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Table 3 Factors associated with nutrition programme failure among HIV-infected adults treated in Kenya and Uganda, 2006-2008

From: Nutrition outcomes of HIV-infected malnourished adults treated with ready-to-use therapeutic food in sub-Saharan Africa: a longitudinal study

Factors

Adjusted (Model 1)

Adjusted (Model 2)

 

OR (95% CI)

P value

OR (95% CI)

P value

Treatment cohort

    

Arua

1.0

0.01

1.0

0.007

Homa Bay

1.5 (1.0-2.3)

 

1.7 (1.1-2.4)

 

Mathare

0.7 (0.4-1.0)

 

0.8 (0.5-1.1)

 

Period of admission in the NP

    

Years 2005 - 2006

1.0

0.1

1.0

0.1

January-June 2007

0.8 (0.5-1.2)

 

0.8 (0.6-1.2)

 

July 2007-June 2008

1.1 (0.8-1.6)

 

1.1 (0.8-1.2)

 

In the HIV programme

    

Patients already in care

1.0

0.5

1.0

0.5

New patients

1.1 (0.8-1.6)

 

1.1 (0.8-1.6)

 

Age at NP admission, years

    

≥45

1.0

0.2

1.0

0.4

30-44

1.0 (0.6-1.5)

 

1.0 (0.6-1.4)

 

15-29

0.7 (0.4-1.2)

 

0.8 (0.5-1.2)

 

Gender

    

Women

1.0

0.001

1.0

0.001

Men

1.6 (1.2-2.1)

 

1.5 (1.2-2.0)

 

Malnutrition at admission

    

Moderate

1.0

<0.0001

1.0

<0.0001

Severe

2.2 (1.7-3.0)

 

2.2 (1.7-2.8)

 

Recorded clinical diagnoses

    

TB at NP admission

0.9 (0.6-1.3)

0.7

0.9 (0.6-1.3)

0.6

TB diagnosed during NP follow up

1.0 (0.7-1.4)

0.9

1.0 (0.7-1.4)

0.9

Extensive candidiasis at NP admission

1.4 (0.6-3.4)

0.4

1.2 (0.5-2.6)

0.7

Diarrhoea at NP admission

1.3 (0.8-2.0)

0.3

1.3 (0.8-2.0)

0.3

ART status at admission

    

On ART

1.0

<0.0001

1.0

<0.0001

Eligible but never started on ART

6.2 (3.5-11.1)

 

4.5 (2.7-7.7)

 

Eligible & ART initiated at or after NP admission

0.5 (0.3-0.8)

 

0.6 (0.4-0.9)

 

Ineligible for ART

1.4 (0.9-2.3)

 

1.6 (1.0-2.5)

 
  1. Model 1: Results from analysis where deaths, lost to follow up and uncured were classified as NP failure; and patients with NP outcome defined as "other" were excluded from the model.
  2. Model 2: Results from analysis where deaths, lost to follow up, uncured, patients with intolerance to RUTF and those who stopped nutritional therapy for other reasons were classified as "programme failure".
  3. ART - antiretroviral therapy; NP - nutrition programme; OR - odds ratio; TB - tuberculosis