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AIDS and Behavior
Published in: AIDS and Behavior 8/2015

01-08-2015 | Original Paper

Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV

Authors: Elsa Heylen, Siju Thomas Panicker, Sara Chandy, Wayne T. Steward, Maria L. Ekstrand

Published in: AIDS and Behavior | Issue 8/2015

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Abstract

Food insecurity (FI) and its link with depression and quality of life (QOL) among people living with HIV (PLHIV) in India are not well-documented. We analyzed cohort data from 243 male and 129 female PLHIV from Bengaluru, and found 19 % of men and 26 % of women reported moderate or severe FI over a 6-month period. Women reported higher mean depression than men, and lower mean QOL. In multivariate analyses adjusting for HIV stigma and demographic covariates, both male and female PLHIV with moderate to severe FI showed lower mean QOL than those reporting mild to no FI. Male but not female food insecure participants also had higher depression scores in adjusted regression analyses. As ART has improved the physical health of PLHIV, more effort is being invested in improving their psychological well-being. Our results suggest such interventions could benefit from including nutritional support to reduce FI among PLHIV.

Resumen

Entre las personas que viven con el VIH en India, no se ha documentado bien la inseguridad alimentaria y su conexión con la depresión y la calidad de vida. Se analizaron datos de un cohorte de 243 hombres y 129 mujeres que viven con el VIH en Bengaluru, y se descubrieron que durante un período de seis meses, 19 % de los hombres y 26 % de las mujures reportaron inseguridad alimentario. Las mujeres reportaron una media de depresión más alta que la reportado por los hombres, y una media de calidad de vida más baja. Análisis multivariado, ajustado por el estigma y por covariables demográficos, demostró que personas que viven con el VIH – tanto hombres como mujeres – con moderada a severa inseguridad alimentaria mostraron menor calidad de vida que aquellos que se reportaron leves. Los masculinos también tuvieron altos niveles de depresión en análisis de regresión ajustada. Como la terapia antirretroviral ha mejorado la salud física de las personas que viven con el VIH, más esfuerzos están siendo invertidos en mejorar el bienestar sicológico. Nuestros resultados sugieren que tales intervenciones podrían beneficiar al incluir apoyo nutricional para reducir la inseguridad alimentaria entre personas que viven con el VIH.
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Metadata
Title
Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV
Authors
Elsa Heylen
Siju Thomas Panicker
Sara Chandy
Wayne T. Steward
Maria L. Ekstrand
Publication date
01-08-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0966-x

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