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AIDS and Behavior
Published in: AIDS and Behavior 3/2017

Open Access 01-03-2017 | Original Paper

Food Insecurity in HIV-Hepatitis C Virus Co-infected Individuals in Canada: The Importance of Co-morbidities

Authors: Joseph Cox, Anne-Marie Hamelin, Taylor McLinden, Erica E. M. Moodie, Aranka Anema, Kathleen C. Rollet-Kurhajec, Gilles Paradis, Sean B. Rourke, Sharon L. Walmsley, Marina B. Klein, Canadian Co-infection Cohort Investigators

Published in: AIDS and Behavior | Issue 3/2017

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Abstract

While research has begun addressing food insecurity (FI) in HIV-positive populations, knowledge regarding FI among individuals living with HIV-hepatitis C virus (HCV) co-infection is limited. This exploratory study examines sociodemographic, socioeconomic, behavioral, and clinical factors associated with FI in a cohort of HIV-HCV co-infected individuals in Canada. We analyzed longitudinal data from the Food Security and HIV-HCV Co-infection Study of the Canadian Co-infection Cohort collected between November 2012-June 2014 at 15 health centres. FI was measured using the Household Food Security Survey Module and classified using Health Canada criteria. Generalized estimating equations were used to assess factors associated with FI. Among 525 participants, 59 % experienced FI at their first study visit (baseline). Protective factors associated with FI (p < 0.05) included: enrolment at a Quebec study site (aOR: 0.42, 95 % CI: 0.27, 0.67), employment (aOR: 0.55, 95 % CI: 0.35, 0.87), and average personal monthly income (aOR per $100 CAD increase: 0.98, 95 % CI: 0.97, 0.99). Risk factors for FI included: recent injection drug use (aOR: 1.98, 95 % CI: 1.33, 2.96), trading away food (aOR: 5.23, 95 % CI: 2.53, 10.81), and recent experiences of depressive symptoms (aOR: 2.11, 95 % CI: 1.48, 3.01). FI is common in this co-infected population. Engagement of co-infected individuals in substance use treatments, harm reduction programs, and mental health services may mitigate FI in this vulnerable subset of the HIV-positive population.
Appendix
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Metadata
Title
Food Insecurity in HIV-Hepatitis C Virus Co-infected Individuals in Canada: The Importance of Co-morbidities
Authors
Joseph Cox
Anne-Marie Hamelin
Taylor McLinden
Erica E. M. Moodie
Aranka Anema
Kathleen C. Rollet-Kurhajec
Gilles Paradis
Sean B. Rourke
Sharon L. Walmsley
Marina B. Klein
Canadian Co-infection Cohort Investigators
Publication date
01-03-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1326-9

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