Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Food assistance is associated with improved body mass index, food security and attendance at clinic in an HIV program in central Haiti: a prospective observational cohort study. | Ivers et al. AIDS Research and Therapy 2010 7 33 http content 7 1 33 AIDS RESEARCH AND THERAPY RESEARCH Open Access Food assistance is associated with improved body mass index food security and attendance at clinic in an HIV program in central Haiti a prospective observational cohort study Louise C Ivers1 2 3 4 3 Yuchiao Chang3 43 J Gregory Jerome53 Kenneth A Freedberg3 43 Abstract Background Few data are available to guide programmatic solutions to the overlapping problems of undernutrition and HIV infection. We evaluated the impact of food assistance on patient outcomes in a comprehensive HIV program in central Haiti in a prospective observational cohort study. Methods Adults with HIV infection were eligible for monthly food rations if they had any one of tuberculosis body mass index BMI m2 CD4 cell count 350 mm3 in the prior 3 months or severe socio-economic conditions. A total of 600 individuals 300 eligible and 300 ineligible for food assistance were interviewed before rations were distributed at 6 months and at 12 months. Data collected included demographics BMI and food insecurity score range 0 - 20 . Results At 6- and 12-month time-points 488 and 340 subjects were eligible for analysis. Multivariable analysis demonstrated that at 6 months food security significantly improved in those who received food assistance versus who did not vs P BMI decreased significantly less in the food assistance group than in the non-food group vs P . At 12 months food assistance was associated with improved food security vs P and BMI vs P . Food assistance was associated with improved adherence to monthly clinic visits at both 6 P and 12 months P . Conclusions Food assistance was associated with improved food security increased BMI and improved adherence to clinic visits at 6 and 12 months among people living with HIV in Haiti and should be part of routine care .
