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评估埃塞俄比亚奥罗米亚州阿塞拉艾滋病患者营养不良的流行情况及其相关因素。

Assessment of Prevalence of Malnutrition and Its Associated Factors among AIDS Patients from Asella, Oromia, Ethiopia.

机构信息

Department of Public Health, College of Health Sciences, Arsi University, Arsi, Ethiopia.

Department of Biology, College of Natural and Computational Sciences, Dilla University, 419, Dilla, SNNPR, Ethiopia.

出版信息

Biomed Res Int. 2020 Dec 7;2020:7360190. doi: 10.1155/2020/7360190. eCollection 2020.

DOI:10.1155/2020/7360190
PMID:33376735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7738780/
Abstract

Sub-Saharan Africa remains to be the most heavily affected region by malnutrition, accounting for 23.8% share of the global burden. Undernutrition weakens the immune system, increases the susceptibility to infections, and may worsen the impact on various kinds of diseases. Our aim was to assess undernutrition and its associated factors among AIDS-infected adult patients from Asella, Oromia Region, Ethiopia. An institutional-based cross-sectional study design was employed from June to July 2018. A total number of 519 patients were selected for the proposed work. Data was entered into EpiData, checked, coded, and analyzed using SPSS version 21 software. Descriptive statistics were used to assess the prevalence of undernutrition among patients. Bivariate and multivariate regressions were used to determine the relationship between undernutrition and its associated factors among the study participants. The results of our study showed that the overall prevalence of undernutrition was 18.3%; out of which 12.7% were mildly and 5.6% were moderately to severely undernourished, respectively. Monthly income (AOR: 3.589, 95% CI (1.469-8.768)), whole grain feeding (AOR: 2.979, 95% CI (1.252-7.088)), opportunistic infections in the last six months (AOR: 3.683, 95% CI (3.075-4.411)), clinical stage (AOR: 2.998, 95% CI (1.269-7.083)), and insufficient quality of food (AOR: 3.149, 95% CI (1.339-7.406)) were found to be significantly associated with undernutrition in this study. Therefore, HIV treatment facility should be supported with nutritional assessment, supplementation, counseling, care, and support to patients that may possibly alleviate this predicament.

摘要

撒哈拉以南非洲仍然是受营养不良影响最严重的地区,占全球负担的 23.8%。营养不良会削弱免疫系统,增加感染的易感性,并可能使各种疾病的影响恶化。我们的目的是评估埃塞俄比亚奥罗米亚地区阿塞拉的艾滋病感染成年患者的营养不良及其相关因素。这项研究采用了 2018 年 6 月至 7 月期间的基于机构的横断面研究设计。共有 519 名患者被选入该研究。数据输入 EpiData 后进行检查、编码,并使用 SPSS 版本 21 软件进行分析。采用描述性统计方法评估患者营养不良的患病率。采用双变量和多变量回归分析确定研究参与者中营养不良及其相关因素之间的关系。我们的研究结果表明,营养不良的总患病率为 18.3%;其中 12.7%为轻度营养不良,5.6%为中度至重度营养不良。月收入(AOR:3.589,95%CI(1.469-8.768))、全谷物喂养(AOR:2.979,95%CI(1.252-7.088))、过去六个月的机会性感染(AOR:3.683,95%CI(3.075-4.411))、临床分期(AOR:2.998,95%CI(1.269-7.083))和食物质量不足(AOR:3.149,95%CI(1.339-7.406))与本研究中的营养不良显著相关。因此,艾滋病毒治疗机构应得到营养评估、补充、咨询、护理和支持的支持,这可能会缓解这种困境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/b3c04fc88b9b/BMRI2020-7360190.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/869d855f4514/BMRI2020-7360190.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/f7a60992a9a8/BMRI2020-7360190.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/b3c04fc88b9b/BMRI2020-7360190.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/869d855f4514/BMRI2020-7360190.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/f7a60992a9a8/BMRI2020-7360190.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/7738780/b3c04fc88b9b/BMRI2020-7360190.003.jpg

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