nutritional status and hiv in rural south african children营养状况和艾滋病在南非农村孩子.pdfVIP

Kimani-Murage et al. BMC Pediatrics 2011, 11:23 /1471-2431/11/23 RESEARCH ARTICLE Open Access Nutritional status and HIV in rural South African children 1,2* 3 3 1,4,5 Elizabeth W Kimani-Murage , Shane A Norris , John M Pettifor , Stephen M Tollman , 6 1 7 1,4,5 Kerstin Klipstein-Grobusch , Xavier F Gómez-Olivé , David B Dunger and Kathleen Kahn Abstract Background: Achieving the Millennium Development Goals that aim to reduce malnutrition and child mortality depends in part on the ability of governments/policymakers to address nutritional status of children in general and those infected or affected by HIV/AIDS in particular. This study describes HIV prevalence in children, patterns of malnutrition by HIV status and determinants of nutritional status. Methods: The study involved 671 children aged 12-59 months living in the Agincourt sub-district, rural South Africa in 2007. Anthropometric measurements were taken and HIV testing with disclosure was done using two rapid tests. Z-scores were generated using WHO 2006 standards as indicators of nutritional status. Linear and logistic regression analyses were conducted to establish the determinants of child nutritonal status. Results: Prevalence of malnutrition, particularly stunting (18%), was high in the overall sample of children. HIV prevalence in this age group was 4.4% (95% CI: 2.79 to 5.97). HIV positive children had significantly poorer nutritional outcomes than their HIV negative counterparts. Besides HIV status, other significant determinants of nutritional outcomes included age of the child, birth weigh