Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis

Background. Food insecurity is the shortage of both the quantity and quality of food and a negative impact on the overall nutritional and health status of people with human immunodeficiency virus (HIV). Ethiopia is intensely affected by food insecurity which is about 87.4% of adult people living wit...

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Main Authors: Hagos Degefa Hidru, Haftay Gebremedhine, Alem Gebretsadik, Hirut Teame, Hadush Negash, Meresa Berwo Mengesha
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Food Science
Online Access:http://dx.doi.org/10.1155/2021/7816872
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author Hagos Degefa Hidru
Haftay Gebremedhine
Alem Gebretsadik
Hirut Teame
Hadush Negash
Meresa Berwo Mengesha
author_facet Hagos Degefa Hidru
Haftay Gebremedhine
Alem Gebretsadik
Hirut Teame
Hadush Negash
Meresa Berwo Mengesha
author_sort Hagos Degefa Hidru
collection DOAJ
description Background. Food insecurity is the shortage of both the quantity and quality of food and a negative impact on the overall nutritional and health status of people with human immunodeficiency virus (HIV). Ethiopia is intensely affected by food insecurity which is about 87.4% of adult people living with human immuno deficiency virus (HIV) are still facing shortage to have access to safe, sufficient, and nutritious food for themselves and their family. However, there is no concrete scientific evidence established at the national level in Ethiopia. Hence, this review gave special emphasis on adult people with human immunodeficiency virus (HIV) to estimate the pooled prevalence of food insecurity and its associated factor at the national level in Ethiopia. Methods. Studies were retrieved from selected electronic data bases, including PubMed/Medlin, Cochrane library, Sciences Direct, Google, and Google Scholar. Random-effects model meta-analysis was used to estimate the pooled prevalence of food insecurity and its associated factors at 95% confidence interval with odds ratio (OR) using statistical R-software version 3.6.1. Moreover, quality appraisal of the included studies, publication bias was checked using the funnel symmetry test, and heterogeneity was checked using forest plot and inverse variance square (I2). The searches were restricted to articles published in the English language only, and Medical Subject Headings (MeSH terms) was used to help expand the search in advanced PubMed search. Result. A total of 650 articles were identified through the initial search of which 20 studies were included in the final review yielding a total sample size of 7,797 adult people with human immunodeficiency virus (HIV). The pooled prevalence of food insecurity was 52% (95% CI, 40%, 63%). Cluster of differentiation 4 CD4 count<350 cell/mm3 [AOR=1.29 (95% CI, 1.08, 1.54)], develop opportunistic infection [AOR=4.09 (95% CI, 2.47, 6.78)], rural residence [AOR=1.59 (95% CI, 1.09, 2.34)], and World Health Organization (WHO) clinical stages III and IV [AOR=1.98 (95% CI, 1.23, 3.19)] was among the significantly associated factors. Conclusion. In this review, there was a high prevalence of food insecurity among adult people with human immunodeficiency virus. Therefore, the responsible stockholders should strengthen the system and procedure for early diagnosis of opportunistic infection, under nutrition, screening of underlying problems.
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spelling doaj-art-b3659488929c4e99b3018590d54cab452025-02-03T06:06:52ZengWileyInternational Journal of Food Science2356-70152314-57652021-01-01202110.1155/2021/78168727816872Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-AnalysisHagos Degefa Hidru0Haftay Gebremedhine1Alem Gebretsadik2Hirut Teame3Hadush Negash4Meresa Berwo Mengesha5College of Medicine and Health Sciences, Department of Public Health, Adigrat University, Adigrat, EthiopiaCollege of Medicine and Health Sciences, Department of Public Health, Adigrat University, Adigrat, EthiopiaCollege of Medicine and Health Sciences, Department of Public Health, Adigrat University, Adigrat, EthiopiaCollege of Medicine and Health Sciences, Department of Public Health, Adigrat University, Adigrat, EthiopiaCollege of Medicine and Health Sciences, Department of Laboratory Unit of Medical Microbiology, Adigrat University, Adigrat, EthiopiaCollege of Medicine and Health Sciences, Department of Midwifery, Adigrat University, Adigrat, EthiopiaBackground. Food insecurity is the shortage of both the quantity and quality of food and a negative impact on the overall nutritional and health status of people with human immunodeficiency virus (HIV). Ethiopia is intensely affected by food insecurity which is about 87.4% of adult people living with human immuno deficiency virus (HIV) are still facing shortage to have access to safe, sufficient, and nutritious food for themselves and their family. However, there is no concrete scientific evidence established at the national level in Ethiopia. Hence, this review gave special emphasis on adult people with human immunodeficiency virus (HIV) to estimate the pooled prevalence of food insecurity and its associated factor at the national level in Ethiopia. Methods. Studies were retrieved from selected electronic data bases, including PubMed/Medlin, Cochrane library, Sciences Direct, Google, and Google Scholar. Random-effects model meta-analysis was used to estimate the pooled prevalence of food insecurity and its associated factors at 95% confidence interval with odds ratio (OR) using statistical R-software version 3.6.1. Moreover, quality appraisal of the included studies, publication bias was checked using the funnel symmetry test, and heterogeneity was checked using forest plot and inverse variance square (I2). The searches were restricted to articles published in the English language only, and Medical Subject Headings (MeSH terms) was used to help expand the search in advanced PubMed search. Result. A total of 650 articles were identified through the initial search of which 20 studies were included in the final review yielding a total sample size of 7,797 adult people with human immunodeficiency virus (HIV). The pooled prevalence of food insecurity was 52% (95% CI, 40%, 63%). Cluster of differentiation 4 CD4 count<350 cell/mm3 [AOR=1.29 (95% CI, 1.08, 1.54)], develop opportunistic infection [AOR=4.09 (95% CI, 2.47, 6.78)], rural residence [AOR=1.59 (95% CI, 1.09, 2.34)], and World Health Organization (WHO) clinical stages III and IV [AOR=1.98 (95% CI, 1.23, 3.19)] was among the significantly associated factors. Conclusion. In this review, there was a high prevalence of food insecurity among adult people with human immunodeficiency virus. Therefore, the responsible stockholders should strengthen the system and procedure for early diagnosis of opportunistic infection, under nutrition, screening of underlying problems.http://dx.doi.org/10.1155/2021/7816872
spellingShingle Hagos Degefa Hidru
Haftay Gebremedhine
Alem Gebretsadik
Hirut Teame
Hadush Negash
Meresa Berwo Mengesha
Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis
International Journal of Food Science
title Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis
title_full Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis
title_fullStr Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis
title_full_unstemmed Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis
title_short Prevalence of Food Insecurity and Its Associated Factors among Adult People with Human Immunodeficiency Virus in Ethiopia: A Systematic Review and Meta-Analysis
title_sort prevalence of food insecurity and its associated factors among adult people with human immunodeficiency virus in ethiopia a systematic review and meta analysis
url http://dx.doi.org/10.1155/2021/7816872
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