Food Insecurity at HIV Diagnosis Associated with Subsequent Viremia Amongst Adults Living with HIV in an Urban Township of South Africa

被引：4

作者：

Nkinsi, Naomi T. T. ^{[1
,2
]}

Galagan, Sean R. R. ^{[2
]}

Benzekri, Noelle A. A. ^{[3
]}

Govere, Sabina ^{[4
]}

Drain, Paul K. K. ^{[1
,2
]}

机构：

[1] Univ Washington, Sch Med, 1959 NE Pacific St, Seattle, WA 98195 USA

[2] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[3] Univ Washington, Dept Med, Seattle, WA 98195 USA

[4] AIDS Healthcare Fdn, Durban, South Africa

来源：

AIDS AND BEHAVIOR | 2023年 / 27卷 / 11期

关键词：

HIV; Food insecurity; Adherence; Viremia; HUMAN-IMMUNODEFICIENCY-VIRUS; INFECTED INDIVIDUALS; ANTIRETROVIRAL ADHERENCE; TREATMENT OUTCOMES; ACCESS SCALE; PEOPLE; NUTRITION; SUPPLEMENTATION; SUPPRESSION; VALIDATION;

D O I：

10.1007/s10461-023-04085-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We assessed the temporal impact of food insecurity on 12-month antiretroviral (ART) adherence, retention in care, hospitalization, and HIV viremia (> 1000 copies/mL) in ART naive adults presenting for HIV testing in Umlazi, South Africa. At the time of HIV testing and prior to ART initiation, we determined each participants' food security status using the validated Household Food Insecurity Access Scale (HFIAS). Following HIV testing and ART initiation, we then assessed the above outcomes of each study participant at 3-month intervals for a total of 12 months. Among 2,383 participants with HIV in this study, 253 (10.6%) experienced food insecurity. We found that food insecurity is associated with 20% higher adjusted prevalence odd ratios (aPOR) of having HIV viremia (> 1000 copies/mL) at 12 months following initial diagnosis (aPOR 1.2, 95% CI 1.1-1.4). We found no significant differences in ART adherence, retention in care, and hospitalization occurrences between the food secure and food insecure cohorts.

引用

页码：3687 / 3694

页数：8

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