Supplemental Nutrition Assistance Program Eligibility and HIV Incidence in the United States.
Supplemental Nutrition Assistance Program Eligibility and HIV Incidence in the United States.
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DOI：
10.1093/ofid/ofab101
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发表时间：
2021-08
影响因子：
4.2
通讯作者：
Ivers LC
中科院分区：
文献类型：
--
作者：
Richterman A;Block JP;Tsai AC;Ivers LC
粮食不安全和艾滋病毒后果之间的联系已经确立。补充营养援助计划(SNAP)是美国的主要食品安全网计划，可能会对艾滋病毒的发病率产生间接影响。SNAP的“广泛分类资格”是一项政策，它为各州提供了一种机制，以提高SNAP资格的收入或资产限制。我们估计了2010-2014年每个州新增艾滋病毒诊断人数与(1)州收入限制和(2)SNAP资格的州资产限制之间的关联。我们建立了多变量负二项回归模型，结果为HIV诊断次数；SNAP政策为主要解释变量；州和年固定效应；以及与食品、医疗保健、住房、就业、其他SNAP政策和贫困家庭临时援助支出相关的时变协变量。州内的艾滋病毒诊断与符合SNAP资格的州收入限额有统计上的显著关联(发病率比率[IRR]，收入限额增加联邦贫困水平的35%；95%CI，0.91-0.98)，但与州资产限额无关(提高资产限额与不变：IRR，1.02；95%CI，0.94-1.10；取消资产限额与不变化：IRR，1.04；95%CI，0.99-1.10)。2010年至2014年期间，符合SNAP资格的州收入限制与各州新诊断艾滋病毒的数量呈负相关。取消使用广泛的绝对资格来提高SNAP的收入限制的提议可能会削弱在美国结束艾滋病毒流行的努力。
The connection between food insecurity and HIV outcomes is well established. The Supplemental Nutrition Assistance Program (SNAP), the primary food safety net program in the United States, may have collateral impacts on HIV incidence. “Broad-based categorical eligibility” for SNAP is a policy that provides a mechanism for states to increase the income or asset limits for SNAP eligibility. We estimated the association between the number of new HIV diagnoses in 2010–2014 for each state and (1) state income limits and (2) state asset limits for SNAP eligibility. We fitted multivariable negative binomial regression models with number of HIV diagnoses specified as the outcome; SNAP policies as the primary explanatory variable of interest; state and year fixed effects; and time-varying covariates related to the costs of food, health care, housing, employment, other SNAP policies, and Temporary Assistance for Needy Families spending. HIV diagnoses within states had a statistically significant association with state income limits for SNAP eligibility (incidence rate ratio [IRR], 0.94 per increase in the income limit by 35% of federal poverty level; 95% CI, 0.91–0.98), but no association with state asset limits (increased asset limit vs no change: IRR, 1.02; 95% CI, 0.94–1.10; eliminated asset limit vs no change: IRR, 1.04; 95% CI, 0.99–1.10). State income limits for SNAP eligibility were inversely associated with the number of new HIV diagnoses for states between 2010 and 2014. Proposals to eliminate the use of broad-based categorical eligibility to increase the income limit for SNAP may undercut efforts to end the HIV epidemic in the United States.
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DOI：
10.1097/qai.0000000000000596
发表时间：
2015-07-01
影响因子：
3.6
作者：
Feldman, Matthew B.;Alexy, Emily R.;Irvine, Mary K.
通讯作者：
Irvine, Mary K.
DOI：
10.1056/nejmoa1600693
发表时间：
2016-09-01
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cohen MS;Chen YQ;McCauley M;Gamble T;Hosseinipour MC;Kumarasamy N;Hakim JG;Kumwenda J;Grinsztejn B;Pilotto JH;Godbole SV;Chariyalertsak S;Santos BR;Mayer KH;Hoffman IF;Eshleman SH;Piwowar-Manning E;Cottle L;Zhang XC;Makhema J;Mills LA;Panchia R;Faesen S;Eron J;Gallant J;Havlir D;Swindells S;Elharrar V;Burns D;Taha TE;Nielsen-Saines K;Celentano DD;Essex M;Hudelson SE;Redd AD;Fleming TR;HPTN 052 Study Team
通讯作者：
HPTN 052 Study Team
影响因子：
5.8
作者：
Bailey, Marthaj J.;Hoynes, Hilary;Walker, Reed
通讯作者：
Walker, Reed
影响因子：
3.3
作者：
Anema, Aranka;Wood, Evan;Kerr, Thomas
通讯作者：
Kerr, Thomas
影响因子：
1.7
作者：
Eaton, Lisa A.;Cain, Demetria N.;Kalichman, Seth C.
通讯作者：
Kalichman, Seth C.