Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia
Background: Despite progress in HIV treatment, the reproductive age group continues to experience high rates of underweight, which adversely affects their health and ART effectiveness. Current data on the prevalence and contributing factors of underweight in this group is scarce. This study aims to...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398425000429 |
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| author | Sufedin Ibrahim Takele Gezahegn Demie Temesgen Gelata Seifadin Ahmed Gemechu Gelan Bekele |
| author_facet | Sufedin Ibrahim Takele Gezahegn Demie Temesgen Gelata Seifadin Ahmed Gemechu Gelan Bekele |
| author_sort | Sufedin Ibrahim |
| collection | DOAJ |
| description | Background: Despite progress in HIV treatment, the reproductive age group continues to experience high rates of underweight, which adversely affects their health and ART effectiveness. Current data on the prevalence and contributing factors of underweight in this group is scarce. This study aims to assess the prevalence of underweight and its associated factors among reproductive-age women on ART in selected public health facilities in the Arsi Zone, South East Ethiopia. Methods: A health facility-based cross-sectional study was conducted involving 413 individuals receiving ART between December 15, 2021, and January 20, 2022. Data were collected through a review of medical records and interviews with selected participants. Bivariate and multivariable logistic regression analyses were used to identify factors associated with underweight among this population. Results: This study found that the prevalence of underweight among women on ART was 24.5 % (95 % CI: 20.8%–28.3 %). Underweight was significantly associated with ambulatory status (individuals who can perform selfcare but can't fully engage in work) (AOR = 4.41, 95 % CI: 1.71–11.36), lack of HIV/AIDS-related nutrition counselling (AOR = 4.61, 95 % CI: 2.17–9.78), poor ART adherence (AOR = 11.49, 95 % CI: 4.77–27.67), and inadequate dietary diversity (AOR = 3.84, 95 % CI: 1.82–8.11). Conclusion and recommendation: The study revealed a high prevalence of underweight among women on ART. To effectively tackle this issue, enhancing nutritional counselling, strengthening ART adherence programs, and promoting a diverse diet are essential. Moreover, providing targeted support for ambulatory patients can further mitigate underweight in this group. By implementing these recommendations, we can improve health outcomes for women living with HIV/AIDS. |
| format | Article |
| id | doaj-art-1cd4d4ff432e4d748b685c6bf183ef18 |
| institution | Kabale University |
| issn | 2213-3984 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-1cd4d4ff432e4d748b685c6bf183ef182025-02-06T05:11:35ZengElsevierClinical Epidemiology and Global Health2213-39842025-03-0132101953Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East EthiopiaSufedin Ibrahim0Takele Gezahegn Demie1Temesgen Gelata2Seifadin Ahmed3Gemechu Gelan Bekele4Borana Zone Health Department, Yabelo, Oromia, EthiopiaSaint Paul Millenium Medical College, Addis Ababa, EthiopiaSaint Paul Millenium Medical College, Addis Ababa, EthiopiaDepartment of Public Health, College of Medicine and Health Science, Arsi University, Asella, EthiopiaDepartment of Midwifery, College of Health Sciences, Mada Walabu University, Shashamene, Ethiopia; Corresponding author.Background: Despite progress in HIV treatment, the reproductive age group continues to experience high rates of underweight, which adversely affects their health and ART effectiveness. Current data on the prevalence and contributing factors of underweight in this group is scarce. This study aims to assess the prevalence of underweight and its associated factors among reproductive-age women on ART in selected public health facilities in the Arsi Zone, South East Ethiopia. Methods: A health facility-based cross-sectional study was conducted involving 413 individuals receiving ART between December 15, 2021, and January 20, 2022. Data were collected through a review of medical records and interviews with selected participants. Bivariate and multivariable logistic regression analyses were used to identify factors associated with underweight among this population. Results: This study found that the prevalence of underweight among women on ART was 24.5 % (95 % CI: 20.8%–28.3 %). Underweight was significantly associated with ambulatory status (individuals who can perform selfcare but can't fully engage in work) (AOR = 4.41, 95 % CI: 1.71–11.36), lack of HIV/AIDS-related nutrition counselling (AOR = 4.61, 95 % CI: 2.17–9.78), poor ART adherence (AOR = 11.49, 95 % CI: 4.77–27.67), and inadequate dietary diversity (AOR = 3.84, 95 % CI: 1.82–8.11). Conclusion and recommendation: The study revealed a high prevalence of underweight among women on ART. To effectively tackle this issue, enhancing nutritional counselling, strengthening ART adherence programs, and promoting a diverse diet are essential. Moreover, providing targeted support for ambulatory patients can further mitigate underweight in this group. By implementing these recommendations, we can improve health outcomes for women living with HIV/AIDS.http://www.sciencedirect.com/science/article/pii/S2213398425000429UnderweightReproductive-age womenHIV/AIDSArsi zoneAntiretroviral therapy |
| spellingShingle | Sufedin Ibrahim Takele Gezahegn Demie Temesgen Gelata Seifadin Ahmed Gemechu Gelan Bekele Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia Clinical Epidemiology and Global Health Underweight Reproductive-age women HIV/AIDS Arsi zone Antiretroviral therapy |
| title | Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia |
| title_full | Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia |
| title_fullStr | Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia |
| title_full_unstemmed | Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia |
| title_short | Underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of Arsi Zone, South East Ethiopia |
| title_sort | underweight and its associated factors among reproductive age women on antiretroviral therapy in selected public health facilities of arsi zone south east ethiopia |
| topic | Underweight Reproductive-age women HIV/AIDS Arsi zone Antiretroviral therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2213398425000429 |
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