Food insecurity and antiretroviral adherence among HIV positive adults who drink alcohol.
Food insecurity and antiretroviral adherence among HIV positive adults who drink alcohol.
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DOI：
10.1007/s10865-013-9536-3
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发表时间：
2014-10
影响因子：
3.1
通讯作者：
Eaton, Lisa
中科院分区：
文献类型：
--
作者：
Kalichman, Seth C.;Grebler, Tamar;Amaral, Christina M.;McKerney, Megan;White, Denise;Kalichman, Moira O.;Cherry, Chauncey;Eaton, Lisa
粮食无保障与艾滋病毒/艾滋病感染者不坚持治疗和健康状况不佳有关。鉴于饮酒者普遍营养不良，粮食不安全可能对饮酒的艾滋病毒阳性者造成特别大的问题。研究饮酒的艾滋病毒阳性男性和女性的粮食不安全及其与抗逆转录病毒治疗（ART）依从性，健康结果和卫生服务利用的关系。格鲁吉亚亚特兰大市的成年艾滋病毒感染者（N = 183）在前一周报告饮酒并接受抗逆转录病毒治疗，参加了一个为期12个月的队列研究。参与者从传染病诊所和社会服务部门招募，完成计算机化访谈，每月不公布的药丸计数以监测ART依从性，以及每日手机提供的酒精使用交互式文本评估。43%的参与者在至少一个月的研究期间经历了粮食不安全。粮食不安全与ART依从性欠佳和HIV病毒载量抑制较少独立相关。经历粮食不安全的个人也有更多的医疗和精神病住院史，以及更大的心理健康问题。在接受抗逆转录病毒疗法的酗酒者中，粮食不安全现象普遍存在，粮食不安全与不坚持治疗、健康状况不佳以及医疗和精神病住院率增加有关。
Food insecurity is associated with HIV treatment non-adherence and poor health outcomes for people living with HIV/AIDS. Given the poor nutritional status common to people who drink alcohol, food insecurity may be particularly problematic for HIV positive individuals who drink alcohol. To examine food insecurity among HIV positive men and women who drink alcohol and its association with antiretroviral therapy (ART) adherence, health outcomes and health service utilization. Adults living with HIV (N = 183) in Atlanta, Georgia who reported alcohol use in the previous week and were receiving ART participated in a 12-month cohort. Participants were recruited from infectious disease clinics and social services to complete computerized interviews, monthly-unannounced pill counts to monitor ART adherence, and daily cell-phone delivered interactive-text assessments for alcohol use. Forty-three percent of participants experienced food insecurity during at least one month of the study period. Food insecurity was independently associated with suboptimal ART adherence and less suppressed HIV viral load over. Individuals who experienced food insecurity also had histories of more medical and psychiatric hospitalizations, and greater mental health problems. Food insecurity is prevalent among alcohol using people receiving ART and food insecurity is associated with treatment non-adherence, poor health outcomes, and increased medical and psychiatric hospitalizations.
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影响因子：
4.4
作者：
Vogenthaler, Nicholas S.;Hadley, Craig;Rodriguez, Allan E.;Valverde, Eduardo E.;del Rio, Carlos;Metsch, Lisa R.
通讯作者：
Metsch, Lisa R.
影响因子：
2.9
作者：
Kobin, Allison Beth;Sheth, Neha Umesh
通讯作者：
Sheth, Neha Umesh
影响因子：
4.4
作者：
Haberer, Jessica E.;Robbins, Gregory K.;Ybarra, Michele;Monk, Alexandra;Ragland, Kathleen;Weiser, Sheri D.;Johnson, Mallory O.;Bangsberg, David R.
通讯作者：
Bangsberg, David R.
DOI：
10.1097/qai.0b013e31827303d5
发表时间：
2012-12-15
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Kim DJ;Westfall AO;Chamot E;Willig AL;Mugavero MJ;Ritchie C;Burkholder GA;Crane HM;Raper JL;Saag MS;Willig JH
通讯作者：
Willig JH
影响因子：
3.1
作者：
Kalichman, SC;DiMarco, M;DiFonzo, K
通讯作者：
DiFonzo, K