Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review.
Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review.
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DOI：
10.1080/07399332.2017.1337774
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发表时间：
2017-09
影响因子：
1.4
通讯作者：
Kennedy CE
中科院分区：
文献类型：
--
作者：
Chop E;Duggaraju A;Malley A;Burke V;Caldas S;Yeh PT;Narasimhan M;Amin A;Kennedy CE
粮食安全、营养和清洁水是健康和福祉的重要因素，特别是对艾滋病毒感染者而言。全球两性不平等，包括妇女依赖男子获得粮食和财政支助、无法控制土地和资源以及抚养子女和家庭成员的责任，可能影响感染艾滋病毒的妇女的粮食不安全经历和影响。我们对食物不安全对艾滋病毒感染妇女的性风险行为和抗逆转录病毒治疗（ART）依从性的影响进行了系统评价。我们在PubMed、CINAHL、PsycINFO和Sociological Abstracts中检索了截至2016年2月的同行评议文章。对纳入的研究进行二次参考文献检索。研究有资格纳入，如果他们提出的主要数据，无论是定性或定量，为妇女感染艾滋病毒，并描述了粮食不安全和ART坚持，安全性行为，或性风险行为之间的关联。一式两份进行数据提取，包括研究严谨性评估。六项研究符合纳入标准，四项来自撒哈拉以南非洲，两项来自北美。粮食不安全与性交易和缺乏谈判安全性行为的能力造成的性风险增加有关。研究结果还确定饥饿和粮食不安全是开始和坚持抗逆转录病毒治疗的障碍。确定的研究数量有限，这表明需要更多地研究粮食不安全与感染艾滋病毒的妇女的主要成果之间的关系。这些成果突出表明，需要同时处理贫穷、两性不平等、粮食不安全和艾滋病毒问题的多层面方案拟订和政策。
Food security, nutrition, and clean water are important factors for health and well-being, particularly for people living with HIV. Global gender inequalities, including women’s dependence on men for food and financial support, lack of access to control over land and resources, and responsibilities providing for children and family members likely shape the experience and impacts of food insecurity among women living with HIV. We performed a systematic review of the impact of food insecurity on sexual risk behaviors and antiretroviral therapy (ART) adherence among women living with HIV. We searched PubMed, CINAHL, PsycINFO, and Sociological Abstracts for peer-reviewed articles through February, 2016. Secondary reference searching was conducted on included studies. Studies were eligible for inclusion if they presented primary data, either qualitative or quantitative, for women living with HIV and described the associations between food insecurity and ART adherence, safer sex, or sexual risk behaviors. Data extraction was conducted in duplicate, including assessment of study rigor. Six studies met the inclusion criteria, four from sub-Saharan Africa and two from North America. Food insecurity was associated with increased sexual risk through transactional sex and lack of ability to negotiate safer sex. Findings also identified hunger and food insecurity as a barrier to ART initiation and adherence. The limited number of studies identified suggests that more research is needed on the relationship between food insecurity and key outcomes among women living with HIV. Results reinforce the need for multidimensional programming and policies that address poverty, gender inequality, food insecurity, and HIV simultaneously.
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影响因子：
4.8
作者：
Greif, Meredith J.
通讯作者：
Greif, Meredith J.
DOI：
10.1097/qai.0000000000000596
发表时间：
2015-07-01
影响因子：
3.6
作者：
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通讯作者：
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影响因子：
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通讯作者：
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影响因子：
168.9
作者：
de Waal, A;Whiteside, A
通讯作者：
Whiteside, A
影响因子：
1.7
作者：
Eaton, Lisa A.;Cain, Demetria N.;Kalichman, Seth C.
通讯作者：
Kalichman, Seth C.