Food Insecurity: Prevalence and Associated Factors among Adult Individuals Receiving Highly Active Antiretroviral Therapy (HAART) in ART Clinics of Hosanna Town, Hadiya Zone, Southern Ethiopia
Background: Food insecurity and poor nutritional status may hasten
progression to Acquired Immuno Deficiency Syndrome (AIDS)-related illnesses,
undermine adherence and response to antiretroviral therapy, and exacerbate
socioeconomic impacts of the virus. There is a risk that declining food
security will lead some people to discontinue treatment, due to a lack of
adequate food. Little is known about prevalence and predictors of food insecurity
among adults people on antiretroviral therapy (ART) in the Ethiopia context,
particularly at the study area. Objective: To determine prevalence of food insecurity
and identify its predictors among adult individuals receiving highly active
antiretroviral therapy (HAART) in ART clinics of Hosanna Town. Methods: A cross
sectional study was carried out from January 1, 2015 to February 30, 2015 in
health facilities of hosanna town. Data were collected by face-to-face
interview using structured pretested questionnaires and record review. I used
multivariable logistic regression model to identify predictors of food
insecurity among 385 adult people (≥18 years) attending ART Clinics of Hosanna
town. Results: Overall, the prevalence of food insecurity was (67.5%) among
people on HAART at the study area. Poor economic status [OR = 4.34 (95% CI;
(2.53 - 7.45))], middle economic status [OR = 4.1(95%CI;
(2.17 - 7.57))], educational status of secondary or lower [OR = 1.7 (95%CI;
(1.06 - 2.72))], absence of food support [OR = 2.35 (95%CI; (1.02 - 5.39))],
and unemployment [OR = (95%CI; 1.71 (1.06 - 2.74))] were significant and
independent predictors of food insecurity. Conclusions: People on HAART suffer
from a significant amount of Food insecurity at the study area. Absence of food
support, lower educational status, unemployment, poor and middle economic
status were independent predictors of food insecurity. Food insecurity interventions
should be an integral component of ART programs. Intervention initiatives
should address patients with lower educational status and unemployed; and also
should focus in improving socio-economic status and involving people on ART in
income generating g activities.
Cite this paper
Asnakew, M. (2015). Food Insecurity: Prevalence and Associated Factors among Adult Individuals Receiving Highly Active Antiretroviral Therapy (HAART) in ART Clinics of Hosanna Town, Hadiya Zone, Southern Ethiopia. Open Access Library Journal, 2, e1800. doi: http://dx.doi.org/10.4236/oalib.1101800.
Alaimo, K., Briefel, R.R., Frongillo
Jr., E.A. and
Olson, C.M. (1998) Food Insufficiency Exists in the United States: Results from the Third
National Health and Nutrition Examination Survey (NHANES III). American Journal of Public Health, 88, 419-426. http://dx.doi.org/10.2105/AJPH.88.3.419
Crush,
J., Frayne, B. and Grant, M. (2006) The Regional Network on HIV/AIDS, Livelihoods
and Food Security/International Food Policy Research Institute/Southern African
Migration Project. IFPRI, Washington.
Castleman, T.,
Seumo-Fosso, E. and
Cogill, B. (2004) Food and Nutrition Implications of Antiretroviral
Therapy in Resource Limited Settings. Food and Nutrition Technical
Assistance Project (FANTA) Academy for Educational Development, Report No. 7, Washington DC. http://www.fantaproject.org/publications/tn7.shtml
(2009) World Bank and UNAIDS: The Global Economic
Crisis and HIV Prevention and Treatment Programmes: Vulnerabilities and Impact. World Bank and
UNAIDS. http://www.unaids.org
Ayele,
T., Tefera, B., Fisehaye, A. and Sibhatu, B. (2012) Food Insecurity and
Associated Factors among HIV-Infected Individuals Receiving Highly Active Antiretroviral Therapy in
Jimma Zone Southwest Ethiopia. Nutrition Journal, 11, 51. http://dx.doi.org/10.1186/1475-2891-11-51
Coates, J., Swindale, A. and Bilinsky, P. (2007)
Household Food Insecurity Access Scale (HFIAS) for
Measurement of Household Food Access: Indicator Guide. Food and
Nutrition Technical Assistance Project, Academy for
Educational Development, Washington DC. http://www.fao.org/fileadmin/user_upload/eufao-fsi4dm/doc-training/hfias.pdf
Normén, L., Chan, K.,
Braitstein, P., Anema, A., Bondy, G., Montaner, J.S. and Hogg, R.S. (2005) Food Insecurity and Hunger Are Prevalent among HIV-Positive
Individuals in British Columbia, Canada. Journal of Nutrition, 135, 820- 825.
Asnakew,
M., Hailu, C. and Jarso, H. (2015) Malnutrition and Associated Factors among
Adult Individuals Receiving Highly Active Antiretroviral Therapy in Health
Facilities of Hosanna Town, Southern Ethiopia. Open AccessLibrary Journal, 2, e1289. http://dx.doi.org/10.4236/oalib.1101289
Béchu, N. (1998) The Impact of AIDS on the
Economy of Families in Cote d’Ivoire: Changes in Consumption among AIDS-Affected
Households. In:Ainsworth, M., Fransen,
L. and Over, M., Eds., Con-FrontingAIDS: Evidence from the Developing World, European Union, Brussels,
341-348.
Bukusuba, J., Joyce, K. and Roger, G. (2007) Food Security Status in Households of People
Living with HIV/AIDS (PLWHA) in a Ugandan Urban Setting. British Journal of Nutrition, 98, 211-217. http://dx.doi.org/10.1017/S0007114507691806
Nord, M., Hooper, M.D. and Hopwood, H. (2008) Household-Level Income-Related Food Insecurity
Is Less Prevalent in Canada than in the United States. Journal of Hunger & Environmental Nutrition, 3, 17-35. http://dx.doi.org/10.1080/19320240802163498
Rose, D. and Charlton, K.E. (2002) Quantitative Indicators from a
Food Expenditure Survey Can Be Used to Target the Food Insecure in South Africa. Journal of Nutrition, 132, 3235-3242.
Campa, A., Yang, Z., Lai, S., Xue, L., Phillips, J.C., Sales, S., Page, J.B. and Baum, M.K. (2005) HIV-Related Wasting in HIV-Infected Drug Users in the Era of
Highly Active Antiretroviral Therapy. Clinical
Infectious Diseases, 41, 1179-1185. http://dx.doi.org/10.1086/444499
Louise,
C., Yuchiao, C., Gregory, J. and Kenneth, A. (2010) Food Assistance Is Associated
with Improved Body Mass Index, Food Security and Attendance at Clinic in an HIV Program in
Central Haiti: A Prospective Observational Cohort Study. AIDS
Research and Therapy, 7,
1-8.