ArticleJournal of the International Association of Providers of AIDS Care
Undernutrition and Associated Factors Among Adults on Second-Line Antiretroviral Therapy in Debark, Ethiopia: A Cross-Sectional Study.
Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background/ObjectivesUndernutrition remains a major public health challenge among people living with HIV, particularly in low-income settings, where it adversely affects treatment outcomes, immunity, and survival, where it contributes to poor treatment outcomes, increased susceptibility to opportunistic infections, and higher mortality. Although several studies in Ethiopia have examined undernutrition among adults receiving first-line antiretroviral therapy (ART), evidence focusing specifically on individuals receiving second-line ART is limited. Therefore, this study aimed to assess the prevalence of undernutrition and identify factors associated with undernutrition among adults living with HIV receiving second-line ART in public health facilities of Debark town, Ethiopia.MethodsAn institution-based cross-sectional study was conducted from June 1 to June 30, 2025, among adults living with HIV receiving second-line ART in public health facilities of Debark town, Ethiopia. Participants were selected using a simple random sampling technique based on medical registration numbers. Data were collected using a structured interviewer-administered questionnaire and medical record review checklist adapted from previous studies. Nutritional status was assessed using body mass index (BMI). Data were entered into EpiData version 3.1 and analyzed using STATA version 14. Bivariable and multivariable logistic regression analyses were performed to identify factors associated with undernutrition.ResultsUndernutrition, defined as a BMI of < 18.5 kg/m
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