Research Article

Determinants of Anemia among HIV-Positive Children on Highly Active Antiretroviral Therapy Attending Hospitals of North Wollo Zone, Amhara Region, Ethiopia, 2019: A Case-Control Study

Table 3

Regression analysis on predictors of anemia among children on HAART in North Wollo Zone Public Hospitals, Amhara region, Ethiopia, 2019 (n = 350).

Exposure variableResponsesAnemia statusBivariate and multivariate regression analysis
Anemic count (%)Nonanemic count (%)COR (95% CI)AOR (95% CI)P-value

Intestinal parasiteNegative101 (28.9)79 (22.6)11
G. lamblia15 (4.3)145 (41.4)9.09 (4.83, 17.11)0.1 (0.02, 0.49)0.005
E. histolytica1 (0.3)9 (2.6)9.54 (4.71, 19.35)7.29 (1.22, 43.56)0.029
A. lumbricoides7 (1.2)9 (1.40)7.19 (2.49, 20.69)0.63 (0.06, 6.39)0.694
Others6 (1.1)8 (1.3)7.46 (2.43, 22.94)2.49 (0.27, 23.01)0.422

WGT-AGE Z score−1_−244 (12.6)166 (47.4)11
−2_−322 (6.3)31 (8.9)2.67 (1.41, 5.07)9.80 (2.46, 39.14)0.001
<−351 (14.6)36 (10.3)5.35 (3.11, 9.18)2.46 (0.63, 9.69)0.198

Hx of oropharyngeal diseaseYes37 (10.6)46 (13.1)1.88 (1.13, 3.12)0.40 (0.10, 1.57)0.187
No80 (22.9)187 (53.4)11

Hx of opportunistic infectionsYes86 (24.6)114 (32.6)1.88 (1.13, 3.12)9.63 (1.94, 47.85)0.006
No31 (8.9)119 (34.0)11

Hx of chronic diarrheaYes51 (14.6)40 (11.4)2.89 (1.78, 4.70)1.05 (0.23, 4.87)0.949
No66 (18.9)193 (55.1)11

Hx of missing follow-upYes56 (16.0)67 (19.1)3.73 (2.26, 6.14)0.38 (0.09, 1.54)0.174
No61 (17.4)166 (47.4)11

HAART_duration≤5 years80 (22.9)177 (50.6)1.46 (0.89, 2.39)2.33 (0.69, 7.94)0.175
>5 years37 (10.6)56 (16.0)11

Level of adherence to HAARTGood72 (20.6)132 (37.7)11
Fair59 (16.9)66 (18.9)1.64 (2.10, 5.56)1.33 (0.69, 7.94)0.175
Poor13 (3.7)8 (2.3)3.0 (4.18, 9.63)2.31 (1.92, 7.77)0.000

On cotrimoxazoleYes64 (18.3)106 (30.3)1.45 (93, 2.26)0.33 (0.09 (1.14)0.079
No53 (15.1)127 (36.3)11

Viral load<100051 (14.6)67 (19.1)1.92 (1.21, 3.04)1.09 (0.23, 5.18)0.92
>100066 (18.9)166 (47.4)11

Malaria historyYes58 (16.6)31 (8.9)6.41 (3.79, 10.82)4.37 (1.16, 16.42)0.029
No59 (16.9)202 (57.7)11

Highest WHO stagingStage 421 (6.0)33 (9.4)1.22 (0.52, 2.91)0.01 (0.00, 0.16)0.002
Stage 351 (14.6)108 (30.9)0.91 (0.43, 1.919)0.03 (0.00, 0.26)0.002
Stage 232 (9.1)67 (19.1)0.92 (0.42, 2.03)0.022 (0.00, 0.23)0.001
Stage 113 (3.7)25 (7.1)11

Caregiver’s residenceRural33 (9.5)109 (31.4)2.28 (1.41, 3.67)8.85 (2.07, 37.79)0.003
Urban84 (24.2)121 (34.9)11

The orphanhood of the childBoth26 (7.4)9 (2.6)6.59 (2.95, 14.72)7.92 (0.66, 94.77)0.102
Only mother9 (2.6)31 (8.9)0.66 (0.30, 1.46)0.74 (0.15, 3.50)0.699
Only father4 (1.1)15 (4.3)0.61 (0.19, 1.89)2.31 (0.17, 31.62)0.529
Non-orphan78 (22.3)178 (50.9)11

Wealth index1.0043 (12.3)30 (8.6)2.55 (1.35, 4.82)0.64 (0.09, 4.84)0.665
2.0042 (12.0)146 (41.7)0.51 (0.29, 0.89)0.76 (0.17, 3.26)0.707
3.0032 (9.1)57 (16.3)11

Household food securityNot secured23 (6.6)33 (9.4)1.48 (0.83, 2.66)0.43 (0.07, 2.75)0.370
Secured94 (26.9)200 (57.2)11

Food diversityNondiversified99 (28.3)87 (24.9)9.23 (5.23, 16.28)10.39 (2.25, 48.0)0.003
Diversified18 (5.1)146 (41.7)11

Feeding frequencyNot adequate49 (14.0)44 (12.6)9.23 (5.23, 16.29)1.62 (0.35, 7.59)0.539
Adequate68 (19.4)189 (54.0)11

Counselling on child feedingYes76 (21.7)175 (50.0)11
No41 (11.7)58 (16.6)1.63 (1.01, 2.64)1.13 (0.24, 5.33)0.876