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Table 5 Factors associated with over-nutrition among HIV-infected 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

163 (31.0)

reference

reference

 Rural

159 (22.9)

0.66 (0.51–0.85)

0.9 (0.66–1.25)

Sex

 Male

51 (13.2)

reference

reference

 Female

271 (32.5)

3.16 (2.28–4.39)

3.86 (2.72–5.48)

Age in years

 15–24

9 (18.4)

reference

reference

 25–34

70 (25.1)

1.49 (0.69–3.22)

1.48 (0.65–3.36)

 35–44

118 (25.6)

1.53 (0.72–3.25)

1.60 (0.72–3.56)

  ≥ 45

125 (29.0)

1.82 (0.86–3.85)

2.24 (1.01–5.04)

Wealth quintile

 Lowest

36 (14.5)

reference

reference

 Second

65 (25.9)

2.06 (1.31–3.23)

2.07 (1.29–3.33)

 Middle

60 (24.9)

1.95 (1.23–3.09)

1.94 (1.19–3.17)

 Fourth

79 (34.5)

3.10 (1.99–4.85)

3.15 (1.91–5.18)

 Highest

82 (32.7)

2.86 (1.84–4.44)

2.84 (1.66–4.86)

Household Food consumption score

 Poor (0–21)

7 (24.1)

reference

reference

 Borderline (21.5–35)

55 (21.2)

0.85 (0.34–2.09)

0.92 (0.36–2.37)

 Acceptable (>35)

260 (27.9)

1.22 (0.51–2.88)

1.06 (0.43–2.64)

Had difficulty accessing food in the past 30 days

 No

229 (27.4)

reference

reference

 Yes

93 (24.2)

0.85 (0.64–1.12)

0.85 (0.62–1.16)

Household Income compared to PDL

 above PDL

47 (36.2)

reference

reference

 Below PDL

238 (25.7)

0.61 (0.41–0.9)

0.84 (0.52–1.35)

Household Income compared to FPL

 above FPL

40 (40.4)

reference

reference

 below FPL

282 (25.2)

0.5 (0.32–0.76)

0.52 (0.31–0.87)

Duration on ART in years

 Pre-ART

20 (22.7)

reference

reference

  < 1

57 (23.4)

1.13 (0.76–1.67)

0.92 (0.59–1.45)

 1–2

77 (25.6)

1.25 (0.85–1.83)

1.04 (0.67–1.63)

 3–4

92 (27.5)

1.26 (0.80–1.99)

0.91 (0.54–1.54)

 5–6

45 (27.8)

1.70 (1.00–2.87)

1.12 (0.61–2.04)

  > 6

31 (34.1)

0.96 (0.54–1.72)

0.85 (0.45–1.59)

Current WHO stage

 I/II

132 (29.0)

reference

reference

 III/IV

143 (25.0)

0.82 (0.62–1.08)

0.89 (0.65–1.20)

Current CD4 cell counta

  ≤ 50

2 (7.7)

reference

reference

 51–200

10 (13.5)

1.87 (0.38–9.19)

1.66 (0.32–8.62)

 201–350

21 (28.8)

4.85 (1.05–22.36)

4.51 (0.92–22.15)

  > 350

58 (33.5)

6.05 (1.38–26.5)

4.85 (1.03–22.77)

  1. OR odds ratio, aOR multivariate-adjusted odds ratio, CI confidence interval, HIV Human Immunodeficiency Virus, ART antiretroviral therapy, PDL poverty datum line, FPL food poverty line, 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