Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya.
Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya.
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DOI：
10.1080/09540121.2011.630358
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发表时间：
2012
期刊：
影响因子：
1.7
通讯作者：
Cohen CR
中科院分区：
文献类型：
--
作者：
Nagata JM;Magerenge RO;Young SL;Oguta JO;Weiser SD;Cohen CR
粮食无保障是撒哈拉以南非洲的一个重大挑战，对艾滋病毒/艾滋病感染者的影响尤为严重。本研究调查生活经验，决定因素和粮食不安全和饥饿的艾滋病毒/艾滋病感染者之间的生活在海岸的维多利亚在苏巴区，肯尼亚。并行的混合方法包括半结构化访谈和对67名艾滋病毒/艾滋病感染者（其中49人正在接受抗逆转录病毒疗法）进行系统抽样，并使用家庭粮食无保障获取量表。所有受访者都是严重（79.1%）或中度（20.9%）粮食不安全;没有受访者是轻度粮食不安全或粮食安全。定性数据以及简单和多元线性回归模型表明，粮食不安全的重要决定因素包括年龄增加、子女人数增加和未婚。出现了一些与粮食不安全和抗逆转录病毒疗法相关的主题，包括：（1）自开始抗逆转录病毒疗法以来饥饿或食欲增加;（2）抗逆转录病毒疗法相关副作用加剧;（3）由于饥饿、粮食不安全或农业工作责任而不坚持抗逆转录病毒疗法。艾滋病毒干预措施应解决粮食不安全和饥饿问题，特别是在高危人群中，以促进抗逆转录病毒疗法的坚持和更好的健康结果。
Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS on the shore of Lake Victoria in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sampling of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy (ART)). All respondents were either severely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including: (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes.
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影响因子：
4.2
作者：
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通讯作者：
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