Department of Public Health, School of Allied Health and Sciences, Kampala International University Teaching Hospital, Box 71, Bushenyi, Uganda.
Department of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University Teaching Hospital, Box 71, Bushenyi, Uganda.
Afr Health Sci. 2020 Mar;20(1):122-131. doi: 10.4314/ahs.v20i1.17.
Malnutrition is an important clinical outcome amongst HIV patients in developing countries and in Uganda, there is scarcity of information on its prevalence and risk factors amongst HIV adult patients.
A cross-sectional study amongst 253 HIV patients in Bushenyi district assessed their nutritional status using the body mass index (BMI) and mid-upper arm circumference (MUAC), and a questionnaire was used to identify major risk factors.
The mean age of the study participants was 38.74 ± 0.80 yrs, while females and males were 52.2% and 47.8% respectively. Prevalence of malnutrition was 10.28% (95% CI: 6.82 - 14.69) in the study. Major socio-economic factors associated with malnutrition were being female, unemployed, dependent and with many family members. Patients with opportunistic infections, low adherence to HAART, and stage of HIV/AIDS had a higher risk of malnutrition.
In rural communities, a majority of malnourished patients are elderly and these were identified as priority groups for HIV outreach campaigns. The current policy of prioritizing children and women is outdated due to changing disease dynamics, thus showing a need to revise extension service provision in rural communities.
Malnutrition is a threat in HIV adult patients in rural communities of Uganda.
在发展中国家，营养不良是 HIV 患者的一个重要临床结果，在乌干达，HIV 成年患者的营养不良患病率及其危险因素的相关信息十分匮乏。
本横断面研究在布谢尼地区招募了 253 名 HIV 患者，使用身体质量指数（BMI）和中上臂围（MUAC）评估他们的营养状况，并使用问卷识别主要危险因素。
研究参与者的平均年龄为 38.74 ± 0.80 岁，女性和男性分别占 52.2%和 47.8%。研究中营养不良的患病率为 10.28%（95%CI：6.82-14.69）。与营养不良相关的主要社会经济因素包括女性、失业、依赖他人和有多个家庭成员。发生机会性感染、抗逆转录病毒治疗（HAART）依从性低以及 HIV/AIDS 分期较高的患者，营养不良的风险更高。
在农村社区，大多数营养不良的患者都是老年人，他们被确定为 HIV 外展活动的优先群体。由于疾病动态的变化，目前优先考虑儿童和妇女的政策已经过时，因此需要修订农村社区的延伸服务提供。
在乌干达农村社区的 HIV 成年患者中，营养不良是一个威胁。
