Food insecurity and sexual risk in an HIV endemic community in Uganda.
Food insecurity and sexual risk in an HIV endemic community in Uganda.
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DOI：
10.1007/s10461-010-9693-0
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发表时间：
2011-10
影响因子：
4.4
通讯作者：
Weiser, Sheri D.
中科院分区：
文献类型：
--
作者：
Miller, Cari L.;Bangsberg, David R.;Tuller, David M.;Senkungu, Jude;Kawuma, Annet;Frongillo, Edward A.;Weiser, Sheri D.
撒哈拉以南非洲地区的粮食不安全与高风险性行为有关，但有关艾滋病毒/艾滋病感染者之间这些联系以及粮食不安全如何使个人容易发生危险性行为的机制的数据有限。我们对 41 名艾滋病毒/艾滋病感染者进行了一系列深入的、不限成员名额的访谈，以了解粮食不安全对性危险行为的影响。参与者是从乌干达姆巴拉拉姆巴拉拉科技大学免疫抑制诊所招募的。采访内容按照扎根理论的策略进行记录、逐字转录、翻译和编码。访谈数据中出现了四个主要主题：粮食不安全与女性性交易之间的关系；丈夫死于艾滋病毒对妇女和儿童粮食不安全状况恶化的影响；粮食不安全对控制安全套使用的影响，以及粮食不安全与维持暴力/虐待关系之间的关系。粮食不安全导致妇女的性脆弱性增加。由于依赖社区中的男性为自己和孩子提供食物，妇女常常被迫从事性交易或保持暴力或虐待关系。迫切需要优先考虑针对感染艾滋病毒/艾滋病的妇女的粮食安全计划，并解决更广泛的基于性别的不平等问题，这些不平等现象促使妇女因饥饿而从事危险的性行为。此类干预措施将在改善艾滋病毒/艾滋病感染者的健康和福祉以及预防艾滋病毒传播方面发挥重要作用。
Food insecurity has been linked to high-risk sexual behavior in sub-Saharan Africa, but there are limited data on these links among people living with HIV/AIDS, and on the mechanisms for how food insecurity predisposes individuals to risky sexual practices. We undertook a series of in-depth open-ended interviews with 41 individuals living with HIV/AIDS to understand the impact of food insecurity on sexual-risk behaviors. Participants were recruited from the Immune Suppression Clinic at the Mbarara University of Science and Technology in Mbarara, Uganda. Interviews were recorded, transcribed verbatim, translated, and coded following the strategy of grounded theory. Four major themes emerged from the interview data: the relationship between food insecurity and transactional sex for women; the impact of a husband’s death from HIV on worsening food insecurity among women and children; the impact of food insecurity on control over condom use, and the relationship between food insecurity and staying in violent/abusive relationships. Food insecurity led to increased sexual vulnerability among women. Women were often compelled to engage in transactional sex or remain in violent or abusive relationships due to their reliance on men in their communities to provide food for themselves and their children. There is an urgent need to prioritize food security programs for women living with HIV/AIDS and address broader gender-based inequities that are propelling women to engage in risky sexual behaviors based on hunger. Such interventions will play an important role in improving the health and well-being of people living with HIV/AIDS, and preventing HIV transmission.
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影响因子：
2.9
作者：
KREFTING, L
通讯作者：
KREFTING, L
DOI：
10.1196/annals.1425.013
发表时间：
2008-01-01
期刊：
REDUCING THE IMPACT OF POVERTY ON HEALTH AND HUMAN DEVELOPMENT: SCIENTIFIC APPROACHES
影响因子：
--
作者：
Krishnan, Suneeta;Dunbar, Megan S.;Padian, Nancy S.
通讯作者：
Padian, Nancy S.
影响因子：
3.3
作者：
Hawkins, K.;Price, N.;Mussa, F.
通讯作者：
Mussa, F.
DOI：
10.1080/09540120701294286
发表时间：
2007-01-01
影响因子：
1.7
作者：
Maganja, R. K.;Maman, S.;Mbwambo, J. K.
通讯作者：
Mbwambo, J. K.
DOI：
10.1098/rstb.2005.1746
发表时间：
2005-11-29
影响因子：
6.3
作者：
Haile, M
通讯作者：
Haile, M