Abstract
Adequate dietary intake is important in achieving optimal nutrition and health for people before and during treatment of HIV. Inadequate nutrition causes health issues and fatalities among prisoners. Thus, this study assesses dietary intake and factors affecting food service among male prisoners living with HIV at selected prisons in Kenya. A cross sectional analytical study design was adopted on a sample of 113 male prisoners living with HIV, randomly sampled from 4 prisons. Data collection tools included a structured questionnaire used to collect demographic, 24 h recall and food frequency data. During data analysis, 24 h recall data was analyzed using Nutri-survey software, and further analysis via SPSS software. Results revealed that slightly more than half the prisoners (50.4%) were aged 36-53 years. Primary education was attained by 60.2% and secondary education by 21.2%. Mean dietary intake for macronutrients was: Energy (1815±218 Kcal), Protein (56±12 g), fat (32±6 g), Carbohydrates (322±45 g), Fiber (41±23 g) and PUFA (8±1 g). None attained Recommended Daily Allowances (RDA) for energy, fat and PUFAs. Mean key micronutrients were: Vitamin A (1195.1±812.7), Vitamin B6 (1.9±0.9), Vitamin C (55.7±18.4), Iron (10.2±2.7), Magnesium (488.1±152.3) and Zinc (13.9±6.7). None met RDA for Iron. Therefore, provision of a nutritionally balanced diet in prisons can ensure nutrients adequacy. Key words: Dietary intake, food service, prisoners living with HIV.
Highlights
Prisoners are a population that is recognized as vulnerable and socially excluded (Condon et al, 2008)
The aim of this study is to investigate the dietary intake and factors influencing food service of male prisoners living with HIV at selected prisons in Kenya
Prisoners feed on only 3 meals a day difficult to meet the nutritional requirements of a person living with HIV
Summary
Prisoners are a population that is recognized as vulnerable and socially excluded (Condon et al, 2008). Imprisonment is high in many countries, resulting in overcrowding and increased prevalence of health problems, which should make prison health a priority (van den Bergh et al, 2011). Sub-Saharan Africa is the hardest hit by the HIV epidemic with almost two thirds of all people infected with HIV living in the region. HIV prevalence among prisoners in sub Saharan Africa prisons has been estimated at 2-50 times the prevalence in non-prison populations (UNAIDS/WHO, 2008). The high HIV prevalence in prisons could be attributed to high risk behaviors which include incidences of rape and other forms of non-consensual sex and drug injection (Jürgens et al, 2011). HIV and AIDS is associated with biological and social
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