Factors Affecting Dietary Intake and Dietary Diversity Score Among Adults Living With HIV/AIDS in Uasin Gishu District Hospital, Kenya - A Cross Sectional Study
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Despite the internationally accepted recommendation for dietary diversity as a means to provide adequate nutrient intake for a healthy diet and achieving positive health, little is known about factors affecting dietary intake and diversity score among people living with HIV/AID at UasinGishu District hospital Comprehensive Care Center. The objective of the study was to determine the factors affecting dietary intake in people living with HIV/AIDS at UasinGishu district Hospital and determine the factors associated with dietary diversity score. It was a Hospital based cross-sectional descriptive study involving both quantitative and qualitative methods. One hundred and sixty nine adults living with HIV/AIDS and attending comprehensive care center at the district hospital were interviewed. It was conducted in the months of June and July, 2018 and the main tool of data collection was an interviewer-administered questionnaire and a dietary diversity score tool. Interview schedule was used for focus group discussions. Qualitative data analysis was done by SPSS version 20.0 and multiple logistic regression analysis done. Thematic analysis was also done. Mean dietary diversity score was 4..99 (SD 1.37) with62.7% of the respondents scoring at 5 and more food groups. Having no regular income and purchase of food as a main source of food posed a four and three -fold risk of having a low dietary diversity respectively (AOR 4.28 95% CI 1.53-11.98 & AOR 3.00 95% CI 1.06-8.51). More than half of the respondents had a moderately adequate dietary intake but less than 20% consume vitamin A rich foods, vegetables and fruits. Source of income and sources of food at own gardens and food support, rather than purchase, allows one to have adequate dietary intake. Nutrition counselling should therefore aim at encouraging patients to increase on variety of food groups consumed including vitamin A rich foods, fruits and vegetables. Health providers together with the clients should come up with a strategy to support clients without regular incomes and those who purchase food as main source of food to grow own gardens and access food support
Authors and Affiliations
Mukabana Beatrice, Masika Francis
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