Document Detail


Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya.
MedLine Citation:
PMID:  22150119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jason M Nagata; Richard O Magerenge; Sera L Young; Joel O Oguta; Sheri D Weiser; Craig R Cohen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-12-07
Journal Detail:
Title:  AIDS care     Volume:  24     ISSN:  1360-0451     ISO Abbreviation:  AIDS Care     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-15     Completed Date:  2012-08-07     Revised Date:  2014-04-17    
Medline Journal Info:
Nlm Unique ID:  8915313     Medline TA:  AIDS Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  728-36     Citation Subset:  IM; X    
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / 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:
K01 MH098902/MH/NIMH NIH HHS; K23 MH079713/MH/NIMH NIH HHS
Chemical
Reg. No./Substance:
0/Anti-HIV Agents

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