the total 341 adults on antiretroviral therapy 336 participants gave a complete response with a response rate of 98.50%. Among the participants 336 [32.4% (95% CI: 27.4, 37.1)] had adequate dietary diversity and 22.9% were BMI <18.5kg/m2. Government employment [AOR= 2.5; 95%CI: 1.28, 4.98) and diploma and above educational status [AOR=2.3; 95% CI: 1.01, 5.31) were factors for adequate dietary diversity. Conclusions: In this study the magnitude of adequate dietary diversity was low. Employment and educational status were significantly associated with dietary diversity among people living with HIV/AIDS. Hence, improving education status as well as income generation activities are highly recommended strategy to improve the dietary diversity of patients on antiretroviral therapy.

Parent-Young People Communication on Sexual and Reproductive Health Issues and Associated Factors Among Students in Agaro Town, Ethiopia: A Cross-sectional Study

2021 ◽  
Author(s):  
Daba Abdissa ◽  
Workitu Sileshi
Keyword(s):  
Logistic Regression ◽  
Secondary Education ◽  
Young People ◽  
Reproductive Health ◽  
Primary Education ◽  
Educational Status ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Abstract BackgroundSexual and reproductive health (SRH) is at the base of young people's living and wellbeing. A significant number of young peoples are affected by avoidable SRH problems due to a lack of appropriate knowledge regarding SRH. Parent-young communication on SRH is critical in informing them about risk and protective behaviors which in turn decrease the likelihood of involvement in risky sexual behaviors. Therefore, the purpose of this study was to evaluate the parent-young communication on SRH issues among secondary and preparatory school students at Agaro town, Southwestern Ethiopia. MethodsSchool based cross-sectional study was conducted from April 13 to April 20, 2019 using stratified random sampling technique. Data were collected using pretested interviewer-administered structured questionnaire entered into Epi data version 3.1; and analyzed using SPSS version 20. A variable having a p-value of <0.25 in the bivariable logistic regression model was subjected to multivariable logistic regression analysis to avoid the confounding variable’s effect. Adjusted odds ratios were calculated at the 95% confidence interval and considered significant with a p-value of <0.05.ResultsA total of 315 students were included to the study. The mean age of the respondents was 20.2±2.6 years. The study finding showed that 61.3% of the participants were discussed on SRH issues with their parents. Educational status of mother [primary education (AOR=3.67; 95%CI=1.93,6.97),secondary education(AOR:2.86;95%CI=1.20,6.80)],educational status of father[primary education (AOR=5.8;95%CI=2.8,12.3,secondary education (AOR=3.21; 95%CI=1.55,6.59)],having family size of <5 (AOR= 6.4; 95%CI= 3.36,12.37) and having boy/girlfriend(AOR=1.99; 95%CI=1.0,3.8) were significantly associated with parent-young people communication. ConclusionAbout two third of the participants communicate with their parents about SRH issues. Parents’ educational status, family size of <5 and having boy/girlfriend were significantly associated with the parent-young people communication. The main reasons for not communicated was cultural taboos, shame and parents lack of knowledge. Therefore, it is necessary to educate and equip students and parents to address the identified problems.

Colostrum Avoidance Practice among primigavida Mothers in Urban Northwest Ethiopia. A Cross-Sectional Study

2020 ◽  
Author(s):  
Tilksew Ayalew ◽  
Eden Asmare
Keyword(s):  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Childhood Illnesses ◽  
Complete Form ◽  
Strength Of Association

Abstract Background: Breast milk is the ideal and complete form of nutrition for infants colostrum contains all the necessary nutrients for infants’ growth and development and antibodies that can protect from many childhood illnesses. Understanding the extent of and barriers to colostrum avoidance in Ethiopia is important for learning how to best improve optimal breastfeeding. No single study has been conducted on primigavida mothers in the country. Therefore, this study aimed to assess the rate of colostrum avoidance practice and associated factors among primigavida mothers Method: A community- based cross-sectional study was conducted from March to April 2016 among (n=398) randomly selected primigavida mothers in Bahir Dar city, northwest Ethiopia. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version25. Bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P-value ≤0.05.Results: Out of 398 primipara mothers, 8.8% discarded colostrum. The most common reasons for discarding colostrum were; yellow and creamy (39.2%), bad for infant (35.2%), traditional/cultural reason (17.1%) and infant unable to feed (8.5%).Married mothers (OR=4.52, p<0.05), employed mothers (OR=3.46, p<0.05), mothers underwent normal delivery (OR=5.20, p<0.05) and mothers who initiated breastfeeding within 1 hr. (OR=2.79, p=0.05) were less likely to discard colostrum.Conclusion: The current study revealed that colostrum was discarded by 8.8 % of premiparious mothers. Primipara mothers who were married, unemployed, underwent normal delivery and initiated breastfeeding within one hour were less likely to discard colostrum. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase optimal breastfeeding among premiparious mothers.

scholarly journals Prevalence of microalbuminuria and associated factors among HIV − infected ART naïve patients at Mulago hospital: a cross-sectional study in Uganda

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Thomas Kiggundu ◽  
Robert Kalyesubula ◽  
Irene Andia-Biraro ◽  
Gyaviira Makanga ◽  
Pauline Byakika-Kibwika
Keyword(s):  
Antiretroviral Therapy ◽  
Cross Sectional Study ◽  
Cd4 Count ◽  
P Value ◽  
Mulago Hospital ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Increased Risk

Abstract Background HIV infection affects multiple organs and the kidney is a common target making renal disease, one of the recognized complications. Microalbuminuria represents an early, important marker of kidney damage in several populations including HIV-infected antiretroviral therapy (ART) naïve patients. Early detection of microalbuminuria is critical to slowing down progression to chronic kidney disease (CKD) in HIV-infected patients, however, the burden of microalbuminuria in HIV-infected antiretroviral therapy (ART) naïve patients in Uganda is unclear. Methods A cross-sectional study was conducted in the Mulago Immune suppression syndrome (ISS) clinic among adult HIV − infected ART naïve outpatients. Data on patient demographics, medical history was collected. Physical examination was performed to assess body mass index (BMI) and hypertension. A single spot morning urine sample from each participant was analysed for microalbuminuria using spectrophotometry and colorimetry. Microalbuminuria was defined by a urine albumin creatinine ratio (UACR) 30-299 mg/g and macroalbuminuria by a UACR > 300 mg/g. To assess the factors associated with microalbuminuria, chi-square, Fisher’s exact test, quantile regression and logistic regression were used. Results A total of 185 adult participants were consecutively enrolled with median age and CD4+ counts of 33(IQR = 28–40) years and 428 (IQR = 145–689) cells/μL respectively. The prevalence of microalbuminuria was 18.9% (95% CI, 14–25%). None of the participants had macroalbuminuria. CD4+ count <350cells/μL was associated with increased risk of microalbuminuria (OR: 0.27, 95% CI: 0.12–0.59), P value = 0.001). Diabetes mellitus, hypertension, smoking, alcohol intake were not found to be significantly associated with microalbuminuria. Conclusion Microalbuminuria was highly prevalent in adult HIV − infected ART naive patients especially those with low CD4+ count. There is need to study the effect of ART on microalbuminuria in adult HIV − infected patients.

scholarly journals Magnitude of optimal adherence and predictors for a low level of adherence among HIV/AIDS-infected adults in South Gondar zone, Northwest Ethiopia: a multifacility cross-sectional study

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e056009
Author(s):  
Shimeles Biru Zewude ◽  
Tewodros Magegnet Ajebe
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Low Level ◽  
South Gondar ◽  
Hiv Aids

ObjectivesThis study aims to identify levels of adherence to antiretroviral therapy (ART) drugs and factors associated with them in Northwest Ethiopia. We hypothesise that in the era of COVID-19, there would be suboptimal adherence to ART drugs.DesignAn observational cross-sectional study was conducted. Factors associated with the level of adherence were selected for multiple logistic regressions at a p value of less than 0.2 in the analysis. Statistically significant associated factors were identified at a p value less than 0.05 and adjusted OR with a 95% CI.SettingThe study was conducted in one specialised hospital and three district hospitals found in the South Gondar zone, Northwest Ethiopia.ParticipantsAbout 432 people living with HIV/AIDS receiving highly active ART in South Gondar zone public hospitals and who have been on treatment for more than a 3-month period participated in the study.Primary and secondary outcome measuresLevels of adherence to ART drugs and their associated factors.ResultsAmong 432 study participants, 81.5% (95% CI: 78% to 85.2%) of participants were optimally adherent to ART drugs. Determinants of a low level of adherence: stigma or discrimination (OR=0.4, p=0.016), missed scheduled clinical visit (OR=0.45, p=0.034), being on tuberculosis treatment (OR=0.45, p=0.01), recent CD4 cell count less than 500 cells/mm3 (OR=0.3, p=0.023) and patients who had been on WHO clinical stage III at the time of ART initiation (OR=0.24, p=0.027) were factors significantly associated with adherence to ART drugs.ConclusionsLevel of adherence was relatively low compared with some local studies. The intervention targeted to reduce discrimination, counselling before initiation of treatment and awareness regarding compliance is advised to improve adherence to antiretroviral regimens.

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