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Abstract：
BACKGROUND: Low-level physical activity (LLPA) is crucial for the well-being of adults living with HIV (PLWHs). However, many do not engage in enough physical activity, leading to adverse health outcomes. Identifying the determinants of LLPA can aid in developing effective interventions. Despite this, Ethiopia lacks evidence on this topic. This study aimed to identify predictors of LLPA among PLWHs in the Gedeo zone, located in southern Ethiopia.
METHODS: An unmatched case-control study was conducted on PLWHs in the Gedeo zone who visited two hospitals and healthcare institutions between December 29th, 2017 and January 22nd, 2019. Respondents were classified into three categories based on their total physical activity levels: high, moderate, and low. Cases were defined as those meeting the criteria for LLPA, while controls were those who did not fall under the cases category. Data was collected using the WHO Stepwise surveillance tool and analyzed using Epidata v3.1 templates and SPSS v22. Predictor variables with a P-value < 0.25 in bivariable analysis and < 0.05 with a 95% confidence interval in multivariable analysis were selected.
RESULTS: The study involved 633 HIV-positive adults, with a response rate of 92.41%. Most participants were under 34 years old, with an average age of 36.47±(9.055) for cases and 36.38±(8.389) for controls. The multivariable analysis revealed that educational status (AOR = 4.85, P = 0.02, 95%CI (1.28-18.44)), sex (AOR = 0.24, P = 0.04, 95%CI (0.07-0.90)), duration on ART being exposed for 1-4 Years (AOR = 0.12, P < 0.001, 95%CI (0.03-0.44)) and being exposed for 5-9 Years (AOR = 0.03, P < 0.001, 95%CI (0.01-0.16)), and former alcohol use (AOR = 0.11, P < 0.01, 95%CI (0.02-0.56) were significant predictors of LLPA performance.
CONCLUSIONS: The study concluded that educational status, sex, ART duration, and past alcohol use are key determinants of LLPA performance among PLWHs in southern Ethiopia. This suggests that policymakers should implement public health campaigns to promote healthy habits, particularly low-level physical activity, among PLWHs.
METHODS: An unmatched case-control study was conducted on PLWHs in the Gedeo zone who visited two hospitals and healthcare institutions between December 29th, 2017 and January 22nd, 2019. Respondents were classified into three categories based on their total physical activity levels: high, moderate, and low. Cases were defined as those meeting the criteria for LLPA, while controls were those who did not fall under the cases category. Data was collected using the WHO Stepwise surveillance tool and analyzed using Epidata v3.1 templates and SPSS v22. Predictor variables with a P-value < 0.25 in bivariable analysis and < 0.05 with a 95% confidence interval in multivariable analysis were selected.
RESULTS: The study involved 633 HIV-positive adults, with a response rate of 92.41%. Most participants were under 34 years old, with an average age of 36.47±(9.055) for cases and 36.38±(8.389) for controls. The multivariable analysis revealed that educational status (AOR = 4.85, P = 0.02, 95%CI (1.28-18.44)), sex (AOR = 0.24, P = 0.04, 95%CI (0.07-0.90)), duration on ART being exposed for 1-4 Years (AOR = 0.12, P < 0.001, 95%CI (0.03-0.44)) and being exposed for 5-9 Years (AOR = 0.03, P < 0.001, 95%CI (0.01-0.16)), and former alcohol use (AOR = 0.11, P < 0.01, 95%CI (0.02-0.56) were significant predictors of LLPA performance.
CONCLUSIONS: The study concluded that educational status, sex, ART duration, and past alcohol use are key determinants of LLPA performance among PLWHs in southern Ethiopia. This suggests that policymakers should implement public health campaigns to promote healthy habits, particularly low-level physical activity, among PLWHs.
摘要：
背景：低水平的体力活动（LLPA）对于艾滋病毒感染者（PLWHs）的健康至关重要。然而,许多人没有进行足够的体力活动，导致不良健康结果。确定LLPA的决定因素有助于制定有效的干预措施。尽管如此,埃塞俄比亚缺乏这方面的证据。本研究旨在确定Gedeo地区PLWH中LLPA的预测因子，位于埃塞俄比亚南部。
方法：对Gedeo地区的PLWH进行了一项无与伦比的病例对照研究，他们在12月29日之间访问了两家医院和医疗机构，2017年1月22日,2019.受访者根据他们的总身体活动水平分为三类：高，中度,和低。病例被定义为符合LLPA标准的病例，而对照组是那些不属于病例类别的人。使用WHO逐步监测工具收集数据，并使用Epidatav3.1模板和SPSSv22进行分析。选择双变量分析中P值<0.25和多变量分析中95%置信区间<0.05的预测变量。
结果：该研究涉及633名HIV阳性成年人，有效率为92.41%。大多数参与者年龄在34岁以下，病例平均年龄36.47±（9.055），对照组平均年龄36.38±（8.389）。多变量分析显示，受教育程度（AOR=4.85，P=0.02，95CI（1.28-18.44）），性别（AOR=0.24，P=0.04，95CI（0.07-0.90）），ART暴露时间为1-4年（AOR=0.12，P<0.001，95CI（0.03-0.44））和暴露时间为5-9年（AOR=0.03，P<0.001，95CI（0.01-0.16）），和以前的酒精使用(AOR=0.11，P<0.01，95CI(0.02-0.56)是LLPA表现的显著预测因子。
结论：该研究得出结论，教育状况，性别,ART持续时间,和过去的酒精使用是埃塞俄比亚南部PLWH中LLPA性能的关键决定因素。这表明政策制定者应该开展公共卫生运动，以促进健康习惯，特别是低水平的体力活动，在PLWH中。
方法：对Gedeo地区的PLWH进行了一项无与伦比的病例对照研究，他们在12月29日之间访问了两家医院和医疗机构，2017年1月22日,2019.受访者根据他们的总身体活动水平分为三类：高，中度,和低。病例被定义为符合LLPA标准的病例，而对照组是那些不属于病例类别的人。使用WHO逐步监测工具收集数据，并使用Epidatav3.1模板和SPSSv22进行分析。选择双变量分析中P值<0.25和多变量分析中95%置信区间<0.05的预测变量。
结果：该研究涉及633名HIV阳性成年人，有效率为92.41%。大多数参与者年龄在34岁以下，病例平均年龄36.47±（9.055），对照组平均年龄36.38±（8.389）。多变量分析显示，受教育程度（AOR=4.85，P=0.02，95CI（1.28-18.44）），性别（AOR=0.24，P=0.04，95CI（0.07-0.90）），ART暴露时间为1-4年（AOR=0.12，P<0.001，95CI（0.03-0.44））和暴露时间为5-9年（AOR=0.03，P<0.001，95CI（0.01-0.16）），和以前的酒精使用(AOR=0.11，P<0.01，95CI(0.02-0.56)是LLPA表现的显著预测因子。
结论：该研究得出结论，教育状况，性别,ART持续时间,和过去的酒精使用是埃塞俄比亚南部PLWH中LLPA性能的关键决定因素。这表明政策制定者应该开展公共卫生运动，以促进健康习惯，特别是低水平的体力活动，在PLWH中。
