| Food insufficiency is a risk factor for suboptimal antiretroviral therapy adherence among HIV-infected adults in urban Peru. | |
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MedLine Citation:
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PMID: 20714923 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We examined the relationship between food insufficiency and antiretroviral therapy (ART) adherence. A cohort of HIV-infected adults in urban Peru was followed for a two-year period after ART initiation. ART adherence was measured using a 30-day self-report tool and classified as suboptimal if <95% adherence was reported. We conducted a repeated measures cohort analysis to examine whether food insufficiency was more common during months of suboptimal adherence relative to months with optimal adherence. 1,264 adherence interviews were conducted for 134 individuals. Participants who reported food insufficiency in the month prior to interview were more likely to experience suboptimal adherence than those who did not (odds ratio [O.R.]:2.4; 95% confidence interval [C.I.]:1.4, 4.1), even after adjusting for baseline social support score (O.R. per 5 point increase:0.91; C.I.:[0.85, 0.98]) and good baseline adherence self-efficacy (O.R.:0.25; C.I.:[0.09, 0.69]). Interventions that ensure food security for HIV-infected individuals may help sustain high levels of adherence. |
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Authors:
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Molly F Franke; Megan B Murray; Maribel Muñoz; Sonia Hernández-Díaz; José Luís Sebastián; Sidney Atwood; Adolfo Caldas; Jaime Bayona; Sonya S Shin |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: AIDS and behavior Volume: 15 ISSN: 1573-3254 ISO Abbreviation: AIDS Behav Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-09-28 Completed Date: 2011-12-30 Revised Date: 2013-03-28 |
Medline Journal Info:
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Nlm Unique ID: 9712133 Medline TA: AIDS Behav Country: United States |
Other Details:
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Languages: eng Pagination: 1483-9 Citation Subset: IM |
Affiliation:
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Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA. molly_franke@hms.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Anti-HIV Agents / therapeutic use* Antiretroviral Therapy, Highly Active* Cohort Studies Female Food Supply* HIV Infections / drug therapy*, psychology Humans Interviews as Topic Male Medication Adherence* Middle Aged Peru Regression Analysis Risk Factors Sex Distribution Social Support Urban Population Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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T32 AI007535/AI/NIAID NIH HHS; T32AI007535/AI/NIAID NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Anti-HIV Agents |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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