Public Health and Preventive Medicine Archive
Vol. 4 No. 2 (2016)

Predictors to Achieve Normal Nutrition Status: Longitudinal Study among HIV Children on Antiretroviral Treatment in Bali

Haryadi (Public Health Postgraduate Program Udayana University)
Anak Agung Sagung Sawitri (Public Health Postgraduate Program Udayana University)
Ketut Dewi Kumara Wati (Department of Pediatrics Faculty of Medicine Udayana University)
I Wayan Gede Artawan Eka Putra (Public Health Postgraduate Program Udayana University)
Ketut Tuti Parwati Merati (Department of Internal Medicine Faculty of Medicine Udayana University)



Article Info

Publish Date
01 Dec 2016

Abstract

Background and purpose: Malnutrition is common in children with HIV/AIDS. Antiretroviral therapy (ART) improves the nutritional status; however, information about predictors affecting the changes of nutritional status is limited and inconsistent. Methods: The retrospective survival study analyzed secondary data of 84 undernourished children receiving ART in Sanglah Central Hospital in 2010 to 2015. Demographic, clinical and socio-economic characteristics at ART initiation were linked to the achievement of normal nutritional status (z-score ≥ -2 SD). Kaplan Meier analysis was used to obtain the incidence rate and median time and cox proportional hazards models to identify its predictors. Results: Of the 73.81% of children achieved a normal nutrition status with the incidence of children achieving normal nutritional was 19 per 100 child months, and a median time of 4 months 10 days. Children with birth weight ≥2500 gr (AHR=5.41; 95%CI: 1.76-16.61), without candidiasis (AHR=3.72; 95%CI: 1.27-10.93), Clinical WHO Stage III (AHR=1.6; 95%CI: 1.08-4.24), Clinical WHO Stage II (AHR=4.49; 95%CI: 1.95-10.79) and early ART intiation (AHR=0.91; 95%CI: 0.83-0.98) were predictors to achieve normal nutritional status. Conclusion: Clinical characteristics of children are predictors of achieving a normal nutritional status.

Copyrights © 2016






Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...