BACKGROUND: To date, there have been few longitudinal studies of food insecurity among people living with HIV (PLWH). Food insufficiency (FI) is one dimension of the food insecurity construct that refers to periods of time during which individuals have an inadequate amount of food intake because of limited resources. The aim of this analysis was to examine the relationship between FI and HIV treatment outcomes among HIV-infected individuals in New York City (NYC). METHODS: Associations between FI ("consistent"--food insufficient on both of the last 2 assessments, "inconsistent"--food insufficient on 1 of the last 2 assessments, or neither) and clinical indicators of HIV disease progression (viral load > 200 copies per milliliter, CD4 count < 200 cells per cubic millimeter) were analyzed for NYC Ryan White Part A food and nutrition program clients who were matched to the NYC HIV Surveillance Registry and completed 2 FI assessments between November 2011 and June 2013. RESULTS: Among 2,118 PLWH in food and nutrition programs, 61% experienced consistent FI and 25% experienced inconsistent FI. In multivariate analyses controlling for sociodemographic characteristics, consistent FI was independently associated with unsuppressed viral load (adjusted odds ratio = 1.6, confidence interval: 1.1 to 2.5). Consistent FI was only associated with low CD4 counts at the bivariate level. CONCLUSIONS: Future studies should examine biological, structural, and psychosocial factors that may explain the relationship between FI and HIV treatment outcomes to inform intervention development. Persistent FI among food and nutrition program clients suggests that services are needed to address underlying needs for financial stability (eg, vocational counseling) for PLWH.
BACKGROUND: To date, there have been few longitudinal studies of food insecurity among people living with HIV (PLWH). Food insufficiency (FI) is one dimension of the food insecurity construct that refers to periods of time during which individuals have an inadequate amount of food intake because of limited resources. The aim of this analysis was to examine the relationship between FI and HIV treatment outcomes among HIV-infected individuals in New York City (NYC). METHODS: Associations between FI ("consistent"--food insufficient on both of the last 2 assessments, "inconsistent"--food insufficient on 1 of the last 2 assessments, or neither) and clinical indicators of HIV disease progression (viral load > 200 copies per milliliter, CD4 count < 200 cells per cubic millimeter) were analyzed for NYC Ryan White Part A food and nutrition program clients who were matched to the NYC HIV Surveillance Registry and completed 2 FI assessments between November 2011 and June 2013. RESULTS: Among 2,118 PLWH in food and nutrition programs, 61% experienced consistent FI and 25% experienced inconsistent FI. In multivariate analyses controlling for sociodemographic characteristics, consistent FI was independently associated with unsuppressed viral load (adjusted odds ratio = 1.6, confidence interval: 1.1 to 2.5). Consistent FI was only associated with low CD4 counts at the bivariate level. CONCLUSIONS: Future studies should examine biological, structural, and psychosocial factors that may explain the relationship between FI and HIV treatment outcomes to inform intervention development. Persistent FI among food and nutrition program clients suggests that services are needed to address underlying needs for financial stability (eg, vocational counseling) for PLWH.
Authors: Elisabeth Chop; Avani Duggaraju; Angela Malley; Virginia Burke; Stephanie Caldas; Ping Teresa Yeh; Manjulaa Narasimhan; Avni Amin; Caitlin E Kennedy Journal: Health Care Women Int Date: 2017-06-06
Authors: Kartika Palar; Edward A Frongillo; Jessica Escobar; Lila A Sheira; Tracey E Wilson; Adebola Adedimeji; Daniel Merenstein; Mardge H Cohen; Eryka L Wentz; Adaora A Adimora; Ighovwerha Ofotokun; Lisa Metsch; Phyllis C Tien; Janet M Turan; Sheri D Weiser Journal: AIDS Behav Date: 2018-12
Authors: Matthew A Spinelli; Edward A Frongillo; Lila A Sheira; Kartika Palar; Phyllis C Tien; Tracey Wilson; Daniel Merenstein; Mardge Cohen; Adebola Adedimeji; Eryka Wentz; Adaora A Adimora; Lisa R Metsch; Janet M Turan; Margot B Kushel; Sheri D Weiser Journal: AIDS Behav Date: 2017-12
Authors: Catherine A Koss; Paul Natureeba; Dalsone Kwarisiima; Mike Ogena; Tamara D Clark; Peter Olwoch; Deborah Cohan; Jaffer Okiring; Edwin D Charlebois; Moses R Kamya; Diane V Havlir Journal: J Acquir Immune Defic Syndr Date: 2017-03-01 Impact factor: 3.731
Authors: Catherine A Koss; Paul Natureeba; Dorcas Nyafwono; Albert Plenty; Julia Mwesigwa; Bridget Nzarubara; Tamara D Clark; Theodore D Ruel; Jane Achan; Edwin D Charlebois; Deborah Cohan; Moses R Kamya; Diane V Havlir; Sera L Young Journal: J Acquir Immune Defic Syndr Date: 2016-03-01 Impact factor: 3.731
Authors: Aaron Richterman; Hoi Ching Cheung; Mark K Meiselbach; Gregory Jerome; Ralph Ternier; Louise C Ivers Journal: Open Forum Infect Dis Date: 2018-05-31 Impact factor: 3.835