Nearly one out of every five adult TB patients suffered from food insecurity in Grawa District, Eastern Ethiopia

A multicenter facility-based cross-sectional study

Bibliographic Data

ID22075241
AuthorsJabir H Abdulla (Amhara Regional Health Bureau), Berhe Gebremichael (0000-0002-0669-8521, Haramaya University), Melat B Maruta (Tikur Anbessa Hospital), Ibsa Yuye, Abdusalam Mohammed (Dire Dawa University), Adera Debella (0000-0002-8060-0027, Haramaya University), Ibsa Mussa (0000-0002-6318-4092, Haramaya University, corresponding author)
Year2023
Volume11
Pages1177618-1177618
Publication date2023-06-09
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1177618
PMID37361149
OpenAlexW4380089254
LanguageEN
References cited42

Background Despite a dramatic decline in tuberculosis mortality over the past 10 years, tuberculosis is still the leading cause of death globally. In the last 2 years, tuberculosis has affected an estimated 10 million individuals, and 1.4 million people have died worldwide. In Ethiopia, the weight of the problem is less known in the study area. As a result, the purpose of this study was to assess food insecurity and associated factors among adult patients with tuberculosis attending public health facilities in Grawa district, Eastern Ethiopia. Methods A multicenter facility-based cross-sectional study was conducted from 01 March to 31 March 2022, among 488 randomly selected adult tuberculosis patients on treatment follow-up at public health facilities in Grawa district, Eastern Ethiopia. Data were collected using a pretested structured questionnaire through a face-to-face interview and document review, entered into EpiData version 3.1, and analyzed using SPSS version 25. The prevalence was reported using a 95% confidence interval (CI) and summary measures. Predictors were assessed using a multivariable logistic regression analysis model and reported using an adjusted odds ratio (AOR) with 95% CI. Statistical significance was declared at a p -value of <0.05. Results Overall, the prevalence of food insecurity among the study participants was 19.5%, with a 95% CI (15.8%, 23.2%). Factors such as being male [AOR = 0.58, 95% CI: (0.34, 0.97)], being married [AOR = 2.93, 95% CI: (1.33, 6.47)], being merchant [AOR = 0.22, 95% CI: (0.04, 0.67)], having low wealth quintiles [AOR = 2.10,95%CI:(1.04–4.23)], receiving anti-TB treatment for two or fewer months [AOR = 0.48, 95% CI: (0.26–0.91)], using khat [AOR = 2.18, 95% CI: (1.29, 3.70)], and owning livestock (AOR = 0.56, 95% CI: 0.29–0.94) were significantly associated with food insecurity. Conclusions According to this study, nearly one out of every five adults TB patients is food insecure. Factors such as being male, being married, being merchant, having low wealth quintiles, receiving anti-TB treatment for two or less months, those who chew mKhat and having a livestock were significantly associated with food insecurity. As a result, all stakeholders and concerned entities should prioritize improving the livelihood of TB patients through social security system programs, which are critical to the success of TB control and prevention efforts

Confidence interval · Cross-sectional study · Environmental health · Logistic regression · Odds ratio · Public health · Tuberculosis · Demography · HIV/AIDS Impact and Responses · Malaria Research and Control · Medicine · Tuberculosis Research and Epidemiology · Internal Medicine

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