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Published in: AIDS and Behavior 7/2023

21-01-2023 | Human Immunodeficiency Virus | Original Paper

Food Insecurity and Transmission Risks Among People with HIV Who Use Substances

Authors: Bulat Idrisov, Karsten Lunze, Debbie M. Cheng, Elena Blokhina, Natalia Gnatienko, Gregory Patts, Carly Bridden, Sarah L. Rossi, Sheri D. Weiser, Evgeny Krupitsky, Jeffrey H. Samet

Published in: AIDS and Behavior | Issue 7/2023

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Abstract

Food insecurity (FI) impacts people with HIV (PWH) and those who use substances (i.e. drugs and alcohol). We evaluated the longitudinal association between FI and HIV transmission risks (unprotected sexual contacts and shared needles/syringes). Among 351 PWH who use substances in Russia, 51.6% reported FI and 37.0% past month injection drug use. The mean number of unprotected sexual contacts in the past 90 days was 13.4 (SD 30.1); 9.7% reported sharing needles/syringes in the past month. We did not find a significant association between mild/moderate FI (adjusted IRR = 0.87, 95% CI 0.47, 1.61) or severe FI (aIRR = 0.84, 95% CI 0.46, 1.54; global p = 0.85) and unprotected sexual contacts. We observed a significant association between severe FI and sharing needles/syringes in the past month (adjusted OR = 3.27, 95% CI 1.45, 7.39; p = 0.004), but not between mild/moderate FI and sharing needles/syringes in the past month (aOR = 1.40,95% CI 0.58, 3.38; p = 0.45). These findings suggest that severe FI could be a potential target for interventions to lower HIV transmission.
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Metadata
Title
Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
Authors
Bulat Idrisov
Karsten Lunze
Debbie M. Cheng
Elena Blokhina
Natalia Gnatienko
Gregory Patts
Carly Bridden
Sarah L. Rossi
Sheri D. Weiser
Evgeny Krupitsky
Jeffrey H. Samet
Publication date
21-01-2023
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2023
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-022-03965-2

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