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Study of the Association Between Socio Demographic Characteristics and Dietary Diversity Among Adults Living with HIV Attending Kerugoya Referral Hospital

Received: 28 September 2021     Accepted: 21 October 2021     Published: 29 October 2021
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Abstract

PLWHIV needs to eat a balanced diet and a diverse diet with foods in sufficient quantities to meet their energy, protein and micronutrient needs. The purpose of this study was to determine the dietary diversity among adults living with HIV in the Kerugoya Comprehensive clinic, Kirinyaga County, Kenya. The study adopted analytical cross-sectional design. Data was collected from a sample of 169 persons and stratified random sampling technique was used to determine the proportion of each gender for the study from Kerugoya Comprehensive clinic ART booking register. Quantitative and qualitative methods which include structured questionnaire, focused group discussions and In-depth Interviews were used in collection of data. Pre testing of the questionnaires was done to 10% of sample in a nearby public facility Kagumo Health Centre Comprehensive Care Clinic. Confidentiality was observed by coding the questionnaires and names were not written. Informed consent was sought from the respondents before the data collection. Privacy was also observed as interviews were conducted in closed rooms. Completed questionnaires were kept in the cabinet under lock and key for safety and security reasons. Descriptive statistics (frequencies and percentages) and inferential statistics (Chi square) were used for data analysis. All quantitative data were analysed using SPSS version 20 while qualitative data were analysed thematically using computer software NVIVO. The study established that demographic factors are associated with dietary diversity among HIV positive adults attending Kerugoya Comprehensive clinic. Socio-demographic factors associated with dietary diversity were gender, marital status and levels of education (p<0.05). From the findings, interventions targeting individuals with demographic factors associated with low dietary diversity scores can be organized. This can be done by the county governments, NGOs and faith-based organizations. For gender, interventions could target the male PLWHIV, unmarried individuals within this category should also be targeted. Such interventions should aim at ensuring positive dietary diversity behaviours among PLWHIV.

Published in Journal of Health and Environmental Research (Volume 7, Issue 4)
DOI 10.11648/j.jher.20210704.14
Page(s) 192-197
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Diet, PLWA, HIV, Diversity

References
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[2] Cockx, L., Colen, L., De Weerdt, J., & Paloma, G. Y. (2019). Urbanization as a driver of changing food demand in Africa: evidence from rural-urban migration in Tanzania.
[3] Desta, M., Akibu, M., Tadese, M., & Tesfaye, M. (2019). Dietary Diversity and Associated Factors among Pregnant Women Attending Antenatal Clinic in Shashemane, Oromia, Central Ethiopia: A Cross-Sectional Study. Journal of Nutrition and Metabolism, 2019.
[4] Engidaw, M. T., Gebremariam, A. D., Tiruneh, S. A., Asnakew, D. T., & Abate, B. A. (2019). Dietary diversity and associated factors among lactating mothers in Debre Tabor General Hospital, Northcentral Ethiopia. International Journal, 5 (1), 17.
[5] Gitagia, M. W., Rose Chepchirchir Ramkat, D. M. M., Termote, C., Covic, N., & Cheserek, M. J. (2019). Determinants of dietary diversity among women of reproductive age in two different agro-ecological zones of Rongai Sub-County, Nakuru, Kenya. Food & Nutrition Research, 63.
[6] Lawrence, E. M., Rogers, R. G., Zajacova, A., & Wadsworth, T. (2019). Marital happiness, marital status, health, and longevity. Journal of Happiness Studies, 20 (5), 1539-1561.
[7] Lemeshow, A. R., Rimm, E. B., Hasin, D. S., Gearhardt, A. N., Flint, A. J., Field, A. E., & Genkinger, J. M. (2018). Food and beverage consumption and food addiction among women in the Nurses' Health Studies. Appetite, 121, 186-197.
[8] Nyangasa, M. A., Buck, C., Kelm, S., Sheikh, M., & Hebestreit, A. (2019). Exploring Food Access and Sociodemographic Correlates of Food Consumption and Food Insecurity in Zanzibari Households. International journal of environmental research and public health, 16 (9), 1557.
[9] Saha, S., Abu, B. A. Z., Oldewage-Theron, W., & Egal, A. (2019). Available food options at local shops in relation to food insecurity among older adults in Sharpeville, South Africa. African Journal of Food, Agriculture, Nutrition and Development, 19 (2), 14500-14516.
[10] Tesfaw, A., Jara, D., & Temesgen, H. (2018). Dietary Diversity and Associated Factors among HIV Positive Adult Patients Attending Public Health Facilities in Motta Town, East Gojjam Zone, Northwest Ethiopia, 2017. Advances in Public Health, 2018.
[11] Yang, Yang, Xiao-Mei Hu, Tian-Jiao Chen, and Ming-Jie Bai. "Rural-urban differences of dietary patterns, overweight, and bone mineral status in Chinese students." Nutrients 8, no. 9 (2016): 537.
[12] Zang, Jiajie, Huiting Yu, Zhenni Zhu, Ye Lu, Changhe Liu, Chunxia Yao, Pinqing Bai et al. "Does the dietary pattern of shanghai residents change across seasons and area of residence: assessing dietary quality using the Chinese diet balance index (DBI)." Nutrients 9, no. 3 (2017): 251.
[13] Uthman, O. A. (2008) Prevalence and pattern of HIV-related malnutrition among women in sub-Saharan Africa: a meta-analysis of demographic health surveys. BMC Public Health 8, 226 https://doi.org/10.1186/1471-2458-8-226
[14] Kish, L. (1959). Some Statistical Problems in Research Design. American Sociological Review, 24 (3), 328–338.
[15] Fisher RA, Yates F 1938, Statistical tables for biological, agricultural, and medical research Edinburg, tweddale, coart London, 39A, wellbek street ISBN 0-01-844720-4.
[16] Otieno S. B (2015) Role of Selenium in HIV progression in HIV1 positive children in Kisumu County Kenya, THESIS, Kenyatta University, Kenya.
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  • APA Style

    Githongo Faith Wangari, Otieno Samwel Boaz. (2021). Study of the Association Between Socio Demographic Characteristics and Dietary Diversity Among Adults Living with HIV Attending Kerugoya Referral Hospital. Journal of Health and Environmental Research, 7(4), 192-197. https://doi.org/10.11648/j.jher.20210704.14

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    ACS Style

    Githongo Faith Wangari; Otieno Samwel Boaz. Study of the Association Between Socio Demographic Characteristics and Dietary Diversity Among Adults Living with HIV Attending Kerugoya Referral Hospital. J. Health Environ. Res. 2021, 7(4), 192-197. doi: 10.11648/j.jher.20210704.14

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    AMA Style

    Githongo Faith Wangari, Otieno Samwel Boaz. Study of the Association Between Socio Demographic Characteristics and Dietary Diversity Among Adults Living with HIV Attending Kerugoya Referral Hospital. J Health Environ Res. 2021;7(4):192-197. doi: 10.11648/j.jher.20210704.14

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  • @article{10.11648/j.jher.20210704.14,
      author = {Githongo Faith Wangari and Otieno Samwel Boaz},
      title = {Study of the Association Between Socio Demographic Characteristics and Dietary Diversity Among Adults Living with HIV Attending Kerugoya Referral Hospital},
      journal = {Journal of Health and Environmental Research},
      volume = {7},
      number = {4},
      pages = {192-197},
      doi = {10.11648/j.jher.20210704.14},
      url = {https://doi.org/10.11648/j.jher.20210704.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20210704.14},
      abstract = {PLWHIV needs to eat a balanced diet and a diverse diet with foods in sufficient quantities to meet their energy, protein and micronutrient needs. The purpose of this study was to determine the dietary diversity among adults living with HIV in the Kerugoya Comprehensive clinic, Kirinyaga County, Kenya. The study adopted analytical cross-sectional design. Data was collected from a sample of 169 persons and stratified random sampling technique was used to determine the proportion of each gender for the study from Kerugoya Comprehensive clinic ART booking register. Quantitative and qualitative methods which include structured questionnaire, focused group discussions and In-depth Interviews were used in collection of data. Pre testing of the questionnaires was done to 10% of sample in a nearby public facility Kagumo Health Centre Comprehensive Care Clinic. Confidentiality was observed by coding the questionnaires and names were not written. Informed consent was sought from the respondents before the data collection. Privacy was also observed as interviews were conducted in closed rooms. Completed questionnaires were kept in the cabinet under lock and key for safety and security reasons. Descriptive statistics (frequencies and percentages) and inferential statistics (Chi square) were used for data analysis. All quantitative data were analysed using SPSS version 20 while qualitative data were analysed thematically using computer software NVIVO. The study established that demographic factors are associated with dietary diversity among HIV positive adults attending Kerugoya Comprehensive clinic. Socio-demographic factors associated with dietary diversity were gender, marital status and levels of education (p<0.05). From the findings, interventions targeting individuals with demographic factors associated with low dietary diversity scores can be organized. This can be done by the county governments, NGOs and faith-based organizations. For gender, interventions could target the male PLWHIV, unmarried individuals within this category should also be targeted. Such interventions should aim at ensuring positive dietary diversity behaviours among PLWHIV.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Study of the Association Between Socio Demographic Characteristics and Dietary Diversity Among Adults Living with HIV Attending Kerugoya Referral Hospital
    AU  - Githongo Faith Wangari
    AU  - Otieno Samwel Boaz
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    AB  - PLWHIV needs to eat a balanced diet and a diverse diet with foods in sufficient quantities to meet their energy, protein and micronutrient needs. The purpose of this study was to determine the dietary diversity among adults living with HIV in the Kerugoya Comprehensive clinic, Kirinyaga County, Kenya. The study adopted analytical cross-sectional design. Data was collected from a sample of 169 persons and stratified random sampling technique was used to determine the proportion of each gender for the study from Kerugoya Comprehensive clinic ART booking register. Quantitative and qualitative methods which include structured questionnaire, focused group discussions and In-depth Interviews were used in collection of data. Pre testing of the questionnaires was done to 10% of sample in a nearby public facility Kagumo Health Centre Comprehensive Care Clinic. Confidentiality was observed by coding the questionnaires and names were not written. Informed consent was sought from the respondents before the data collection. Privacy was also observed as interviews were conducted in closed rooms. Completed questionnaires were kept in the cabinet under lock and key for safety and security reasons. Descriptive statistics (frequencies and percentages) and inferential statistics (Chi square) were used for data analysis. All quantitative data were analysed using SPSS version 20 while qualitative data were analysed thematically using computer software NVIVO. The study established that demographic factors are associated with dietary diversity among HIV positive adults attending Kerugoya Comprehensive clinic. Socio-demographic factors associated with dietary diversity were gender, marital status and levels of education (p<0.05). From the findings, interventions targeting individuals with demographic factors associated with low dietary diversity scores can be organized. This can be done by the county governments, NGOs and faith-based organizations. For gender, interventions could target the male PLWHIV, unmarried individuals within this category should also be targeted. Such interventions should aim at ensuring positive dietary diversity behaviours among PLWHIV.
    VL  - 7
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    ER  - 

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Author Information
  • Department of Community Health, Faculty of Health Sciences, Great Lakes University, Nairobi, Kenya

  • Department of Community Health, Faculty of Health Sciences, Great Lakes University, Nairobi, Kenya

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