Food Insecurity Is Associated with Increased Risk of Non-Adherence to Antiretroviral Therapy among HIV-Infected Adults in the Democratic Republic of Congo: A Cross-Sectional Study
| Autor: | Masako Ono-Kihara, Samclide Mutindu Mbikayi, Christina El-saaidi, Bhekumusa Wellington Lukhele, Masahiro Kihara, Teeranee Techasrivichien, S. Pilar Suguimoto, Patou Masika Musumari, Peter Piot, Edwin Wouters, Modeste Kiumbu Nzita, Patrick K. Kayembe |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Cross-sectional study Clinical Research Design Epidemiology Anti-HIV Agents media_common.quotation_subject Science HIV prevention Alternative medicine HIV Infections Viral diseases Global Health Food Supply Environmental health medicine Humans Epidemiological Methods media_common Multidisciplinary business.industry Public health HIV HIV diagnosis and management Antiretroviral therapy Democracy Non adherence Food insecurity Cross-Sectional Studies Survey Methods HIV epidemiology Scale (social sciences) Democratic Republic of the Congo Medicine Infectious diseases Patient Compliance Female business Engineering sciences. Technology Research Article |
| Zdroj: | PLoS ONE PLoS ONE, Vol 9, Iss 1, p e85327 (2014) |
| ISSN: | 1932-6203 |
| Popis: | BackgroundFood insecurity is increasingly reported as an important barrier of patient adherence to antiretroviral therapy (ART) in both resource-poor and rich settings. However, unlike in resource rich-settings, very few quantitative studies to date have investigated the association of food insecurity with patient adherence to ART in Sub-Saharan Africa. The current study examines the association between food insecurity and adherence to ART among HIV-infected adults in the Democratic Republic of Congo (DRC).Methods and findingsThis is a cross-sectional quantitative study of patients receiving ART at three private and one public health facilities in Kinshasa, DRC. Participants were consecutively recruited into the study between April and November 2012. Adherence was measured using a combined method coupling pharmacy refill and self-reported adherence. Food insecurity was the primary predictor, and was assessed using the Household Food Insecurity Access Scale (HFIAS). Of the 898 participants recruited into the study, 512 (57%) were food insecure, and 188 (20.9%) were not adherent to ART. Food insecurity was significantly associated with non-adherence to ART (AOR, 2.06; CI, 1.38-3.09). We also found that perceived harmfulness of ART and psychological distress were associated respectively with increased (AOR, 1.95; CI, 1.15-3.32) and decreased (AOR, 0.31; CI, 0.11-0.83) odds of non-adherence to ART.ConclusionFood insecurity is prevalent and a significant risk factor for non-adherence to ART among HIV-infected individuals in the DRC. Our findings highlight the urgent need for strategies to improve food access among HIV-infected on ART in order to ensure patient adherence to ART and ultimately the long-term success of HIV treatment in Sub-Saharan Africa. |
| Databáze: | OpenAIRE |
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