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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Severe food insecurity is associated with elevated unprotected sex among HIV-seropositive injection drug users independent of HAART use</title><author><name sortKey="Shannon, Kate" sort="Shannon, Kate" uniqKey="Shannon K" first="Kate" last="Shannon">Kate Shannon</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Kerr, Thomas" sort="Kerr, Thomas" uniqKey="Kerr T" first="Thomas" last="Kerr">Thomas Kerr</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Milloy, M J" sort="Milloy, M J" uniqKey="Milloy M" first="M-J" last="Milloy">M-J Milloy</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Anema, Aranka" sort="Anema, Aranka" uniqKey="Anema A" first="Aranka" last="Anema">Aranka Anema</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Zhang, Ruth" sort="Zhang, Ruth" uniqKey="Zhang R" first="Ruth" last="Zhang">Ruth Zhang</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Montaner, Julio S G" sort="Montaner, Julio S G" uniqKey="Montaner J" first="Julio S. G." last="Montaner">Julio S. G. Montaner</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Wood, Evan" sort="Wood, Evan" uniqKey="Wood E" first="Evan" last="Wood">Evan Wood</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21811140</idno><idno type="pmc">3956106</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3956106</idno><idno type="RBID">PMC:3956106</idno><idno type="doi">10.1097/QAD.0b013e32834b35c9</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001D43</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D43</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Severe food insecurity is associated with elevated unprotected sex among HIV-seropositive injection drug users independent of HAART use</title><author><name sortKey="Shannon, Kate" sort="Shannon, Kate" uniqKey="Shannon K" first="Kate" last="Shannon">Kate Shannon</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Kerr, Thomas" sort="Kerr, Thomas" uniqKey="Kerr T" first="Thomas" last="Kerr">Thomas Kerr</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Milloy, M J" sort="Milloy, M J" uniqKey="Milloy M" first="M-J" last="Milloy">M-J Milloy</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Anema, Aranka" sort="Anema, Aranka" uniqKey="Anema A" first="Aranka" last="Anema">Aranka Anema</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Zhang, Ruth" sort="Zhang, Ruth" uniqKey="Zhang R" first="Ruth" last="Zhang">Ruth Zhang</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Montaner, Julio S G" sort="Montaner, Julio S G" uniqKey="Montaner J" first="Julio S. G." last="Montaner">Julio S. G. Montaner</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author><author><name sortKey="Wood, Evan" sort="Wood, Evan" uniqKey="Wood E" first="Evan" last="Wood">Evan Wood</name><affiliation><nlm:aff id="A1">BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation><affiliation><nlm:aff id="A3">School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="ISSN">0269-9370</idno><idno type="eISSN">1473-5571</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">Despite emerging evidence of a significant adverse relationship between food insecurity and sexual risk-taking, data have been primarily derived from resource-constrained settings and HIV-negative populations. To our knowledge, this study is the first to longitudinally evaluate the relationship between food insecurity and unprotected sex among HIV-seropositive people who inject drugs [injection drug users (IDUs)] both on and not on HAART.</p></sec><sec id="S2"><title>Design</title><p id="P2">Longitudinal analyses were restricted to HIV-positive IDUs who completed baseline and at least one follow-up visit in a prospective cohort (AIDS Care Cohort to evaluate Exposure to Survival Services, 2005–2009).</p></sec><sec id="S3"><title>Methods</title><p id="P3">We constructed a multivariate logistic model using generalized estimating equations (GEEs) to assess an independent relationship between severe food insecurity (e.g., hunger due to lack of access or means to acquire food) and unprotected vaginal/anal sex.</p></sec><sec id="S4"><title>Results</title><p id="P4">Among 470 HIV-positive IDUs, the median age was 42 years (interquartile range 36–47) with 61% men and 39% women. The prevalence of severe food insecurity was 71%, with no differences by HAART use. Severe food insecure IDUs were marginally less likely to have a suppressed HIV-1 RNA viral load (31 vs. 39%, <italic>p</italic>=0.099). In multivariate GEE analyses, severe food insecurity [adjusted odds ratio=2.68, 95% confidence interval 1.49–4.82] remained independently correlated with unprotected sex among HIV-positive IDUs, controlling for age, sex/gender, married/cohabitating partner, binge drug use, homelessness, and HAART use.</p></sec><sec id="S5"><title>Conclusion</title><p id="P5">These findings highlight a crucial need for structural HIV interventions that incorporate targeted food assistance strategies for IDUs. Given recent evidence of poor virological response among food insecure individuals on HAART, innovative HIV care models should integrate targeted food security programs and early access to HAART.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8710219</journal-id><journal-id journal-id-type="pubmed-jr-id">1493</journal-id><journal-id journal-id-type="nlm-ta">AIDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS</journal-id><journal-title-group><journal-title>AIDS (London, England)</journal-title></journal-title-group><issn pub-type="ppub">0269-9370</issn><issn pub-type="epub">1473-5571</issn></journal-meta><article-meta><article-id pub-id-type="pmid">21811140</article-id><article-id pub-id-type="pmc">3956106</article-id><article-id pub-id-type="doi">10.1097/QAD.0b013e32834b35c9</article-id><article-id pub-id-type="manuscript">NIHMS560717</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Severe food insecurity is associated with elevated unprotected sex among HIV-seropositive injection drug users independent of HAART use</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Shannon</surname><given-names>Kate</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Kerr</surname><given-names>Thomas</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Milloy</surname><given-names>M-J</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Anema</surname><given-names>Aranka</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Ruth</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Montaner</surname><given-names>Julio S. G.</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Wood</surname><given-names>Evan</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>BC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada</aff><aff id="A2"><label>2</label>Division of AIDS, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada</aff><aff id="A3"><label>3</label>School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</aff><author-notes><corresp id="FN1">Send correspondence to: Kate Shannon, PhD, Assistant Professor, Div. of AIDS, Depart. of Medicine, University of British Columbia, BC Centre for Excellence in HIV/AIDS, St. Paul’s Hospital, 608 – 1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada, <email>kshannon@cfenet.ubc.ca</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>7</day><month>3</month><year>2014</year></pub-date><pub-date pub-type="ppub"><day>23</day><month>10</month><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>17</day><month>3</month><year>2014</year></pub-date><volume>25</volume><issue>16</issue><fpage>2037</fpage><lpage>2042</lpage><pmc-comment>elocation-id from pubmed: 10.1097/QAD.0b013e32834b35c9</pmc-comment>
<abstract><sec id="S1"><title>Objective</title><p id="P1">Despite emerging evidence of a significant adverse relationship between food insecurity and sexual risk-taking, data have been primarily derived from resource-constrained settings and HIV-negative populations. To our knowledge, this study is the first to longitudinally evaluate the relationship between food insecurity and unprotected sex among HIV-seropositive people who inject drugs [injection drug users (IDUs)] both on and not on HAART.</p></sec><sec id="S2"><title>Design</title><p id="P2">Longitudinal analyses were restricted to HIV-positive IDUs who completed baseline and at least one follow-up visit in a prospective cohort (AIDS Care Cohort to evaluate Exposure to Survival Services, 2005–2009).</p></sec><sec id="S3"><title>Methods</title><p id="P3">We constructed a multivariate logistic model using generalized estimating equations (GEEs) to assess an independent relationship between severe food insecurity (e.g., hunger due to lack of access or means to acquire food) and unprotected vaginal/anal sex.</p></sec><sec id="S4"><title>Results</title><p id="P4">Among 470 HIV-positive IDUs, the median age was 42 years (interquartile range 36–47) with 61% men and 39% women. The prevalence of severe food insecurity was 71%, with no differences by HAART use. Severe food insecure IDUs were marginally less likely to have a suppressed HIV-1 RNA viral load (31 vs. 39%, <italic>p</italic>=0.099). In multivariate GEE analyses, severe food insecurity [adjusted odds ratio=2.68, 95% confidence interval 1.49–4.82] remained independently correlated with unprotected sex among HIV-positive IDUs, controlling for age, sex/gender, married/cohabitating partner, binge drug use, homelessness, and HAART use.</p></sec><sec id="S5"><title>Conclusion</title><p id="P5">These findings highlight a crucial need for structural HIV interventions that incorporate targeted food assistance strategies for IDUs. Given recent evidence of poor virological response among food insecure individuals on HAART, innovative HIV care models should integrate targeted food security programs and early access to HAART.</p></sec></abstract><kwd-group><kwd>food insecurity</kwd><kwd>HAART</kwd><kwd>HIV/AIDS</kwd><kwd>injection drug use</kwd><kwd>sexual risk</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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