Nutritional Attitudes of Homosexual People Living with Human Immunodeficiency Virus (HIV) in Chongqing,Southwest China: A Cross-Sectional Study

Abstract

This article aimed at understanding nutritional knowledge, attitudes, and behaviors of homosexual persons living with HIV/AIDS in Chongqing, China. A cross sectional design using a valid and reliable survey was used. The survey was completed in Chongqing, Southwest China (n = 172). Knowledge of nutrition was deficient regarding sources of nutrients such as calcium and iron, relationships between diet/nutrients and disease, and only 36.1% of participants knew about the Balanced Diet Pagoda for Chinese. Eating habits did not meet the nutritional requirements, and a majority (59.3%) did not eat breakfast every day. The average score on the knowledge quiz was 51.8%. This study showed that homosexual persons with HIV/AIDS in China longed for nutrition knowledge, and this was supported by objective data. Efforts and targeted education programs aiming to improve their nutrition knowledge, attitudes, and behaviors need to be emphasized.

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References

Gottlieb

M. S.

Schanker

H. M.

Fan

P. T.

Saxon

Weisman

J. D.

Pneumocystis Pneumonia—Los Angeles, Morbidity and Mortality Weekly Report, 30: 43, pp. 547–548, 1981.

Van Griensven

van de Lind

Jan

Baral

Grulich

The Global Epidemic of HIV Infection among Men Who Have Sex with Men, Current Opinion in HIV and AIDS, 4: 4, pp. 300–307, 2009.

Bukusuba

Kikafunda

J. K.

Whitehead

R. G.

Nutritional Knowledge, Attitudes, and Practices of Women Living with HIV in Eastern Uganda, Journal of Health, Population and Nutrition, 28: 2, pp. 182–188, 2010.

Ministry of Health, People's Republic of China, Joint United Nations Programme on HIV/AIDS, World Health Organization, 2009 Estimates for HIV/AIDS Epidemic in China, 2010. Available at http://www.unaids.org.cn/download/2009%20China%20Estimation%20Report-En

The Ministry of Health of People's Republic of China, UNAIDS, WHO. The Estimation of AIDS Epidemic in China in 2011, 2011. Available at http://www.moh.gov.cn/mohjbyfkzj/s3586/201011/49893.shtml

Sun

Wang

Quality of Life of People Living with HIV/AIDS under the New Epidemic Characteristics in China and the Associated Factors, PLOS ONE, 8: 5, pp. 1–10, 2013.

Wang

Detels

Rotheram-Borus

M. J.

China AIDS Policy Implementation: Reversing the HIV/AIDS Epidemic by 2015. International Journal of Epidemiology, Suppl 2, pp. ii1-ii3, 2010.

Zhang

Hiller

J. E.

Changes in HIV Prevalence and Sexual Behavior among Men Who Have Sex with Men in a Northern Chinese City: 2002–2006, Journal of Infection, 55: 5, pp. 456–463, 2007.

Van Griensven

van de Lind

Jan

Baral

Grulich

The Global Epidemic of HIV Infection among Men Who Have Sex with Men, Current Opinion in HIV and AIDS, 4: 4, pp. 300–307, 2009.

10.

Flores

S. A.

Bakeman

Millett

G. A.

Peterson

J. L.

HIV Risk among Bisexually and Homosexually Active Racially Diverse Young Men, Sexually Transmitted Diseases, 36: 5, pp. 325–329, 2009.

11.

Beyrer

Global Prevention of HIV Infection for Neglected Populations: Men Who Have Sex with Men, Clinical Infectious Diseases, 50: S3, pp. 108–113, 2010.

12.

Maggie

Wang

Effects of Nutritional Supplementation on Children with HIV/AIDS in China, Zhong Nan Da Xue Xue Bao Yi Xue Ban, 37: 3, pp. 305–310, 2012.

13.

Abrams

Duncan

Hertz-Picciotto

A Prospective Study of Dietary Intake and Acquired Immune Deficiency Syndrome in HIV Seropositive Homosexual Men, Journal of Acquired Immune Deficiency Syndromes, 6: 8, pp. 949–958, 1993.

14.

Tang

A. M.

Graham

N. M.

Saah

A. J.

Effects of Micronutrient Intake on Survival in Human Immunodeficiency Virus Type 1 Infection, American Journal of Epidemiology, 143: 12, pp. 1244–1256, 1996.

15.

Jiang

Chen

S. H.

Deng

Wang

W. Y.

Wang

C. D.

Klassen

Zeng

Malnutrition in Hospitalized People Living with HIV/AIDS: Evidence from a Cross-Sectional Study from Chengdu, China, Asia Pacific Journal of Clinical Nutrition, 20: 4, pp. 544–550, 2011.

16.

Gillespie

Kadiyala

HIV & AIDS and Food and Nutrition Security; From Evidence To Action, International Food Policy Research Institute, 81, Washington, DC. (Food policy review no. 7), 2005.

17.

Tang

A. M.

Weight Loss, Wasting, and Survival in HIV-Positive Patients: Current Strategies, AIDS, 13, pp. 23–27, 2003.

18.

Bahwere

Deconinck

Banda

Mtimuni

Collins

Impact of Household Food Insecurity on The Nutritional Status and the Response to Therapeutic Feeding of People Living with Human Immunodeficiency Virus, Journal of Patient Preference and Adherence, 5, pp. 619–627, 2011.

19.

Baum

M. K.

Shor-Posner

Lai

Zhang G. H.

Fletcher

M. A.

Sauberlich

Page

J. B.

High Risk of HIV-Related Mortality is Associated with Selenium Deficiency, Journal of Acquired Immune Deficiency Syndrome, 15: 5, pp. 370–376, 1997.

20.

Rawat

Kadiyala

McNamara

P. E.

The Impact of Food Assistance on Weight Gain and Disease Progression among HIV-Infected Individuals Accessing AIDS Care and Treatment Services in Uganda, BMC Public Health, 10: 1, pp. 316, 2010.

21.

Reid

Courtney

A Randomized Clinical Trial to Evaluate the Effect of Diet on Quality of Life and Mood of People Living With HIV and Lipodystrophy, Journal of the Association of Nurses in AIDS Care, 18: 4, pp. 3–11, 2007.

22.

Sunguya

B. F.

Poudel

K. C.

Otsuka

Yasuoka

Mlunde

L. B.

Urassa

D. P.

Mkopi

N. P.

Jimba

Under Nutrition among HIV-Positive Children in Dares Salaam, Tanzania: Antiretroviral Therapy Alone is Not Enough, BMC Public Health, 16: 11, p. 869, 2011.

23.

Kuria

E. N.

Food Consumption and Nutritional Status of People Living with HIV/AIDS (PLWHA): A Case of Thika and Bungoma Districts, Kenya, Public Health Nutrition, 13: 4, pp. 475–479, 2010.

24.

Oketch

J. A.

Paterson

Maunder

E. W.

Rollins

N. C.

Too Little, Too Late: Comparison of Nutritional Status and Quality of Life of Nutrition Care and Support Recipient and Non-Recipients Among HIV-Positive Adults in KwaZulu-Natal, South Africa Health Policy, 99: 3, pp. 267–276, 2011.

25.

Rittle

S. A.

Kessy

A. T.

Social Factors and Lifestyle Attributes Associated with Nutritional Status of People Living with HIV/AIDS Attending Care and Treatment Clinics in Ilala District, Dar es Salaam, East African Journal of Public Health, 9: 1, pp. 33–38, 2012.

26.

Duran

A. C.

Almeida

L. B.

Segurado

A. A.

Jaime

P. C.

Diet Quality of Persons Living with HIV/AIDS on Highly Active Antiretroviral Therapy, Journal of Human Nutrition and Dietetics, 21: 4, pp. 346–350, 2008.

27.

Vijayapushpam

Antony

G. M.

Rao

G. M.

Rao

D. R.

Nutrition and Health Education Intervention for Student Volunteers: Topic-Wise Assessment of Impact Using a Non-Parametric Test, Public Health Nutrition, 13: 1, pp. 131–136, 2010.

28.

Rawat

Kadiyala

McNamara

P. E.

The Impact of Food Assistance on Weight Gain and Disease Progression among HIV-Infected Individuals Accessing AIDS Care and Treatment Services in Uganda, BMC Public Health, 10: 1, p. 316, 2010.

29.

Aghdassi

Bondar

Salit

I. E.

Tinmouth

Allard

J. P.

Assessment of Knowledge and Attitudes of Physicians Involved in the Care of HIV-Infected Patients with Respect to Nutrition and Nutritional Supplements, Journal of Acquired Immune Deficiency Syndromes, 50: 3, pp. 337–339, 2009.

30.

Bukusuba

Kikafunda

J. K.

Whitehead

R. G.

Nutritional Knowledge, Attitudes, and Practices of Women Living with HIV in Eastern Uganda, Journal of Health, Population and Nutrition, 28: 2, pp. 182–188, 2010.

31.

Van Niekerk

Smego

R. A.

Jr. Sanne

Effect of Nutritional Education and Dietary Counseling on Body Weight in HIV-Seropositive South Africans Not Receiving Antiretroviral Therapy, Journal of Human Nutrition and Dietetics, 13: 6, pp. 407–412, 2000.

32.

Baranowski

Cullen

K. W.

Nicklas

Thompson

Baranowski

Are Current Health Behavioral Change Models Helpful in Guiding Prevention of Weight Gain Efforts?

Obesity Research, 11: S, pp. 23S–43S, 2003.

33.

Magnus

Kaise

J. M.

Butler

M. K.

Herwehe

Andrews

Gibson

Daigrepont

De Leon

J. M.

Hyslop

E. N.

Jr. Styron

Wilcox

Evaluating Health Information Technology: Provider Satisfaction with an HIV Specific, Electronic Clinical Management and Reporting System, AIDS Patient Care STDs, 23: 2, pp. 85–91, 2009.