Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study
Abstract Background Malnutrition is very common in HIV-infected individuals. Even though data from different settings are necessary to tackle it, pieces of evidence are limited especially in the case of the nutritional status of HIV-infected children. Hence, this study aims to assess the nutritional...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Italian Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13052-021-01154-w |
| _version_ | 1819109157072011264 |
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| author | Chalie Marew Tiruneh Belete Gelaw Walle Tigabu Desie Emiru Nigusie Selomon Tibebu Moges Wubneh Abate Adane Birhanu Nigat Amsalu Belete Eyasu Alem Tadele Lankrew Kirubel Eshetu |
| author_facet | Chalie Marew Tiruneh Belete Gelaw Walle Tigabu Desie Emiru Nigusie Selomon Tibebu Moges Wubneh Abate Adane Birhanu Nigat Amsalu Belete Eyasu Alem Tadele Lankrew Kirubel Eshetu |
| author_sort | Chalie Marew Tiruneh |
| collection | DOAJ |
| description | Abstract Background Malnutrition is very common in HIV-infected individuals. Even though data from different settings are necessary to tackle it, pieces of evidence are limited especially in the case of the nutritional status of HIV-infected children. Hence, this study aims to assess the nutritional status and associated factors among children on antiretroviral therapy. Methods An institutional-based cross-sectional study was conducted among 383 HIV-positive children in Southern Ethiopia. Data were collected using an interviewer-administered questionnaire and anthropometry measurement. Data were coded and entered into Epi-Data Version 3.1 and analyzed using SPSS Version 25. Bi-variable and multi-variable binary logistic regression models were used to identify factors associated with nutritional status and variables with p-values <0.05 in multi-variable logistic regression were considered as statistically significant. Results The prevalence of wasting among HIV-positive children in Southern Ethiopiaselected Hospitals was 36.3% (95% CI, 31.6–41.0) while stunting on the same study population was 5.5% (95% CI, 3.4–7.8). Rural residence, lack of maternal education, low CD4 counts (< 500), using an unprotected water source, having a non-biological mother and recurrent oral lesion were significantly associated with wasting. Furthermore, history of hospital admission, recurrent oral lesion, low CD4 counts (< 500), advanced WHO clinical stage were statically associated with stunting with p-value < 0.05. Conclusion This study found that the prevalence of under-nutrition among HIV-positive children in Ethiopia was significantly high. Therefore, timely identification and monitoring of nutritional problems should be necessary to enhance the effectiveness of ART treatment and to prevent further related complications. |
| first_indexed | 2024-12-22T03:21:21Z |
| format | Article |
| id | doaj.art-bf6a5422b16c4bfb84e18acc69d1cd34 |
| institution | Directory Open Access Journal |
| issn | 1824-7288 |
| language | English |
| last_indexed | 2024-12-22T03:21:21Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj.art-bf6a5422b16c4bfb84e18acc69d1cd342022-12-21T18:40:44ZengBMCItalian Journal of Pediatrics1824-72882021-10-0147111010.1186/s13052-021-01154-wUnder-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional studyChalie Marew Tiruneh0Belete Gelaw Walle1Tigabu Desie Emiru2Nigusie Selomon Tibebu3Moges Wubneh Abate4Adane Birhanu Nigat5Amsalu Belete6Eyasu Alem7Tadele Lankrew8Kirubel Eshetu9Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor UniversityDepartment of Pediatrics and Child Health Nursing, College of Health Science and Medicine, Wolaita Sodo UniversityDepartment of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor UniversityDepartment of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor UniversityDepartment of Adult health Nursing, Debre Tabor UniversityDepartment of Adult health Nursing, Debre Tabor UniversityDepartment of Psychiatry, School of medicine , Debre Tabor UniversityDepartment of Pediatrics and Child Health Nursing, College of Health Science and Medicine, Wolaita Sodo UniversityDepartment of Adult health Nursing, Wolaita Sodo UniversityDepartment of Adult health Nursing, Wolaita Sodo UniversityAbstract Background Malnutrition is very common in HIV-infected individuals. Even though data from different settings are necessary to tackle it, pieces of evidence are limited especially in the case of the nutritional status of HIV-infected children. Hence, this study aims to assess the nutritional status and associated factors among children on antiretroviral therapy. Methods An institutional-based cross-sectional study was conducted among 383 HIV-positive children in Southern Ethiopia. Data were collected using an interviewer-administered questionnaire and anthropometry measurement. Data were coded and entered into Epi-Data Version 3.1 and analyzed using SPSS Version 25. Bi-variable and multi-variable binary logistic regression models were used to identify factors associated with nutritional status and variables with p-values <0.05 in multi-variable logistic regression were considered as statistically significant. Results The prevalence of wasting among HIV-positive children in Southern Ethiopiaselected Hospitals was 36.3% (95% CI, 31.6–41.0) while stunting on the same study population was 5.5% (95% CI, 3.4–7.8). Rural residence, lack of maternal education, low CD4 counts (< 500), using an unprotected water source, having a non-biological mother and recurrent oral lesion were significantly associated with wasting. Furthermore, history of hospital admission, recurrent oral lesion, low CD4 counts (< 500), advanced WHO clinical stage were statically associated with stunting with p-value < 0.05. Conclusion This study found that the prevalence of under-nutrition among HIV-positive children in Ethiopia was significantly high. Therefore, timely identification and monitoring of nutritional problems should be necessary to enhance the effectiveness of ART treatment and to prevent further related complications.https://doi.org/10.1186/s13052-021-01154-wAntiretroviral therapyChildrenHIVNutritional status |
| spellingShingle | Chalie Marew Tiruneh Belete Gelaw Walle Tigabu Desie Emiru Nigusie Selomon Tibebu Moges Wubneh Abate Adane Birhanu Nigat Amsalu Belete Eyasu Alem Tadele Lankrew Kirubel Eshetu Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study Italian Journal of Pediatrics Antiretroviral therapy Children HIV Nutritional status |
| title | Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study |
| title_full | Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study |
| title_fullStr | Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study |
| title_full_unstemmed | Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study |
| title_short | Under-nutrition and associated factors among children on ART in Southern Ethiopia: a facility-based cross-sectional study |
| title_sort | under nutrition and associated factors among children on art in southern ethiopia a facility based cross sectional study |
| topic | Antiretroviral therapy Children HIV Nutritional status |
| url | https://doi.org/10.1186/s13052-021-01154-w |
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