Effect of nutritional factors on adherence to antiretroviral therapy among HIV-infected adults: a case control study in Northern Ethiopia
Identifieur interne : 001255 ( Pmc/Curation ); précédent : 001254; suivant : 001256Effect of nutritional factors on adherence to antiretroviral therapy among HIV-infected adults: a case control study in Northern Ethiopia
Auteurs : Negassie Berhe [Éthiopie] ; Desalegn Tegabu [Éthiopie] ; Mekuriaw Alemayehu [Éthiopie]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2013.
Abstract
Adherence to antiretroviral treatment is critical for suppression of viral replication, reduced destruction of CD4 cells, prevention of viral resistance, promotion of immune reconstitution and slowed disease progression. This study sought to determine the effect of nutritional factors on adherence to ART among HIV-infected adults on ART.
Matched case control study design (matched by age and sex) was employed. Data was collected from ART registration chart, pre-tested structured data extraction format, anthropometric measurements and by interview. Conditional logistic regression was used to compute the relevant associations among the variables by STATA version 10.
From 174 paired subjects participated in the study 80 (46%) pair were males and 94 (54%) pair were females on ART for at least one year prior to the survey. The mean age (±SD) for the non-adherent was 38.4 ± 8.1years and for the adherent subjects was 38.5 ± 8.4 years. Malnutrition with BMI less than 18.5 Kg/m2 in the adherent group was 14 (8%) and that of the non-adherent group was 74 (42.5%) which was associated with non-adherence to ART (AOR 10.0, 95%CI 4.3 – 54.7). Inability to get enough and quality food was also associated with non-adherence to ART (AOR 2.1, 95%CI 1.1 – 11.5).
Malnutrition, inability to get enough and/or quality food and consumption pattern which is less than three meals per day were significantly associated with non-adherence to ART. Therefore, the capacity to effectively manage the food and nutrition implications of ART adherence is a critical factor in the success of antiretroviral therapy in resource limited settings.
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DOI: 10.1186/1471-2334-13-233
PubMed: 23701864
PubMed Central: 3669031
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effect of nutritional factors on adherence to antiretroviral therapy among HIV-infected adults: a case control study in Northern Ethiopia</title><author><name sortKey="Berhe, Negassie" sort="Berhe, Negassie" uniqKey="Berhe N" first="Negassie" last="Berhe">Negassie Berhe</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Public Health Officer, Health Science College, Axum University, Axum, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Public Health Officer, Health Science College, Axum University, Axum</wicri:regionArea></affiliation></author><author><name sortKey="Tegabu, Desalegn" sort="Tegabu, Desalegn" uniqKey="Tegabu D" first="Desalegn" last="Tegabu">Desalegn Tegabu</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar</wicri:regionArea></affiliation></author><author><name sortKey="Alemayehu, Mekuriaw" sort="Alemayehu, Mekuriaw" uniqKey="Alemayehu M" first="Mekuriaw" last="Alemayehu">Mekuriaw Alemayehu</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23701864</idno><idno type="pmc">3669031</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3669031</idno><idno type="RBID">PMC:3669031</idno><idno type="doi">10.1186/1471-2334-13-233</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001256</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001256</idno><idno type="wicri:Area/Pmc/Curation">001255</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001255</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effect of nutritional factors on adherence to antiretroviral therapy among HIV-infected adults: a case control study in Northern Ethiopia</title><author><name sortKey="Berhe, Negassie" sort="Berhe, Negassie" uniqKey="Berhe N" first="Negassie" last="Berhe">Negassie Berhe</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Public Health Officer, Health Science College, Axum University, Axum, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Public Health Officer, Health Science College, Axum University, Axum</wicri:regionArea></affiliation></author><author><name sortKey="Tegabu, Desalegn" sort="Tegabu, Desalegn" uniqKey="Tegabu D" first="Desalegn" last="Tegabu">Desalegn Tegabu</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar</wicri:regionArea></affiliation></author><author><name sortKey="Alemayehu, Mekuriaw" sort="Alemayehu, Mekuriaw" uniqKey="Alemayehu M" first="Mekuriaw" last="Alemayehu">Mekuriaw Alemayehu</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Adherence to antiretroviral treatment is critical for suppression of viral replication, reduced destruction of CD<sub>4</sub> cells, prevention of viral resistance, promotion of immune reconstitution and slowed disease progression. This study sought to determine the effect of nutritional factors on adherence to ART among HIV-infected adults on ART.</p></sec><sec><title>Methods</title><p>Matched case control study design (matched by age and sex) was employed. Data was collected from ART registration chart, pre-tested structured data extraction format, anthropometric measurements and by interview. Conditional logistic regression was used to compute the relevant associations among the variables by STATA version 10.</p></sec><sec><title>Results</title><p>From 174 paired subjects participated in the study 80 (46%) pair were males and 94 (54%) pair were females on ART for at least one year prior to the survey. The mean age (±SD) for the non-adherent was 38.4 ± 8.1years and for the adherent subjects was 38.5 ± 8.4 years. Malnutrition with BMI less than 18.5 Kg/m<sup>2</sup> in the adherent group was 14 (8%) and that of the non-adherent group was 74 (42.5%) which was associated with non-adherence to ART (AOR 10.0, 95%CI 4.3 – 54.7). Inability to get enough and quality food was also associated with non-adherence to ART (AOR 2.1, 95%CI 1.1 – 11.5).</p></sec><sec><title>Conclusions</title><p>Malnutrition, inability to get enough and/or quality food and consumption pattern which is less than three meals per day were significantly associated with non-adherence to ART. Therefore, the capacity to effectively manage the food and nutrition implications of ART adherence is a critical factor in the success of antiretroviral therapy in resource limited settings.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Steel, G" uniqKey="Steel G">G Steel</name></author><author><name sortKey="Nwokike, J" uniqKey="Nwokike J">J Nwokike</name></author><author><name sortKey="Joshi, Mp" uniqKey="Joshi M">MP Joshi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weiser, Sd" uniqKey="Weiser S">SD Weiser</name></author><author><name sortKey="Tuller, Dm" uniqKey="Tuller D">DM Tuller</name></author><author><name sortKey="Frongillo, Ea" uniqKey="Frongillo E">EA Frongillo</name></author><author><name sortKey="Senkungu, J" uniqKey="Senkungu J">J Senkungu</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">BMC Infect. Dis</journal-id><journal-title-group><journal-title>BMC Infectious Diseases</journal-title></journal-title-group><issn pub-type="epub">1471-2334</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23701864</article-id><article-id pub-id-type="pmc">3669031</article-id><article-id pub-id-type="publisher-id">1471-2334-13-233</article-id><article-id pub-id-type="doi">10.1186/1471-2334-13-233</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Effect of nutritional factors on adherence to antiretroviral therapy among HIV-infected adults: a case control study in Northern Ethiopia</article-title></title-group><contrib-group><contrib contrib-type="author" id="A1"><name><surname>Berhe</surname><given-names>Negassie</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>negelsa5960@gmail.com</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Tegabu</surname><given-names>Desalegn</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>zdesalegn@gmail.com</email></contrib><contrib contrib-type="author" corresp="yes" id="A3"><name><surname>Alemayehu</surname><given-names>Mekuriaw</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>mekugeorg@gmail.com</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Public Health Officer, Health Science College, Axum University, Axum, Ethiopia</aff><aff id="I2"><label>2</label>Department of Health Informatics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia</aff><aff id="I3"><label>3</label>Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</aff><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>23</day><month>5</month><year>2013</year></pub-date><volume>13</volume><fpage>233</fpage><lpage>233</lpage><history><date date-type="received"><day>30</day><month>1</month><year>2013</year></date><date date-type="accepted"><day>22</day><month>5</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Berhe et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2013</copyright-year><copyright-holder>Berhe et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1471-2334/13/233"></self-uri><abstract><sec><title>Background</title><p>Adherence to antiretroviral treatment is critical for suppression of viral replication, reduced destruction of CD<sub>4</sub> cells, prevention of viral resistance, promotion of immune reconstitution and slowed disease progression. This study sought to determine the effect of nutritional factors on adherence to ART among HIV-infected adults on ART.</p></sec><sec><title>Methods</title><p>Matched case control study design (matched by age and sex) was employed. Data was collected from ART registration chart, pre-tested structured data extraction format, anthropometric measurements and by interview. Conditional logistic regression was used to compute the relevant associations among the variables by STATA version 10.</p></sec><sec><title>Results</title><p>From 174 paired subjects participated in the study 80 (46%) pair were males and 94 (54%) pair were females on ART for at least one year prior to the survey. The mean age (±SD) for the non-adherent was 38.4 ± 8.1years and for the adherent subjects was 38.5 ± 8.4 years. Malnutrition with BMI less than 18.5 Kg/m<sup>2</sup> in the adherent group was 14 (8%) and that of the non-adherent group was 74 (42.5%) which was associated with non-adherence to ART (AOR 10.0, 95%CI 4.3 – 54.7). Inability to get enough and quality food was also associated with non-adherence to ART (AOR 2.1, 95%CI 1.1 – 11.5).</p></sec><sec><title>Conclusions</title><p>Malnutrition, inability to get enough and/or quality food and consumption pattern which is less than three meals per day were significantly associated with non-adherence to ART. Therefore, the capacity to effectively manage the food and nutrition implications of ART adherence is a critical factor in the success of antiretroviral therapy in resource limited settings.</p></sec></abstract><kwd-group><kwd>HIV/AIDS</kwd><kwd>Antiretroviral therapy</kwd><kwd>Nutritional factors</kwd><kwd>Ethiopia</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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