Food Insecurity and Unmet Needs Among Youth and Young Adults Living With HIV in the San Francisco Bay Area
Food Insecurity and Unmet Needs Among Youth and Young Adults Living With HIV in the San Francisco Bay Area
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DOI：
10.1016/j.jadohealth.2019.02.023
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发表时间：
2019-08-01
影响因子：
7.6
通讯作者：
Saberi, Parya
中科院分区：
文献类型：
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作者：
Reeder, Christian;Neilands, Torsten B.;Saberi, Parya
目的：对青年和青年HIV感染者(YLWH)的粮食不安全和未得到满足的生存需求及其与抗逆转录病毒治疗依从性的关系知之甚少。方法：我们对101名18-29岁的YLWH患者进行了横断面调查。结果：大约51.7%的参与者经历了至少一种未得到满足的生存需求(难以找到足够的食物[36.6%]、衣物[22.8%]、睡眠场所[21.8%]、洗手间[17.8%]和卫生间[15.8%])，64.2%的参与者报告食物不安全。对于每一个额外的未得到满足的需求，非常好/很好坚持的风险降低了15%(RR=.85；95%CI=.72-.99；p值=0.04)。在食物不安全的年轻人中，非常好/很好坚持的风险比那些食物安全的年轻人低39%(RR=.61；95%CI=.43-.87；p值=.005)。结论：这些数据突显了针对青少年儿童的食物援助战略进行更多研究和结构性干预的必要性。(C)2019年青少年健康与医学学会。版权所有。
Purpose: Little is known about food insecurity and unmet subsistence needs and their association with antiretroviral therapy adherence among youth and young adults living with HIV (YLWH).Methods: We conducted a cross-sectional survey to examine this association in 101 YLWH (aged 18-29 years). Poisson regression models with robust standard errors were used to estimate adjusted risk ratios (RRs) and 95% confidence intervals (CIs).Results: Approximately 51.7% of participants experienced at least one unmet subsistence need (difficulty finding enough to eat [36.6%], clothing [22.8%], place to sleep [21.8%], place to wash [17.8%], and bathroom [15.8%]), and 64.2% reported being food insecure. For every additional unmet need, the risk of very good/excellent adherence was reduced by 15% (RR = .85; 95% CI = .72-.99; p value = .04). The risk of very good/excellent adherence was lowered by 39% (RR = .61; 95% CI = .43-.87; p value = .005) among food insecure youth, compared with those who were food secure.Conclusions: These data highlight the need for more research and structural interventions targeting food assistance strategies among YLWH. (C) 2019 Society for Adolescent Health and Medicine. All rights reserved.