Food access and diet quality independently predict nutritional status among people living with HIV in Uganda

Public Health Nutrition
Suneetha Kadiyala, Rahul Rawat

Abstract

Although undernutrition is recognized as a risk factor for mortality among people living with HIV (PLWHIV), even among those initiating antiretroviral therapy, few studies have explored the underlying determinants of undernutrition. The objectives of the present study were to: (i) examine the independent association between household food security, individual diet quality and nutritional status; and (ii) determine if any association between food security and nutritional status is mediated through diet quality. Cross-sectional baseline survey. Gulu and Soroti districts, Uganda. Nine hundred and two PLWHIV recruited into a study evaluating the impact of a food assistance programme supported by the World Food Programme. Food security and diet quality were measured using the Household Food Insecurity Access Scale (HFIAS) and the Individual Dietary Diversity Score (IDDS), respectively. Multivariate regression results demonstrated that HFIAS and IDDS independently predict BMI (P < 0.01) and mid upper-arm circumference (P < 0.05). The adjusted odds ratio of being underweight (BMI < 18.5 kg/m2) among individuals living in severely food-insecure households was 1.92 (P < 0.0 0 1); individuals consuming a highly diverse diet had an adjust...Continue Reading

References

Mar 26, 2004·European Journal of Clinical Nutrition·L E TorheimA Oshaug
Sep 24, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Marianne A B van der SandeHilton C Whittle
Feb 16, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A MangiliC A Wanke
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Aug 4, 2010·AIDS·Helen Epstein

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Citations

Jul 18, 2014·Journal of Health Psychology·Faith MartinJanet Seeley
Dec 12, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rahul RawatSuneetha Kadiyala
Jul 18, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Alamo Stella-TalisunaPhilippe Beutels
Jun 27, 2017·American Journal of Audiology·Mark Guiberson, Emily Wakefield
Jun 30, 2019·BMC Research Notes·Anita Heim, Attila Paksi
Dec 4, 2019·Global Social Welfare : Research, Policy & Practice·Rainier Masa, Gina Chowa

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