关键词: HIV/AIDS Southern Ethiopia antiretroviral chronic malnutrition conflict pediatrics

来  源:   DOI:10.3389/fnut.2024.1356931   PDF(Pubmed)

Abstract:
UNASSIGNED: In combination with HIV infection, malnutrition is a complicated medical condition with high morbidity and mortality rates in affected children due to a variety of socioeconomic and medical etiological variables. To combat this, information from a range of contexts is required, but there is little evidence, particularly about the nutritional status of under 15 living with HIV in impoverished communities such as conflict affected areas. Therefore, in this study the magnitude and related factors of stunting among under 15 children antiretroviral therapy at public health facilities was assessed.
UNASSIGNED: An institution-based cross-sectional study was conducted among under 15 children living with HIV in conflict-affected zones of Southern Ethiopia. After providing written informed consent to study participants, data were collected using an interviewer-administered questionnaire and anthropometric measurements. Bivariable and multivariable logistic regression models were used to identify factors associated with nutritional status, using SPSS Version 25.
UNASSIGNED: Of the 401 participants, 197 (49.1%, 95% CI: 0.44, 0.54) had height-for-age z-score ≤ -2. In the multivariable analysis, larger household size (AOR = 1.58, 95% CI: 1.04-2.40), dietary diversity (AOR = 1.78; 95% CI: 1.07-2.96) and having a history of recurrent diarrhea (AOR = 1.96; 95% CI: 1.07-3.59) were significantly associated with chronic under nutrition.
UNASSIGNED: The prevalence found in this study was high when compared with the stunting target set in SDG, which states to end all forms of malnutrition In order to mitigate the negative health effects of diarrhea during HIV therapy, extra attention needs to be paid to facilitate timely detection and on-going monitoring. Nutrition programs in conflict-affected areas need to consider households with larger family sizes and/or routinely having fewer food groups.
摘要:
结合HIV感染,营养不良是一种复杂的医疗状况,由于各种社会经济和医学病因变量,受影响儿童的发病率和死亡率很高。为了解决这个问题,需要来自一系列上下文的信息,但证据很少,特别是在受冲突影响地区等贫困社区,15岁以下艾滋病毒感染者的营养状况。因此,在这项研究中,我们评估了15岁以下儿童在公共卫生机构接受抗逆转录病毒治疗时发育迟缓的程度和相关因素.
对埃塞俄比亚南部受冲突影响地区15岁以下艾滋病毒感染儿童进行了一项基于机构的横断面研究。在向研究参与者提供书面知情同意书后,数据是使用采访者管理的问卷和人体测量收集的.使用双变量和多变量逻辑回归模型来识别与营养状况相关的因素,使用SPSS版本25。
在401名参与者中,197(49.1%,95%CI:0.44,0.54)身高年龄z评分≤-2。在多变量分析中,较大的家庭规模(AOR=1.58,95%CI:1.04-2.40),饮食多样性(AOR=1.78;95%CI:1.07-2.96)和有反复腹泻病史(AOR=1.96;95%CI:1.07-3.59)与慢性营养不足显著相关.
与SDG中设定的发育迟缓目标相比,本研究中发现的患病率很高,为了减轻艾滋病毒治疗期间腹泻对健康的负面影响,需要格外注意,以促进及时发现和持续监测。受冲突影响地区的营养计划需要考虑家庭规模较大和/或食物种类较少的家庭。
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