Food insecurity and other poverty indicators among people living with HIV/AIDS: effects on treatment and health outcomes.
Food insecurity and other poverty indicators among people living with HIV/AIDS: effects on treatment and health outcomes.
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DOI：
10.1007/s10900-014-9868-0
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发表时间：
2014-12
影响因子：
5.9
通讯作者：
Grebler, Tamar
中科院分区：
文献类型：
--
作者：
Kalichman, Seth C.;Hernandez, Dominica;Cherry, Chauncey;Kalichman, Moira O.;Washington, Christopher;Grebler, Tamar
在获得抗逆转录病毒疗法方面的健康差距以及长期坚持服药的要求意味着艾滋病毒治疗的全部好处往往无法实现。特别是，粮食不安全已成为不坚持抗逆转录病毒疗法的一个强有力的预测因素。然而，在确定粮食不安全是否是唯一阻碍艾滋病毒治疗的因素，或者粮食不安全是否只是贫穷的一个标志，更广泛地干扰治疗方面，研究有限。这项研究审查了通过提供免费节日食品篮招募的364名男性和157名女性艾滋病毒感染者的多层次贫困指标。结果显示，61%（N = 321）的参与者在上个月经历了至少一个粮食不安全指标。多变量分析表明，粮食不安全与缺乏交通运输密切相关。此外，粮食不安全与缺乏获得抗逆转录病毒治疗和抗逆转录病毒治疗坚持性差有关，调整后的邻里贫困，生活在一个没有超市的地区（食品沙漠），教育，稳定的住房和可靠的交通。因此，结果证实了先前的研究，即粮食不安全与抗逆转录病毒治疗依从性差有着独特的联系，并呼吁采取结构性干预措施，解决艾滋病毒感染者的基本生存需求，特别是粮食安全。
Health disparities in access to antiretroviral therapy (ART) as well as the demands of long-term medication adherence have meant the full benefits of HIV treatment are often not realized. In particular, food insecurity has emerged as a robust predictor of ART non-adherence. However, research is limited in determining whether food insecurity uniquely impedes HIV treatment or if food insecurity is merely a marker for poverty that interferes more broadly with treatment. This study examined indicators of poverty at multiple levels in a sample of 364 men and 157 women living with HIV recruited through an offering of a free holiday food basket. Results showed that 61% (N = 321) of participants had experienced at least one indicator of food insecurity in the previous month. Multivariate analyses showed that food insecurity was closely tied to lack of transportation. In addition, food insecurity was associated with lacking access to ART and poor ART adherence after adjusting for neighbourhood poverty, living in an area without a supermarket (food desert), education, stable housing, and reliable transportation. Results therefore affirm previous research that has suggested food insecurity is uniquely associated with poor ART adherence and calls for structural interventions that address basic survival needs among people living with HIV, especially food security.
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影响因子：
--
作者：
Giordano, TP;Guzman, D;Bangsberg, DR
通讯作者：
Bangsberg, DR
DOI：
10.1080/09540121.2013.844759
发表时间：
2014-05-04
影响因子：
1.7
作者：
Boehme, Amelia K.;Davies, Susan L.;Kempf, Mirjam-Colette
通讯作者：
Kempf, Mirjam-Colette
影响因子：
4.9
作者：
Crum-Cianflone N;Tejidor R;Medina S;Barahona I;Ganesan A
通讯作者：
Ganesan A
影响因子：
16.4
作者：
Pellowski, Jennifer A.;Kalichman, Seth C.;Matthews, Karen A.;Adler, Nancy
通讯作者：
Adler, Nancy
影响因子：
3.8
作者：
Crum-Cianflone, Nancy F.;Roediger, Mollie;Agan, Brian K.
通讯作者：
Agan, Brian K.