Association Between Food Insecurity and HIV Viral Suppression: A Systematic Review and Meta-Analysis
| Autor: | Wusiman Aibibula, Paul Brassard, Taylor McLinden, Joseph Cox, Marina B. Klein, Anne-Marie Hamelin |
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| Rok vydání: | 2016 |
| Předmět: |
Cross-Cultural Comparison
medicine.medical_specialty Social Psychology Anti-HIV Agents Statistics as Topic HIV Infections Food Supply Odds 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Environmental health Humans Medicine Uganda 030212 general & internal medicine Viral suppression Association (psychology) 030505 public health business.industry Public health Confounding Public Health Environmental and Occupational Health medicine.disease Health psychology Infectious Diseases Meta-analysis North America Immunology HIV-1 0305 other medical science business Brazil |
| Zdroj: | AIDS and Behavior. 21:754-765 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-016-1605-5 |
| Popis: | Although an increasing number of HIV infected people are accessing antiretroviral treatment, many do not achieve complete HIV viral suppression and remain at risk for AIDS and capable of HIV transmission. Food insecurity has been identified as a potential risk factor for poor virologic response, but the association between these factors has been inconsistently documented in the literature. We systematically searched five electronic databases and bibliographies of relevant studies through April 2015 and retrieved 11 studies that met our inclusion criteria, of which nine studies were conducted in North America and the remaining two studies were in Brazil and Uganda respectively. Meta-analyzed results indicated that experiencing food insecurity resulted in 29% lower odds of achieving complete HIV viral suppression (OR = 0.71, 95% CI 0.61-0.82) and this significant inverse association was consistently found regardless of study design, exposure measurement, and confounder adjustment methods. These findings suggest that food insecurity is a potential risk factor for incomplete HIV viral suppression in people living with HIV. |
| Databáze: | OpenAIRE |
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