| Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya. | |
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MedLine Citation:
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PMID: 22150119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS on the shore of Lake Victoria in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sample of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy [ART]). All respondents were either severely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including: (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes. |
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Authors:
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Jason M Nagata; Richard O Magerenge; Sera L Young; Joel O Oguta; Sheri D Weiser; Craig R Cohen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2011-12-07 |
Journal Detail:
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Title: AIDS care Volume: 24 ISSN: 1360-0451 ISO Abbreviation: AIDS Care Publication Date: 2012 |
Date Detail:
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Created Date: 2012-05-15 Completed Date: 2012-08-07 Revised Date: 2013-03-18 |
Medline Journal Info:
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Nlm Unique ID: 8915313 Medline TA: AIDS Care Country: England |
Other Details:
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Languages: eng Pagination: 728-36 Citation Subset: IM; X |
Affiliation:
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Institute of Social and Cultural Anthropology, University of Oxford, UK. jason.nagata@ucsf.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Immunodeficiency Syndrome
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drug therapy,
economics,
epidemiology,
psychology* Adult Anti-HIV Agents / administration & dosage* Cross-Sectional Studies Female Food Supply* / statistics & numerical data Humans Hunger Kenya / epidemiology Male Marital Status / statistics & numerical data Medication Adherence / psychology*, statistics & numerical data Poverty / psychology*, statistics & numerical data Prevalence Questionnaires Risk Factors Socioeconomic Factors |
| Grant Support | |
ID/Acronym/Agency:
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K24 MH087227/MH/NIMH NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Anti-HIV Agents |
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