학술논문
Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV.
Document Type
Academic Journal
Author
Palar K; Division of HIV, ID and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA. kartika.palar@ucsf.edu.; Sheira LA; Division of HIV, ID and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.; Frongillo EA; Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.; Kushel M; Division of General Internal Medicine at San Francisco General Hospital, UCSF, San Francisco, CA, USA.; Wilson TE; Department of Community Health Sciences, State University of New York Downstate Health Sciences University, School of Public Health, Brooklyn, NY, USA.; Conroy AA; Department of Medicine, Center for AIDS Prevention Studies, UCSF, San Francisco, CA, USA.; Adedimeji A; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.; Merenstein D; Department of Family Medicine, Georgetown University Medical Center, Washington, DC, USA.; Cohen MH; Department of Medicine, Stroger Hospital, Chicago, IL, USA.; Wentz EL; Bloomberg School of Public Health, Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA.; Adimora AA; School of Medicine and UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Ofotokun I; School of Medicine, Emory University, Atlanta, GA, USA.; Grady Healthcare System, Atlanta, GA, USA.; Metsch LR; Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.; Turan JM; Department of Health Policy and Organization, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.; Tien PC; Department of Medicine, University of California, San Francisco, CA, USA.; Medical Service, Department of Veteran Affairs Medical Center, San Francisco, USA.; Weiser SD; Division of HIV, ID and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.; Department of Medicine, Center for AIDS Prevention Studies, UCSF, San Francisco, CA, USA.
Source
Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE
Subject
Language
English
Abstract
Food insecurity disproportionately affects people with HIV and women in the United States (US). More evidence is needed to understand the interplay between levels of food insecurity and levels of antiretroviral therapy (ART) adherence over time, as well as how food insecurity relates to engagement in HIV care. We used random effects models with longitudinal data from the US Women's Interagency HIV Study to estimate the (1) adjusted associations of current and 6-month lagged food security with ART adherence categories (n = 1646), and (2) adjusted associations of food security with engagement-in-care (n = 1733). Very low food security was associated with a higher relative risk of ART non-adherence at prior and current visits compared with food security, and this association increased across non-adherence categories. Very low food security was associated with lower odds of receiving HIV care and higher odds of a missed visit. Food insecurity among US women with HIV is associated with poorer engagement in care and degree of ART non-adherence over time.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)