Relationship between food insecurity and smoking status among women living with and at risk for HIV in the USA: a cohort study.

Autor:	Sheira LA; Division of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, California, USA lila.sheira@ucsf.edu., Frongillo EA; Department of Health Promotion, Education, and Behavior, University of South Carolina System, Columbia, South Carolina, USA., Hahn J; Division of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, California, USA., Palar K; Division of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, California, USA., Riley ED; Division of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, California, USA., Wilson TE; Community Health Sciences, School of Public Health, State University of New York Downstate Medical Center, Brooklyn, New York, USA., Adedimeji A; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA., Merenstein D; Family Medicine, Georgetown University Medical Center, Washington, District of Columbia, USA., Cohen M; Medicine, John H Stroger Hospital of Cook County, Chicago, Illinois, USA., Wentz EL; School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA., Adimora AA; School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.; UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Ofotokun I; School of Medicine, Emory University, Atlanta, Georgia, USA., Metsch L; Sociomedical Sciences, Columbia University Mailman School of Public Health, New York City, New York, USA., Turan JM; Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA., Tien PC; Department of Medicine, University of California, San Francisco, California, USA.; Department of Veteran Affairs Medical Center, San Francisco, California, USA., Weiser SD; Division of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco, California, USA.; Center for AIDS Prevention Studies, University of California, San Francisco, California, USA.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2021 Sep 06; Vol. 11 (9), pp. e054903. Date of Electronic Publication: 2021 Sep 06.
DOI:	10.1136/bmjopen-2021-054903
Abstrakt:	Objectives: People living with HIV (PLHIV) in the USA, particularly women, have a higher prevalence of food insecurity than the general population. Cigarette smoking among PLHIV is common (42%), and PLHIV are 6-13 times more likely to die from lung cancer than AIDS-related causes. This study sought to investigate the associations between food security status and smoking status and severity among a cohort of predominantly low-income women of colour living with and without HIV in the USA. Design: Women enrolled in an ongoing longitudinal cohort study from 2013 to 2015. Setting: Nine participating sites across the USA. Participants: 2553 participants enrolled in the Food Insecurity Sub-Study of the Women's Interagency HIV Study, a multisite cohort study of US women living with HIV and demographically similar HIV-seronegative women. Outcomes: Current cigarette smoking status and intensity were self-reported. We used cross-sectional and longitudinal logistic and Tobit regressions to assess associations of food security status and changes in food security status with smoking status and intensity. Results: The median age was 48. Most respondents were African-American/black (72%) and living with HIV (71%). Over half had annual incomes ≤US$12 000 (52%). Food insecurity (44%) and cigarette smoking (42%) were prevalent. In analyses adjusting for common sociodemographic characteristics, all categories of food insecurity were associated with greater odds of current smoking compared with food-secure women. Changes in food insecurity were also associated with increased odds of smoking. Any food insecurity was associated with higher smoking intensity. Conclusions: Food insecurity over time was associated with smoking in this cohort of predominantly low-income women of colour living with or at risk of HIV. Integrating alleviation of food insecurity into smoking cessation programmes may be an effective method to reduce the smoking prevalence and disproportionate lung cancer mortality rate particularly among PLHIV. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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