Perceptions of Health, Body Size, and Nutritional Risk Factors for Obesity in People with HIV in South Africa.
Metabolic disease is increasing in people with HIV (PWH) in South Africa, but little is known about self-perceptions of body size, health, and nutritional behavior in this population. We performed a cross-sectional analysis of individual-level data from the 2016 South Africa Demographic and Health S...
| Publicado en: | AIDS & Behavior Vol. 28; no. 1; pp. 367 - 376 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174953340&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174953340 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jan2024 vid: 28 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 174953340 170392623 174953340 174953340 10.1007/s10461-023-04152-7 174953340 ppf: 367 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Perceptions of Health, Body Size, and Nutritional Risk Factors for Obesity in People with HIV in South Africa. aug: au: Manne-Goehler, Jennifer Rahim, Nicholas van Empel, Eva de Vlieg, Rebecca Chamberlin, Grace Ihama, Amanda Castle, Alison Mabweazara, Smart Venter, Willem D. F. Chandiwana, Nomathemba Levitt, Naomi S. Siedner, Mark affil: Medical Practice Evaluation Center and Division of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA sug: subj: HIV-Positive Persons Psychosocial Factors Self Concept Evaluation Body Size Obesity Risk Factors Patient Attitudes Health Status Nutritional Assessment Risk Assessment Human South Africa Female Male Cross Sectional Studies Body Mass Index Food Intake Sweetened Beverages Age Factors Sex Factors Educational Status Income Regression Multivariate Analysis T-Tests Poisson Distribution Data Analysis Software Descriptive Statistics Funding Source Female Male ab: Metabolic disease is increasing in people with HIV (PWH) in South Africa, but little is known about self-perceptions of body size, health, and nutritional behavior in this population. We performed a cross-sectional analysis of individual-level data from the 2016 South Africa Demographic and Health Survey. This survey measured HIV serostatus and body mass index (BMI). We categorized participants into six BMI groups: 18.5–22 kg/m2, 22–25 kg/m2, 25–27.5 kg/m2, 27.5–30 kg/m2, 30–35 kg/m2, and ≥ 35 kg/m2 and stratified them by HIV serostatus. Our outcomes were self-reported (1) body size and (2) health status among all participants, and intake of (3) chips and (4) sugar-sweetened beverages (SSB) in PWH. We described these metrics and used multivariable regression to evaluate the relationship between the nutritional behaviors and BMI ≥ 25 kg/m2 in PWH only, adjusting for age, sex, educational attainment, and household wealth quintile. Of 6138 participants, 1163 (19.7%) were PWH. Among PWH, < 10% with a BMI 25–30 kg/m2, < 20% with a BMI 30–35 kg/m2 and < 50% with a BMI ≥ 35 kg/m2 self-reported as overweight or obese. PWH reported being in poor health at higher rates than those without HIV at each BMI category except ≥ 35 kg/m2. In adjusted models, SSB consumption was associated with BMI ≥ 25 kg/m2 (1.13 [1.01–1.25], t-statistic = 2.14, p = 0.033) in PWH. Perceptions of body size may challenge efforts to prevent weight gain in PWH in South Africa. SSB intake reduction should be further explored as a modifiable risk factor for obesity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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