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Zanganeh A, Khademi N, Ziapour A, Farahmandmoghadam N, Izadi N, Saeidi S, Aghayani A, Teimouri R, Moghadam S, Khodaey A, Ghasemi SR, Pourmirza Kalhori R. Lifestyle in People Living With HIV: A Study of Patients in Kermanshah, Iran. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2023; 60:469580221150567. [PMID: 36912157 PMCID: PMC10014975 DOI: 10.1177/00469580221150567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
There is limited research on the role of lifestyle in people living with HIV (PLWH). This study investigated the health-promoting lifestyle among PLWH in Kermanshah-Iran. This cross-sectional study was conducted in 321 PLWH patients referred to the Kermanshah Behavioral Diseases counseling Center between 2017 and 2018. Patients were selected using the convenience sampling method. Data was collected using a standard health promotion lifestyle profile (HPLP-II) questionnaire. Regression and T-tests were used in SPSS 21 and Stata software to analyze the data. The mean age of patients was 41.07 ± 9.14 years. The mean HPLP score of patients in stress management had the lowest mean score (19.44 ± 4.22), and health responsibility had the highest mean score (22.22 ± 4.57). Comparisons between women and men also showed that women had a lower mean score than men in stress management. In addition, significant differences in their HPLP were observed only in the area of physical activity. The final model had significant influence on the PLWH (P < .001), in which the main predictors were housing status, family members, and feelings of happiness. These variables had a negative effect on HPLP in PLWH's. An appropriate education and training has improved the PLWH health-oriented lifestyle. Given that the housing situation affected health responsibility, nutrition, spiritual growth, interpersonal relationships, and stress management, may have caused severe anxiety and confusion in PLWH. Addiction also had a negative effect on patients' spiritual growth. Relatively simple lifestyle changes such as nutrition and stress management can significantly improve PLWH.
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Affiliation(s)
- Alireza Zanganeh
- Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Nahid Khademi
- Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Arash Ziapour
- Cardiovascular Research Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Naser Farahmandmoghadam
- Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Neda Izadi
- Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Shahram Saeidi
- Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | | | - Raziyeh Teimouri
- UniSA Creative, University of South Australia, Adelaide, Australia
| | | | - Ali Khodaey
- Geography and Urban Planning, University of Zanjan, Zanjan, Iran
| | - Seyed Ramin Ghasemi
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Reza Pourmirza Kalhori
- Department of Medical Emergencies, School of Paramedical, Kermanshah University of Medical Sciences, Kermanshah, Iran
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da Mata MM, Neves JA, de Medeiros MAT. Hunger and its associated factors in the western Brazilian Amazon: a population-based study. JOURNAL OF HEALTH, POPULATION, AND NUTRITION 2022; 41:36. [PMID: 35978447 PMCID: PMC9383661 DOI: 10.1186/s41043-022-00319-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 08/04/2022] [Indexed: 11/21/2022]
Abstract
BACKGROUND Hunger affects millions of people worldwide. In the current pandemic scenario of coronavirus Brazil has experienced an epidemic peak of hunger, amplifying existing prepandemic vulnerabilities, mainly in the North Region of the country. The aim of the present study was to investigate the prevalence of food insecurity and its associated factors in homes with children under 5 years of age in an urban area of a municipality of the western Brazilian Amazon. METHODS A household survey was conducted with a probabilistic sample of 557 children and their families. Food insecurity (FI) was determined using the Brazilian Food Insecurity Scale. Associations between variables were analyzed based on the prevalence ratio (PR) and respective 95% confidence intervals (CI) calculated through multiple Poisson regression analysis. Variables with a P value < 0.05 after adjustments were considered significantly associated with the outcome. RESULTS A prevalence of 76.5% (CI 1.36-2.67) food insecurity was found among the families in the study; 42.9% had moderate (CI 1.31-2.83) and severe (CI 1.10-1.83) food insecurity. Moderate and severe FI was associated with low family income (P = 0.00), participation in governmental income transfer programs (P = 0.01), and heads of household with less than 7 years of schooling (P = 0.02). Moreover, substantial frequencies of height deficit and being overweight were found among the children. CONCLUSIONS The high prevalence of hunger and food insecurity and its associated factors reflects the context of geographic isolation and social exclusion in which these families live, suggesting that a substantial portion of the population under 5 years of age had experienced episodes of hunger in the 90 days prior to the survey. The prevalence of height deficit and being overweight among the children reveals a scenario of epidemiological/nutritional polarization, requiring the formulation of specific public policies for this population.
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Affiliation(s)
- Mayline Menezes da Mata
- Nutrition and Health, Health and Society Institute, Federal University of São Paulo (UNIFESP), Silva Jardim Street, 136, Vila Mathias, Santos, São Paulo, SP 11015-020 Brazil
- Federal University of São Paulo, 862, Botucatu Street, Vila Clementino, SP 04039-032 Brazil
| | - José Anael Neves
- Health and Society Institute, Federal University of São Paulo (UNIFESP), Silva Jardim Street, 136, Vila Mathias, Santos, SP 11015-020 Brazil
| | - Maria Angélica Tavares de Medeiros
- Department of Public Policies and Collective Health, Health and Society Institute, Federal University of São Paulo (UNIFESP), Silva Jardim Street, 136, Vila Mathias, Santos, SP 11015-020 Brazil
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Chaudhuri S, Roy M, McDonald LM, Emendack Y. Coping Behaviours and the concept of Time Poverty: a review of perceived social and health outcomes of food insecurity on women and children. Food Secur 2021. [DOI: 10.1007/s12571-021-01171-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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