Food Insecurity, Dietary Diversity, and Body Mass Index of HIV-Infected Individuals on Antiretroviral Therapy in Rural Haiti
| Autor: | Molly F. Franke, J. Gregory Jerome, Louise C. Ivers, Gabriel W. Rebick, Jessica E. Teng |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Rural Population 0301 basic medicine Economic growth medicine.medical_specialty Adolescent Social Psychology Nutritional Status HIV Infections Body Mass Index Food Supply Young Adult 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Risk Factors Antiretroviral Therapy Highly Active Poverty Areas Environmental health Prevalence medicine Humans 030212 general & internal medicine Risk factor Randomized Controlled Trials as Topic Food security Poverty business.industry Public health Malnutrition digestive oral and skin physiology Public Health Environmental and Occupational Health Odds ratio medicine.disease 030112 virology Haiti Diet Infectious Diseases Socioeconomic Factors Income business Body mass index |
| Zdroj: | AIDS and Behavior. 20:1116-1122 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-015-1183-y |
| Popis: | Food rations are increasingly offered as part of HIV programs in resource-poor settings, often targeted solely to those with under-nutrition by low body mass index (BMI). This practice does not consider food insecurity, another important risk factor for poor outcomes in people living with HIV/AIDS (PLWH). We analyzed factors associated with low BMI and severe food insecurity in 523 PLWH receiving antiretroviral therapy in rural Haiti using logistic regression. Food insecurity was present in 89 % of individuals. Among those with severe food insecurity, 86 % had a BMI ≥ 18.5 kg/m(2). Severe food insecurity was associated with illiteracy [adjusted odds ratio (AOR) 1.79, p = 0.005], having no income (AOR 1.58, p = 0.04), and poverty (p 0.001). Compared with those with little to no food insecurity, individuals with severe food insecurity had a less diverse diet. We found that food insecurity was highly prevalent in PLWH receiving antiretroviral therapy in rural Haiti. Using BMI as a sole criterion for food supplementation in HIV programs can exclude highly vulnerable individuals who may benefit from such support. |
| Databáze: | OpenAIRE |
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