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Household food insecurity access scale and dietary diversity score as a proxy indicator of nutritional status among people living with HIV/AIDS, Bahir Dar, Ethiopia, 2017

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  • Foziya Mohammed Hussein
  • Aragaw Yimer Ahmed
  • Oumer Sada Muhammed

Abstract

Background: Both household food insecurity and household dietary diversity have been found reliable in describing the dietary intake of a population. However, it had not been proven as reliable instrument for assessing nutritional status of individuals in a clinical context. There has been a need for evidence on the validity of using proxy and easy dietary indicators for nutritional status. Method: A facility based cross sectional study design was employed on 423 people with HIV infection visiting all ART clinics in Bahir Dar, North Ethiopia. Nutritional status was determined by computing BMI. Food insecurity was assessed using household food insecurity access scale. Dietary diversity was measured using a tool adopted from Food and Nutrition Technical Assistance Project. Data were entered to Epidata version 3.1and analyzed by SPSS version 20. Reliability analysis, sensitivity and specificity analysis were determined. Result: The sensitivity of the household food insecurity access scale and dietary diversity score was 87.9% and 79.8%, respectively, while their specificity was 56.2% and 70.2%. The AUC at 95% CI for the household food insecurity access scale and household dietary diversity score were 73.4 (68.4–78.4) and 73.1 (68.1–78.2) while their cut of point that maximized their sensitivity and specificity was 1 and 6 respectively. Household food insecurity access scale and household dietary diversity score were found to be reliable tools with a Cronbach’s Alpha of 0.926 and 0.799, respectively. Conclusion: In assessing under nutrition among PLHIV especially in limited resource settings, both the household food insecurity access scale and household dietary diversity score were found valid and reliable proxy indicators for measuring nutritional status.

Suggested Citation

  • Foziya Mohammed Hussein & Aragaw Yimer Ahmed & Oumer Sada Muhammed, 2018. "Household food insecurity access scale and dietary diversity score as a proxy indicator of nutritional status among people living with HIV/AIDS, Bahir Dar, Ethiopia, 2017," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-9, June.
    • Handle: RePEc:plo:pone00:0199511
    DOI: 10.1371/journal.pone.0199511
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    Cited by:

    1. Nicholson, Charles F. & Stephens, Emma C. & Kopainsky, Birgit & Jones, Andrew D. & Parsons, David & Garrett, James, 2021. "Food security outcomes in agricultural systems models: Current status and recommended improvements," Agricultural Systems, Elsevier, vol. 188(C).
    2. Olufemi Daniel Bolarinwa & Kolawole Ogundari & Adebayo B. Aromolaran, 2020. "Intertemporal evaluation of household food security and its determinants: evidence from Rwanda," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 12(1), pages 179-189, February.
    3. Sidney Madsen & Rachel Bezner Kerr & Noelle LaDue & Isaac Luginaah & Chipiliro Dzanja & Laifolo Dakishoni & Esther Lupafya & Lizzie Shumba & Catherine Hickey, 2021. "Explaining the impact of agroecology on farm-level transitions to food security in Malawi," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(4), pages 933-954, August.
    4. Nandi, Ravi & Nedumaran, Swamikannu, 2021. "Disentangling the Impact Pathways of Tank Irrigation to Rural Food Security: Farm-Level Study from Telangana, India," 2021 Conference, August 17-31, 2021, Virtual 315150, International Association of Agricultural Economists.

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