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Malnutrition amongst HIV adult patients in selected hospitals of Bushenyi district in southwestern Uganda
Authors:Ambrose Odwee  Keneth Iceland Kasozi  Christine Amongi Acup  Patrick Kyamanywa  Robinson Ssebuufu  Richard Obura  Jude B Agaba  Danladi Makeri  Claude Kirimuhuzya  Olivia Sasirabo  Pwaveno H Bamaiyi
Abstract:BackgroundMalnutrition 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.MethodsA 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.ResultsThe 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 malnutritionDiscussionIn 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 The current policy of prioritizing children and women is outdated due to changing disease dynamics, thus showing a need to revise extension service provision in rural communities.ConclusionsMalnutrition is a threat in HIV adult patients in rural communities of Uganda.
Keywords:Malnutrition   HIV adult patients   Bushenyi district   Uganda
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