{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:46:40Z","timestamp":1784310400153,"version":"3.55.0"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"content-version":"unspecified","delay-in-days":69,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nutr Sci"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>The aim of the study was to assess dietary diversity (DD) and associated factors among human immune deficiency virus (HIV)-positive adults attending the anti-retroviral therapy (ART) clinic at Felege Hiwot Comprehensive Specialized Hospital (FHCSH) in Northwest Ethiopia. An institution-based cross-sectional study was conducted at FHCSH in 2019. A systematic random sampling technique was employed to select 352 study subjects. Data were collected using an interviewer-administered questionnaire and chart review. Statistical Package for the Social Science version 26 was used for analysis. A simple and multivariable binary logistic regression was used to determine associated factors. Two hundred and nine (59\u22c54 %) adults had consumed a diversified diet. The mean individual DD score was 3\u22c586 \u00b1 1\u22c518. Self-employment status (adjusted odd ratio (AOR): 4\u22c560; 95 % confidence interval (CI): 1\u22c572, 12\u22c527), quintiles of wealth index (the second (AOR: 4\u22c533; 95 % CI: 1\u22c572, 10\u22c589), middle (AOR: 4\u22c540; 95 % CI: 1\u22c571, 11\u22c531), fourth (AOR: 6\u22c560; 95 % CI: 2\u22c536, 18\u22c548) and the highest quintiles (AOR: 9\u22c545: 95 % CI: 3\u22c534, 26\u22c577), the last CD4 count 200\u2013349 cells\/mm<jats:sup>3<\/jats:sup> (AOR: 8\u22c508; 95 % CI: 2\u22c593, 22\u22c523), those who took first-line ART regimen drugs (AOR: 4\u22c549; 95 % CI: 2\u22c519, 9\u22c521), subjects who did not take co-trimoxazole prophylaxis (AOR: 6\u22c536; 95 % CI: 2\u22c554, 15\u22c588), those who had nutritional counselling at a health institution (AOR: 2\u22c536; 95 % CI: 1\u22c508, 5\u22c516), had no food preference (AOR: 2\u22c542; 95 % CI: 1\u22c514, 5\u22c513) and a food-secure household (AOR: 3\u22c551; 95 % CI: 1\u22c585, 6\u22c567) were associated factors of DD among adults on ART. This study exhibited that the DD status among adults attending the ART clinic was below two-thirds. Health institutions and health professionals working at ART clinics shall strengthen their efforts to sustain the nutritional counselling service and ART adherence at health institutions and encourage the patients to avoid food preference for their meal. It is vital to ensure the household food security of adults on ART.<\/jats:p>","DOI":"10.1017\/jns.2021.5","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T02:36:59Z","timestamp":1615430219000},"source":"Crossref","is-referenced-by-count":2,"title":["Dietary diversity and associated factors among HIV-positive adults attending the anti-retroviral therapy clinic at Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia: a cross-sectional study"],"prefix":"10.1017","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7593-0216","authenticated-orcid":false,"given":"Hiwot Ahmed","family":"Said","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gebeyehu","family":"Tsega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadesse Dagget","family":"Tesfaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,3,11]]},"reference":[{"key":"S2048679021000057_ref7","volume-title":"A Practical Guide to Complementary Therapies for People Living with HIV","author":"Lyon","year":"2000"},{"key":"S2048679021000057_ref9","volume-title":"Dietary Diversity as a Measure of the Micronutrient Adequacy of Women\u2019s Diets: Results from Ouagadougou, Burkina Faso Site","author":"Becquey","year":"2009"},{"key":"S2048679021000057_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-018-0567-9"},{"key":"S2048679021000057_ref15","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1313490111"},{"key":"S2048679021000057_ref25","volume-title":"Household Food Insecurity Access Scale (HFIAS) for Measurement of Household Food Access: Indicator Guide (V. 3)","author":"Coates","year":"2007"},{"key":"S2048679021000057_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-016-0120-4"},{"key":"S2048679021000057_ref19","first-page":"10","article-title":"Factors affecting dietary intake and dietary diversity score among adults living with HIV\/AIDS in Uasin Gishu District Hospital, Kenya \u2013 A cross sectional study","volume":"7","author":"Beatrice","year":"2018","journal-title":"IOSR-JNHS"},{"key":"S2048679021000057_ref22","unstructured":"22. Yimer, F & Tadesse, F (2016) Synopsis: Women's Empowerment in Agriculture and Dietary Diversity in Ethiopia. ESSP Research Note. Available at https:\/\/ideas.repec.org\/p\/fpr\/essprn\/55.html."},{"key":"S2048679021000057_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-017-0148-0"},{"key":"S2048679021000057_ref27","doi-asserted-by":"publisher","DOI":"10.1177\/0379572116631882"},{"key":"S2048679021000057_ref5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3402\/fnr.v60.29425","article-title":"Women's dietary diversity scores and childhood anthropometric measurements as indices of nutrition insecurity along the urban-rural continuum in Ouagadougou, Burkina Faso","volume":"60","author":"Chagomoka","year":"2016","journal-title":"Food Nutr Res"},{"key":"S2048679021000057_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-018-0214-2"},{"key":"S2048679021000057_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-017-0180-0"},{"key":"S2048679021000057_ref33","doi-asserted-by":"publisher","DOI":"10.1093\/her\/16.4.443"},{"key":"S2048679021000057_ref14","doi-asserted-by":"publisher","DOI":"10.3945\/cdn.117.001701"},{"key":"S2048679021000057_ref31","first-page":"80","article-title":"Palliative care and AIDS: 2-Gastrointestinal symptoms","volume":"10","author":"Meyer","year":"1999","journal-title":"Int J STD AIDS"},{"key":"S2048679021000057_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2018\/6135482","article-title":"Dietary diversity and associated factors among HIV positive adult patients attending public health facilities in Motta Town, East Gojjam Zone, Northwest Ethiopia","volume":"2018","author":"Tesfaw","year":"2017","journal-title":"Adv Public Health"},{"key":"S2048679021000057_ref12","doi-asserted-by":"crossref","unstructured":"12. McGovern, G. (2010) Global Statistics: Targeted Violence, pp. 23\u201372. Available at https:\/\/www.hiv.gov\/hiv-basics\/overview\/data-and-trends\/global-statistics (accessed 13 February 2019).","DOI":"10.1201\/9781439825136-c2"},{"key":"S2048679021000057_ref13","unstructured":"13. EPHI (2017) HIV Related Estimates and Projections for Ethiopia \u2013 2017. Addis Ababa, Ethiopia. Available at https:\/\/www.ephi.gov.et\/images\/pictures\/download2009\/HIV_estimation_and_projection_for_Ethiopia_2017.pdf."},{"key":"S2048679021000057_ref29","doi-asserted-by":"publisher","DOI":"10.1080\/16070658.2009.11734233"},{"key":"S2048679021000057_ref30","unstructured":"30. WHO (2006) Antiretroviral Drugs for Treating Pregnant Women and Preventing HIV Infection in Infants in Resource-limited Settings."},{"key":"S2048679021000057_ref6","volume-title":"Guidelines for Measuring Household and Individual Dietary Diversity","year":"2010"},{"key":"S2048679021000057_ref35","first-page":"1","article-title":"Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal","volume":"15","author":"Singh","year":"2020","journal-title":"PLoS One"},{"key":"S2048679021000057_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s13002-017-0150-2"},{"key":"S2048679021000057_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-016-0077-3"},{"key":"S2048679021000057_ref10","unstructured":"10. UNAIDS (2020) Global HIV Statistics. Available at https:\/\/www.unaids.org\/en\/resources\/fact-sheet."},{"key":"S2048679021000057_ref24","doi-asserted-by":"publisher","DOI":"10.1186\/s40066-018-0219-8"},{"key":"S2048679021000057_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/133.11.3911S"},{"key":"S2048679021000057_ref8","first-page":"1","volume-title":"Fact Sheets on Food and Nutrition Security Indicators\/Measures: Dietary Diversity (DD)","year":"2008"},{"key":"S2048679021000057_ref18","doi-asserted-by":"publisher","DOI":"10.4172\/2155-6113.1000490"},{"key":"S2048679021000057_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-11-51"},{"key":"S2048679021000057_ref17","unstructured":"17. World Bank and Food Security: What We Can Do. 2007. Available at http:\/\/siteresources.worldbank.org\/NUTRITION\/Resources\/281846-1100008431337\/HIVAIDSNutritionFoodSecuritylowres.pdf."},{"key":"S2048679021000057_ref11","doi-asserted-by":"crossref","first-page":"63","DOI":"10.2147\/HIV.S138638","article-title":"Dietary diversity and associated factors among HIV positive adults attending antiretroviral therapy clinics at Hiwot Fana and Dilchora Hospitals, Eastern Ethiopia","volume":"10","author":"Weldegebreal","year":"2018","journal-title":"HIV\/AIDS \u2013 Res Palliat Care"},{"key":"S2048679021000057_ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1475-2891-10-33","article-title":"How diverse is the diet of adult South Africans?","volume":"10","author":"Labadarios","year":"2011","journal-title":"Nutr J"},{"key":"S2048679021000057_ref32","unstructured":"32. Hale, J (2018) How Food Likes and Dislikes Affect Our Eating Behaviors. Available at https:\/\/psychcentral.com\/blog\/how-food-likes-and-dislikes-affect-our-eating-behaviors\/ (accessed 15 May 2020)."}],"container-title":["Journal of Nutritional Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2048679021000057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T02:37:31Z","timestamp":1615430251000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2048679021000057\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":35,"alternative-id":["S2048679021000057"],"URL":"https:\/\/doi.org\/10.1017\/jns.2021.5","relation":{},"ISSN":["2048-6790"],"issn-type":[{"value":"2048-6790","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e18"}}