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Table 4 Factors associated with under-nutrition among HIV-positive adults enrolled in ART clinics in Zimbabwe

From: Malnutrition status and associated factors among HIV-positive patients enrolled in ART clinics in Zimbabwe

Characteristic

n (%)

OR (95% CI)

aOR (95% CI)

Area

 Urban

58 (11.0)

reference

reference

 Rural

64 (9.2)

0.82 (0.56; 1.19)

0.87 (0.57; 1.32)

Sex

 Male

66 (17.1)

reference

reference

 Female

56 (6.7)

0.35 (0.24; 0.51)

0.31 (0.20; 0.47)

Age in years

 15–24

10 (20.4)

reference

reference

 25–34

29 (10.4)

0.45 (0.2; 1)

0.50 (0.21; 1.20)

 35–44

37 (8.0)

0.34 (0.16; 0.74)

0.34 (0.15; 0.80)

 45–54

46 (10.7)

0.47 (0.22; 1.02)

0.43 (0.19; 0.99)

Received Food aid

 No

102 (9.5)

reference

reference

 Yes

20 (14.1)

1.57 (0.94; 2.63)

1.36 (0.77; 2.39)

Had difficulty accessing food in the past 30 days

 No

72 (8.6)

reference

reference

 Yes

50 (13.0)

1.59 (1.08; 2.33)

1.67 (1.10; 2.55)

Experienced diarrhoea in the past 2 weeks

 No

97 (9.2)

Reference

reference

 Yes

25 (15.6)

1.84 (1.14; 2.96)

1.49 (0.89; 2.52)

ART status and duration in years

 Pre-ART

11 (12.5)

Reference

reference

  < 1

33 (13.5)

1.09 (0.53; 2.27)

0.75 (0.41; 1.39)

 1–2

28 (9.3)

0.72 (0.34; 1.51)

0.65 (0.34; 1.21)

 3–4

27 (8.1)

0.62 (0.29; 1.3)

0.74 (0.36; 1.54)

 5–6

16 (9.9)

0.77 (0.34; 1.73)

0.56 (0.21; 1.45)

  > 6

7 (7.7)

0.58 (0.22; 1.58)

1.26 (0.57; 2.81)

History of TB treatment

 No

75 (8.5)

Reference

reference

 Yes

47 (13.9)

1.74 (1.18; 2.56)

1.30 (0.84; 2.01)

Current WHO stage

 I/II

28 (6.1)

Reference

reference

 III/IV

72 (12.6)

2.2 (1.4; 3.47)

2.25 (1.34; 3.77)

Current CD4 cell counta

  ≤ 50

8 (30.8)

reference

reference

 51–200

10 (13.5)

0.35 (0.12; 1.02)

0.47 (0.14; 1.51)

 201–350

8 (11.0)

0.28 (0.09; 0.84)

0.43 (0.13; 1.45)

  ≥ 350

18 (10.4)

0.26 (0.10; 0.69)

0.53 (0.18; 1.56)

  1. OR odds ratio, aOR multivariate-adjusted odds ratio, CI confidence interval, HIV Human Immunodeficiency Virus, ART antiretroviral therapy, TB Tuberculosis, WHO World Health Organization
  2. aCurrent CD4 cell count was taken as a CD4 cell count obtained with 6 months from date of data collection
  3. NB: All odds ratios and 95% confidence intervals in bold font are statistically significant with p-values <0.05