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Full-Text Articles in Public Health

Undernutrition Among Hiv-Positive Children In Dar Es Salaam, Tanzania: Antiretroviral Therapy Alone Is Not Enough, Bruno F. Sunguya, Krishna C. Poudel, Keiko Otsuka, Junko Yasuoka, Linda B. Mlunde, David P. Urassa, Namala P. Mkopi, Masamine Jimba Nov 2011

Undernutrition Among Hiv-Positive Children In Dar Es Salaam, Tanzania: Antiretroviral Therapy Alone Is Not Enough, Bruno F. Sunguya, Krishna C. Poudel, Keiko Otsuka, Junko Yasuoka, Linda B. Mlunde, David P. Urassa, Namala P. Mkopi, Masamine Jimba

Krishna C. Poudel

Background
The prevalence of HIV/AIDS has exacerbated the impact of childhood undernutrition in many developing countries, including Tanzania. Even with the provision of antiretroviral therapy, undernutrition among HIV-positive children remains a serious problem. Most studies to examine risk factors for undernutrition have been limited to the general population and ART-naive HIV-positive children, making it difficult to generalize findings to ART-treated HIV-positive children. The objectives of this study were thus to compare the proportions of undernutrition among ART-treated HIV-positive and HIV-negative children and to examine factors associated with undernutrition among ART-treated HIV-positive children in Dar es Salaam, Tanzania.
Methods
From September …


Physicians Are A Key To Encouraging Cessation Of Smoking Among People Living With Hiv/Aids: A Cross-Sectional Study In The Kathmandu Valley, Nepal, Rachel M. Amiya, Krishna C. Poudel, Kalpana P Poudel-Tandukar, Jun Kobayashi, Basu D. Pandey, Masamine Jimba Aug 2011

Physicians Are A Key To Encouraging Cessation Of Smoking Among People Living With Hiv/Aids: A Cross-Sectional Study In The Kathmandu Valley, Nepal, Rachel M. Amiya, Krishna C. Poudel, Kalpana P Poudel-Tandukar, Jun Kobayashi, Basu D. Pandey, Masamine Jimba

Krishna C. Poudel

Background
HIV care providers may be optimally positioned to promote smoking behaviour change in their patients, among whom smoking is both highly prevalent and uniquely harmful. Yet research on this front is scant, particularly in the developing country context. Hence, this study describes smoking behaviour among people living with HIV/AIDS (PLWHA) in the Kathmandu Valley of Nepal, and assesses the association between experience of physician-delivered smoking status assessment and readiness to quit among HIV-positive smokers.
Methods
We conducted a cross-sectional survey of PLWHA residing in the Kathmandu Valley, Nepal. Data from 321 adult PLWHA were analyzed using multiple logistic regression …


Knowing The Consequences Of Unprotected Sex With Seroconcordant Partner Is Associated With Increased Safer Sex Intentions Among Hiv-Positive Men In Kathmandu, Nepal, Krishna C. Poudel, Kalpana Poudel-Tandukar, Shinji Nakahara, Junko Yasuoka, Masamine Jimba May 2011

Knowing The Consequences Of Unprotected Sex With Seroconcordant Partner Is Associated With Increased Safer Sex Intentions Among Hiv-Positive Men In Kathmandu, Nepal, Krishna C. Poudel, Kalpana Poudel-Tandukar, Shinji Nakahara, Junko Yasuoka, Masamine Jimba

Krishna C. Poudel

Unprotected sexual intercourse among HIV-positive people can adversely affect their own health by increasing their exposure to multiple strains of HIV-1 or other sexually transmitted infections (STIs). The study explored the relationship between knowledge of Nepalese HIV-positive men about the consequences of having unprotected sex with seroconcordant partners and their intention to practise safer sex with such partners. In total, 166 participants recruited conveniently in the Kathmandu Valley, Nepal, were interviewed. Each participant reported intention to practise safer sex with seroconcordant partners, know-ledge about the consequences of having unprotected sex with seroconcordant partners, perceived partner-related barriers to condom-use, belief that …


Social Capital And Life Satisfaction: A Cross-Sectional Study On Persons With Musculoskeletal Impairments In Hanoi, Vietnam, Kyo Takahashi, Nguyen Tm Thuy, Krishna C. Poudel, Kayako Sakisaka, Masamine Jimba, Junko Yasuoka Mar 2011

Social Capital And Life Satisfaction: A Cross-Sectional Study On Persons With Musculoskeletal Impairments In Hanoi, Vietnam, Kyo Takahashi, Nguyen Tm Thuy, Krishna C. Poudel, Kayako Sakisaka, Masamine Jimba, Junko Yasuoka

Krishna C. Poudel

Background
Social capital has been recognized as a major social determinant of health, but less attention has been given to social capital of persons with musculoskeletal impairments. The present study aimed to explore the associations between social capital and life satisfaction of persons with musculoskeletal impairments in Hanoi, Vietnam.
Methods
A cross-sectional study was conducted in Hanoi, Vietnam. From June to July 2008, we collected data from 136 persons with musculoskeletal impairments who belonged to disabled people's groups. Social capital was measured using a short version of the Adapted Social Capital Assessment Tool that included group membership, support from groups, …


High Rate Of Unintended Pregnancies After Knowing Of Hiv Infection Among Hiv Positive Women Under Antiretroviral Treatment In Kigali, Rwanda, Kimiyo Kikuchi, Naomi Wakasugi, Krishna C. Poudel, Kayako Sakisaka, Masamine Jimba Dec 2010

High Rate Of Unintended Pregnancies After Knowing Of Hiv Infection Among Hiv Positive Women Under Antiretroviral Treatment In Kigali, Rwanda, Kimiyo Kikuchi, Naomi Wakasugi, Krishna C. Poudel, Kayako Sakisaka, Masamine Jimba

Krishna C. Poudel

More than 90% of pediatric AIDS results from the transmission of the virus through HIV positive pregnant mothers to their children. However, little has been known about factors associated with unintended pregnancies after knowing their HIV seropositive status, or contraceptive use among HIV positive women under antiretroviral treatment (ART). We investigated thus factors associated with unintended pregnancies after knowing seropositive status, and also factors associated with the non-use of contraceptives among HIV positive women under ART. We carried out a cross-sectional study in Kigali, Rwanda in 2007. A total of 565 HIV positive women under ART were interviewed. We examined …