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Published in: AIDS and Behavior 11/2019

01-11-2019 | Human Immunodeficiency Virus | Original Paper

Psychosocial Factors Associated with Food Insufficiency Among People Living with HIV/AIDS (PLWH) Initiating ART in Ethiopia

Authors: Madeline A. DiLorenzo, Angela Parcesepe, Olga Tymejczyk, Susie Hoffman, Batya Elul, Sheri D. Weiser, Robert H. Remien, Sarah Gorrell Kulkarni, Tsigereda Gadisa, Zenebe Melaku, Denis Nash

Published in: AIDS and Behavior | Issue 11/2019

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Abstract

Food insufficiency is associated with suboptimal HIV treatment outcomes. Less is known about psychosocial correlates of food insufficiency among PLWH. This sample includes 1176 adults initiating antiretroviral therapy at HIV clinics in Ethiopia. Logistic regression modeled the association of psychological distress, social support, and HIV-related stigma with food insufficiency. Among respondents, 21.4% reported frequent food insufficiency. Psychological distress [adjusted odds ratio (aOR) 2.61 (95% CI 1.79, 3.82)], low social support [aOR 2.20 (95% CI 1.57, 3.09)] and enacted stigma [aOR 1.69 (95% CI 1.26, 2.25)] were independently associated with food insufficiency. Food insufficiency interventions should address its accompanying psychosocial context.
Literature
1.
go back to reference Tesfaye M, Kaestel P, Olsen MF, et al. Food insecurity, mental health and quality of life among people living with HIV commencing antiretroviral treatment in Ethiopia: a cross-sectional study. Health Qual Life Outcomes. 2016;14:37.CrossRef Tesfaye M, Kaestel P, Olsen MF, et al. Food insecurity, mental health and quality of life among people living with HIV commencing antiretroviral treatment in Ethiopia: a cross-sectional study. Health Qual Life Outcomes. 2016;14:37.CrossRef
2.
go back to reference Ethiopian Health Nutrition Research Institute (EHNRI). Nutrition baseline survey report for the national nutrition program of Ethiopia. Addis Ababa: EHNRI; 2009. Ethiopian Health Nutrition Research Institute (EHNRI). Nutrition baseline survey report for the national nutrition program of Ethiopia. Addis Ababa: EHNRI; 2009.
3.
go back to reference Koss CA, Natureeba P, Nyafwono D, et al. Brief report: food insufficiency is associated with lack of sustained viral suppression among HIV-infected pregnant and breastfeeding ugandan women. JAIDS. 2016;71(3):310–5.PubMed Koss CA, Natureeba P, Nyafwono D, et al. Brief report: food insufficiency is associated with lack of sustained viral suppression among HIV-infected pregnant and breastfeeding ugandan women. JAIDS. 2016;71(3):310–5.PubMed
4.
go back to reference Aibibula W, Cox J, Hamelin A, Mamiya H, Klein MB, Brassard P. Food insecurity and low CD4 count among HIV-infected people: a systematic review and meta-analysis. AIDS Care. 2016;28(12):1577–85.CrossRef Aibibula W, Cox J, Hamelin A, Mamiya H, Klein MB, Brassard P. Food insecurity and low CD4 count among HIV-infected people: a systematic review and meta-analysis. AIDS Care. 2016;28(12):1577–85.CrossRef
5.
go back to reference Tsai AC, Bangsberg DR, Frongillo EA, et al. Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda. Soc Sci Med. 2012;74(12):2012–9.CrossRef Tsai AC, Bangsberg DR, Frongillo EA, et al. Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda. Soc Sci Med. 2012;74(12):2012–9.CrossRef
6.
go back to reference Tomori C, Kennedy CE, Brahmbhatt H, et al. Barriers and facilitators of retention in HIV care and treatment services in Iringa, Tanzania: the importance of socioeconomic and sociocultural factors. AIDS Care. 2014;26(7):907–13.CrossRef Tomori C, Kennedy CE, Brahmbhatt H, et al. Barriers and facilitators of retention in HIV care and treatment services in Iringa, Tanzania: the importance of socioeconomic and sociocultural factors. AIDS Care. 2014;26(7):907–13.CrossRef
7.
go back to reference Nash D, Tymejczyk O, Gadisa T, et al. Factors associated with initiation of antiretroviral therapy in the advanced stages of HIV infection in six Ethiopian HIV clinics, 2012 to 2013. J Int AIDS Soc. 2016;19:20637.CrossRef Nash D, Tymejczyk O, Gadisa T, et al. Factors associated with initiation of antiretroviral therapy in the advanced stages of HIV infection in six Ethiopian HIV clinics, 2012 to 2013. J Int AIDS Soc. 2016;19:20637.CrossRef
8.
go back to reference Rovira D, Schwefel R, Leidl J, Drummond MF. Economic aspects of AIDS and HIV infection. Berlin: Springer; 1990. Rovira D, Schwefel R, Leidl J, Drummond MF. Economic aspects of AIDS and HIV infection. Berlin: Springer; 1990.
9.
go back to reference Holzemer WL, Uys LR, Chirwa ML, et al. Validation of the HIV/AIDS stigma Instrument—PLWA (HASI-P). AIDS Care. 2007;19(8):1002–12.CrossRef Holzemer WL, Uys LR, Chirwa ML, et al. Validation of the HIV/AIDS stigma Instrument—PLWA (HASI-P). AIDS Care. 2007;19(8):1002–12.CrossRef
10.
go back to reference Palermo T, Rawat R, Weiser SD, Kadiyala S. Food access and diet quality are associated with quality of life outcomes among HIV-infected individuals in Uganda. PLoS ONE. 2013;8(4):e62353.CrossRef Palermo T, Rawat R, Weiser SD, Kadiyala S. Food access and diet quality are associated with quality of life outcomes among HIV-infected individuals in Uganda. PLoS ONE. 2013;8(4):e62353.CrossRef
11.
go back to reference Aibibula W, Cox J, Hamelin A, et al. Impact of food insecurity on depressive symptoms among HIV–HCV co-infected people. AIDS Behav. 2017;21(12):3464–72.CrossRef Aibibula W, Cox J, Hamelin A, et al. Impact of food insecurity on depressive symptoms among HIV–HCV co-infected people. AIDS Behav. 2017;21(12):3464–72.CrossRef
12.
go back to reference Maluccio JA, Palermo T, Kadiyala S, Rawat R. Improving health-related quality of life among people living with HIV: results from an impact evaluation of a food assistance program in Uganda. PLoS ONE. 2015;10(8):e0135879.CrossRef Maluccio JA, Palermo T, Kadiyala S, Rawat R. Improving health-related quality of life among people living with HIV: results from an impact evaluation of a food assistance program in Uganda. PLoS ONE. 2015;10(8):e0135879.CrossRef
13.
go back to reference Tsai AC, Bangsberg DR, Emenyonu N, Senkungu JK, Martin JN, Weiser SD. The social context of food insecurity among persons living with HIV/AIDS in rural Uganda. Soc Sci Med. 2011;73(12):1717–24.CrossRef Tsai AC, Bangsberg DR, Emenyonu N, Senkungu JK, Martin JN, Weiser SD. The social context of food insecurity among persons living with HIV/AIDS in rural Uganda. Soc Sci Med. 2011;73(12):1717–24.CrossRef
Metadata
Title
Psychosocial Factors Associated with Food Insufficiency Among People Living with HIV/AIDS (PLWH) Initiating ART in Ethiopia
Authors
Madeline A. DiLorenzo
Angela Parcesepe
Olga Tymejczyk
Susie Hoffman
Batya Elul
Sheri D. Weiser
Robert H. Remien
Sarah Gorrell Kulkarni
Tsigereda Gadisa
Zenebe Melaku
Denis Nash
Publication date
01-11-2019
Publisher
Springer US
Published in
AIDS and Behavior / Issue 11/2019
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02505-9

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