Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States
Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States
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DOI：
10.1097/qad.0000000000001095
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发表时间：
2016-06-01
期刊：
影响因子：
3.8
通讯作者：
Weiser, Sheri D.
中科院分区：
文献类型：
--
作者：
Palar, Kartika;Laraia, Barbara;Weiser, Sheri D.
目的：研究人口水平的粮食不安全、艾滋病毒风险因素和男性艾滋病毒血清状态之间的关联，这一群体代表了美国大多数的艾滋病毒诊断。设计：使用1999-2012年国家健康和营养检查调查进行横断面二级数据分析，这是一项对美国平民非机构化人口的全国代表性调查。采用设计权重和复杂调查命令的逻辑回归估计粮食不安全与HIV血清状态（主要结局）、单纯疱疹病毒2型、自我报告的性传播感染（STI）和男性过去一年非法药物使用之间的全国代表性关联，并对潜在混杂因素进行调整。食品安全是衡量使用18个项目的众议院举行Food Security Survey.Results：我们分析了9150人代表61万人在美国的数据。在食物不安全的男性中，未经调整的艾滋病毒感染率为1.5%，而在食物安全的男性中为0.4%（P
Objective: To examine the population-level association between food insecurity, HIV risk factors, and HIV serostatus among men, the group representing the majority of HIV diagnoses in the United States.Design: Cross-sectional secondary data analysis using the National Health and Nutrition Examination Survey 1999-2012, a nationally representative survey of the civilian noninstitutionalized US population.Methods: Logistic regression with design weights and complex survey commands was used to estimate nationally representative associations between food insecurity and HIV serostatus (primary outcome), herpes simplex virus 2, self-reported sexually transmitted infections (STIs), and past-year illicit drug use among men, adjusting for potential confounders. Food security was measured using the 18-item House hold Food Security Survey.Results: We analyzed data for 9150 men representing 61 million individuals in the United States. Unadjusted HIV prevalence was 1.5% among food insecure men, compared with 0.4% among food secure men (P