Food Insecurity, Depression and the Modifying Role of Social Support among People Living with HIV/AIDS in Rural Uganda
Identifieur interne : 003370 ( Main/Curation ); précédent : 003369; suivant : 003371Food Insecurity, Depression and the Modifying Role of Social Support among People Living with HIV/AIDS in Rural Uganda
Auteurs : Alexander C. Tsai [États-Unis] ; David R. Bangsberg [États-Unis, Ouganda] ; Edward A. Frongillo [États-Unis] ; Peter W. Hunt [États-Unis] ; Conrad Muzoora [Ouganda] ; Jeffrey N. Martin [États-Unis] ; Sheri D. Weiser [États-Unis]Source :
- Social science & medicine (1982) [ 0277-9536 ] ; 2012.
Abstract
Depression is common among people living with HIV/AIDS and contributes to a wide range of worsened HIV-related outcomes, including AIDS-related mortality. Targeting modifiable causes of depression, either through primary or secondary prevention, may reduce suffering as well as improve HIV-related outcomes. Food insecurity is a pervasive source of uncertainty for those living in resource-limited settings, and cross-sectional studies have increasingly recognized it as a critical determinant of poor mental health. Using cohort data from 456 men and women living with HIV/AIDS initiating HIV antiretroviral therapy in rural Uganda, we sought to (a) estimate the association between food insecurity and depression symptom severity, (b) assess the extent to which social support may serve as a buffer against the adverse effects of food insecurity, and (c) determine whether the buffering effects are specific to certain types of social support. Quarterly data were collected by structured interviews and blood draws. The primary outcome was depression symptom severity, measured by a modified Hopkins Symptom Checklist for Depression. The primary explanatory variables were food insecurity, measured with the Household Food Insecurity Access Scale, and social support, measured with a modified version of the Functional Social Support Questionnaire. We found that food insecurity was associated with depression symptom severity among women but not men, and that social support buffered the impacts of food insecurity on depression. We also found that instrumental support had a greater buffering influence than emotional social support. Interventions aimed at improving food security and strengthening instrumental social support may have synergistic beneficial effects on both mental health and HIV outcomes among PLWHA in resource-limited settings.
Url:
DOI: 10.1016/j.socscimed.2012.02.033
PubMed: 22513248
PubMed Central: 3348339
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001C57
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :001C56
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :001E46
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :001672
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :001672
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :001672
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :003393
Links to Exploration step
PMC:3348339Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Food Insecurity, Depression and the Modifying Role of Social Support among People Living with HIV/AIDS in Rural Uganda</title>
<author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
<affiliation wicri:level="4"><nlm:aff id="A1">Robert Wood Johnson Health and Society Scholars Program, Harvard University, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Robert Wood Johnson Health and Society Scholars Program, Harvard University, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
<settlement type="city">Cambridge (Massachusetts)</settlement>
</placeName>
<orgName type="university">Université Harvard</orgName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A2">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A3">Harvard Initiative for Global Health, Cambridge, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard Initiative for Global Health, Cambridge, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A4">Harvard Medical School, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Mbarara University of Science and Technology, Mbarara</wicri:regionArea>
<wicri:noRegion>Mbarara</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A6">Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Frongillo, Edward A" sort="Frongillo, Edward A" uniqKey="Frongillo E" first="Edward A." last="Frongillo">Edward A. Frongillo</name>
<affiliation wicri:level="2"><nlm:aff id="A7">Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina</wicri:regionArea>
<placeName><region type="state">Caroline du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name>
<affiliation wicri:level="2"><nlm:aff id="A8">Department of Medicine, University of California at San Francisco, San Francisco, California, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, University of California at San Francisco, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Muzoora, Conrad" sort="Muzoora, Conrad" uniqKey="Muzoora C" first="Conrad" last="Muzoora">Conrad Muzoora</name>
<affiliation wicri:level="1"><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Mbarara University of Science and Technology, Mbarara</wicri:regionArea>
<wicri:noRegion>Mbarara</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Martin, Jeffrey N" sort="Martin, Jeffrey N" uniqKey="Martin J" first="Jeffrey N." last="Martin">Jeffrey N. Martin</name>
<affiliation wicri:level="2"><nlm:aff id="A9">Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. Weiser</name>
<affiliation wicri:level="2"><nlm:aff id="A10">Division of HIV/AIDS and Positive Health Program, University of California at San Francisco, San Francisco, California, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of HIV/AIDS and Positive Health Program, University of California at San Francisco, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22513248</idno>
<idno type="pmc">3348339</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3348339</idno>
<idno type="RBID">PMC:3348339</idno>
<idno type="doi">10.1016/j.socscimed.2012.02.033</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">001C57</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C57</idno>
<idno type="wicri:Area/Pmc/Curation">001C56</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001C56</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001E46</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001E46</idno>
<idno type="wicri:Area/Ncbi/Merge">001672</idno>
<idno type="wicri:Area/Ncbi/Curation">001672</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">001672</idno>
<idno type="wicri:doubleKey">0277-9536:2012:Tsai A:food:insecurity:depression</idno>
<idno type="wicri:Area/Main/Merge">003393</idno>
<idno type="wicri:Area/Main/Curation">003370</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Food Insecurity, Depression and the Modifying Role of Social Support among People Living with HIV/AIDS in Rural Uganda</title>
<author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
<affiliation wicri:level="4"><nlm:aff id="A1">Robert Wood Johnson Health and Society Scholars Program, Harvard University, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Robert Wood Johnson Health and Society Scholars Program, Harvard University, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
<settlement type="city">Cambridge (Massachusetts)</settlement>
</placeName>
<orgName type="university">Université Harvard</orgName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A2">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A3">Harvard Initiative for Global Health, Cambridge, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard Initiative for Global Health, Cambridge, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A4">Harvard Medical School, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Mbarara University of Science and Technology, Mbarara</wicri:regionArea>
<wicri:noRegion>Mbarara</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A6">Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Boston, Massachusetts, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Frongillo, Edward A" sort="Frongillo, Edward A" uniqKey="Frongillo E" first="Edward A." last="Frongillo">Edward A. Frongillo</name>
<affiliation wicri:level="2"><nlm:aff id="A7">Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina</wicri:regionArea>
<placeName><region type="state">Caroline du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name>
<affiliation wicri:level="2"><nlm:aff id="A8">Department of Medicine, University of California at San Francisco, San Francisco, California, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, University of California at San Francisco, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Muzoora, Conrad" sort="Muzoora, Conrad" uniqKey="Muzoora C" first="Conrad" last="Muzoora">Conrad Muzoora</name>
<affiliation wicri:level="1"><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff>
<country xml:lang="fr">Ouganda</country>
<wicri:regionArea>Mbarara University of Science and Technology, Mbarara</wicri:regionArea>
<wicri:noRegion>Mbarara</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Martin, Jeffrey N" sort="Martin, Jeffrey N" uniqKey="Martin J" first="Jeffrey N." last="Martin">Jeffrey N. Martin</name>
<affiliation wicri:level="2"><nlm:aff id="A9">Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. Weiser</name>
<affiliation wicri:level="2"><nlm:aff id="A10">Division of HIV/AIDS and Positive Health Program, University of California at San Francisco, San Francisco, California, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of HIV/AIDS and Positive Health Program, University of California at San Francisco, San Francisco, California</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Social science & medicine (1982)</title>
<idno type="ISSN">0277-9536</idno>
<idno type="eISSN">1873-5347</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p id="P2">Depression is common among people living with HIV/AIDS and contributes to a wide range of worsened HIV-related outcomes, including AIDS-related mortality. Targeting modifiable causes of depression, either through primary or secondary prevention, may reduce suffering as well as improve HIV-related outcomes. Food insecurity is a pervasive source of uncertainty for those living in resource-limited settings, and cross-sectional studies have increasingly recognized it as a critical determinant of poor mental health. Using cohort data from 456 men and women living with HIV/AIDS initiating HIV antiretroviral therapy in rural Uganda, we sought to (a) estimate the association between food insecurity and depression symptom severity, (b) assess the extent to which social support may serve as a buffer against the adverse effects of food insecurity, and (c) determine whether the buffering effects are specific to certain types of social support. Quarterly data were collected by structured interviews and blood draws. The primary outcome was depression symptom severity, measured by a modified Hopkins Symptom Checklist for Depression. The primary explanatory variables were food insecurity, measured with the Household Food Insecurity Access Scale, and social support, measured with a modified version of the Functional Social Support Questionnaire. We found that food insecurity was associated with depression symptom severity among women but not men, and that social support buffered the impacts of food insecurity on depression. We also found that instrumental support had a greater buffering influence than emotional social support. Interventions aimed at improving food security and strengthening instrumental social support may have synergistic beneficial effects on both mental health and HIV outcomes among PLWHA in resource-limited settings.</p>
</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003370 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 003370 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Main |étape= Curation |type= RBID |clé= PMC:3348339 |texte= Food Insecurity, Depression and the Modifying Role of Social Support among People Living with HIV/AIDS in Rural Uganda }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:22513248" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
![]() | This area was generated with Dilib version V0.6.32. | ![]() |