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Food insecurity and associated factors among HIV-infected individuals receiving highly active antiretroviral therapy in Jimma zone Southwest Ethiopia

Ayele Tiyu, Tefera Belachew Lema UGent, Fisehaye Alemseged and Sibihatu Biadgilign (2012) NUTRITION JOURNAL. 11.
abstract
Background: In resource limited settings, many People Living with HIV/AIDS (PLWHA) lack access to sufficient quantities of nutritious foods, which poses additional challenges to the success of antiretroviral therapy (ART). Maintaining adequate food consumption and nutrient intake levels and meeting the special nutritional needs to cope up with the disease and the ART are critical for PLWHA to achieve the full benefit of such a treatment. Objective: To determine the prevalence and correlates of food insecurity among HIV-infected individuals receiving highly active antiretroviral therapy in resource-limited settings. Methods: A cross sectional study was carried out from January 1, 2009 to March 3, 2009 at ART clinic at Jimma University specialized hospital (JUSH) in Ethiopia. We used multivariable logistic regression model to compare independent risk factors by food insecurity status among 319 adult PLWHA (>= 18 years) attending ART Clinic. Results: A total of 319 adult PLWHA participated in the study giving a response rate of 100%. Out of 319 PLWHA the largest numbers of participants, 46.4% were in the age group of 25-34 years. The overall 201(63.0%) PLWHA were food insecure. Educational status of elementary or lower [OR = 3.10 (95%CI; (1.68-5.71)], average family monthly income < 100 USD [OR = 13.1 (95%CI; (4.29-40.0)] and lower food diversity [OR = 2.18 (95%CI; (1.21-3.99)] were significantly and independently associated with food insecurity. Conclusion: Food insecurity is a significant problem among PLWHA on HAART. Lower educational status and low family income were the predictors of food insecurity. Food security interventions should be an integral component of HIV/AIDS care and support programs. Special attention need to be given to patients who have lower educational status and are members of households with low income.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Ethiopia, HIV/AIDS, PLWHA, HAART, Food insecurity, UNITED-STATES, BURKINA-FASO, AFRICA, EXPENDITURE, EXPERIENCE, ADHERENCE, NUTRITION, SECURITY, DISEASE, HUNGER
journal title
NUTRITION JOURNAL
Nutr. J.
volume
11
article_number
51
pages
8 pages
Web of Science type
Article
Web of Science id
000311574600001
JCR category
NUTRITION & DIETETICS
JCR impact factor
2.648 (2012)
JCR rank
27/75 (2012)
JCR quartile
2 (2012)
ISSN
1475-2891
DOI
10.1186/1475-2891-11-51
language
English
UGent publication?
no
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
3053679
handle
http://hdl.handle.net/1854/LU-3053679
date created
2012-11-15 23:05:19
date last changed
2013-07-12 15:02:12
@article{3053679,
  abstract     = {Background: In resource limited settings, many People Living with HIV/AIDS (PLWHA) lack access to sufficient quantities of nutritious foods, which poses additional challenges to the success of antiretroviral therapy (ART). Maintaining adequate food consumption and nutrient intake levels and meeting the special nutritional needs to cope up with the disease and the ART are critical for PLWHA to achieve the full benefit of such a treatment. 
Objective: To determine the prevalence and correlates of food insecurity among HIV-infected individuals receiving highly active antiretroviral therapy in resource-limited settings. 
Methods: A cross sectional study was carried out from January 1, 2009 to March 3, 2009 at ART clinic at Jimma University specialized hospital (JUSH) in Ethiopia. We used multivariable logistic regression model to compare independent risk factors by food insecurity status among 319 adult PLWHA ({\textrangle}= 18 years) attending ART Clinic. 
Results: A total of 319 adult PLWHA participated in the study giving a response rate of 100\%. Out of 319 PLWHA the largest numbers of participants, 46.4\% were in the age group of 25-34 years. The overall 201(63.0\%) PLWHA were food insecure. Educational status of elementary or lower [OR = 3.10 (95\%CI; (1.68-5.71)], average family monthly income {\textlangle} 100 USD [OR = 13.1 (95\%CI; (4.29-40.0)] and lower food diversity [OR = 2.18 (95\%CI; (1.21-3.99)] were significantly and independently associated with food insecurity. 
Conclusion: Food insecurity is a significant problem among PLWHA on HAART. Lower educational status and low family income were the predictors of food insecurity. Food security interventions should be an integral component of HIV/AIDS care and support programs. Special attention need to be given to patients who have lower educational status and are members of households with low income.},
  articleno    = {51},
  author       = {Tiyu, Ayele and Lema, Tefera Belachew and Alemseged, Fisehaye and Biadgilign, Sibihatu},
  issn         = {1475-2891},
  journal      = {NUTRITION JOURNAL},
  keyword      = {Ethiopia,HIV/AIDS,PLWHA,HAART,Food insecurity,UNITED-STATES,BURKINA-FASO,AFRICA,EXPENDITURE,EXPERIENCE,ADHERENCE,NUTRITION,SECURITY,DISEASE,HUNGER},
  language     = {eng},
  pages        = {8},
  title        = {Food insecurity and associated factors among HIV-infected individuals receiving highly active antiretroviral therapy in Jimma zone Southwest Ethiopia},
  url          = {http://dx.doi.org/10.1186/1475-2891-11-51},
  volume       = {11},
  year         = {2012},
}

Chicago
Tiyu, Ayele, Tefera Belachew Lema, Fisehaye Alemseged, and Sibihatu Biadgilign. 2012. “Food Insecurity and Associated Factors Among HIV-infected Individuals Receiving Highly Active Antiretroviral Therapy in Jimma Zone Southwest Ethiopia.” Nutrition Journal 11.
APA
Tiyu, A., Lema, T. B., Alemseged, F., & Biadgilign, S. (2012). Food insecurity and associated factors among HIV-infected individuals receiving highly active antiretroviral therapy in Jimma zone Southwest Ethiopia. NUTRITION JOURNAL, 11.
Vancouver
1.
Tiyu A, Lema TB, Alemseged F, Biadgilign S. Food insecurity and associated factors among HIV-infected individuals receiving highly active antiretroviral therapy in Jimma zone Southwest Ethiopia. NUTRITION JOURNAL. 2012;11.
MLA
Tiyu, Ayele, Tefera Belachew Lema, Fisehaye Alemseged, et al. “Food Insecurity and Associated Factors Among HIV-infected Individuals Receiving Highly Active Antiretroviral Therapy in Jimma Zone Southwest Ethiopia.” NUTRITION JOURNAL 11 (2012): n. pag. Print.