Food Access and Diet Quality Are Associated with Quality of Life Outcomes among HIV-Infected Individuals in Uganda

被引：47
作者：
Palermo, Tia [1 ]
Rawat, Rahul [2 ]
Weiser, Sheri D. [3 ]
Kadiyala, Suneetha [2 ]
机构：
[1] SUNY Stony Brook, Dept Prevent Med, Program Publ Hlth, Stony Brook, NY 11794 USA
[2] Int Food Policy Res Inst, Poverty Hlth & Nutr Div, Washington, DC 20036 USA
[3] UCSF, San Francisco Gen Hosp, Div HIV AIDS, San Francisco, CA USA
来源：
PLOS ONE | 2013年 / 8卷 / 04期
关键词：
MEDICAL OUTCOMES; SOCIOECONOMIC DIFFERENTIALS; ANTIRETROVIRAL TREATMENT; HEALTH; INSECURITY; MORTALITY; NUTRITION; WOMEN; RELIABILITY; HIV/AIDS;
D O I：
10.1371/journal.pone.0062353
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
Background: Food insecurity is associated with poor nutritional and clinical outcomes among people living with HIV/AIDS. Few studies investigate the link between food insecurity, dietary diversity and health-related quality of life among people living with HIV/AIDS. Objective: We investigated whether household food access and individual dietary diversity are associated with health-related quality of life among people living with HIV/AIDS in Uganda. Methods: We surveyed 902 people living with HIV/AIDS and their households from two clinics in Northern Uganda. Health-related quality of life outcomes were assessed using the Medical Outcomes Study (MOS)-HIV Survey. We performed multivariate regressions to investigate the relationship between health-related quality of life, household food insecurity and individual dietary diversity. Results: People living with HIV/AIDS from severe food insecurity households have mean mental health status scores that are 1.7 points lower (p<.001) and physical health status scores that are 1.5 points lower (p<.01). Individuals with high dietary diversity have mean mental health status scores that were 3.6 points higher (p<.001) and physical health status scores that were 2.8 points higher (p<.05). Conclusions: Food access and diet quality are associated with health-related quality of life and may be considered as part of comprehensive interventions designed to mitigate psychosocial consequences of HIV.
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页数：11
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