Food Insecurity During the COVID-19 Pandemic: A Longitudinal Mixed-Methods Study from a Cohort of HIV Clients in Uganda.
Food Insecurity During the COVID-19 Pandemic: A Longitudinal Mixed-Methods Study from a Cohort of HIV Clients in Uganda.
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DOI：
10.1007/s10461-022-03953-6
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发表时间：
2023-07
影响因子：
4.4
通讯作者：
Linnemayr, Sebastian
中科院分区：
文献类型：
--
作者：
MacCarthy, Sarah;Wagner, Zachary;Saya, Uzaib;Ghai, Ishita;Karamagi, Yvonne;Odiit, Mary;Mukasa, Barbara;Linnemayr, Sebastian
COVID-19疫情威胁低收入国家人民的粮食安全。这对艾滋病毒感染者（PLWH）很重要，因为艾滋病毒药物应与食物一起服用，以避免副作用。我们使用调查数据（n = 314）和定性访谈（n = 95），纵向探讨流行病如何影响粮食不安全的艾滋病毒携带者在乌干达坎帕拉。在2020年3月之前，19.7%的受访者处于粮食不安全状态。我们的回归模型估计，粮食不安全在我们的第一轮调查中上升了9.1个百分点（2020年6月至9月; p < 0.05; t = 2.17），在第二轮调查中上升到17.2个百分点（2021年7月至11月; p < 0.05; t = 2.32）。定性访谈显示，失业和支助系统恶化导致减少膳食和购买更便宜的食品。答复者报告说，即使在粮食不安全的情况下，他们仍继续服用艾滋病毒药物。确保艾滋病毒携带者有足够食物的战略应该优先考虑，以便撒哈拉以南非洲数百万艾滋病毒携带者可以在不经历不舒服的副作用的情况下服用药物。临床试验注册号NCT 03494777
The COVID-19 pandemic threatens the food security of people in low-income countries. This is important for people living with HIV (PLWH) because HIV medication should be taken with food to avoid side-effects. We used survey data (n = 314) and qualitative interviews (n = 95) to longitudinally explore how the pandemic impacted food insecurity among PLWH in Kampala, Uganda. Prior to March 2020, 19.7% of respondents were food insecure. Our regression models estimate that food insecurity rose by 9.1 percentage points in our first round of surveys (June–September 2020; p < 0.05; t = 2.17), increasing to 17.2 percentage points in the second round of surveys (July–November 2021; p < 0.05; t = 2.32). Qualitative interviews reveal that employment loss and deteriorating support systems led to reduced meals and purchasing of cheaper foods. Respondents reported continuing to take their HIV medication even in the presence of food insecurity. Strategies for ensuring that PLWH have enough food should be prioritized so that the millions of PLWH in sub-Saharan Africa can take their medication without experiencing uncomfortable side-effects. Clinical Trials Registration Number NCT03494777
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影响因子：
3.2
作者：
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通讯作者：
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影响因子：
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