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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya</title><author><name sortKey="Nagata, Jason M" sort="Nagata, Jason M" uniqKey="Nagata J" first="Jason M." last="Nagata">Jason M. Nagata</name><affiliation><nlm:aff id="A1">Institute of Social and Cultural Anthropology, University of Oxford, Oxford, UK</nlm:aff></affiliation><affiliation><nlm:aff id="A2">School of Medicine, University of California, San Francisco, San Francisco, CA, USA</nlm:aff></affiliation></author><author><name sortKey="Magarenge, Richard" sort="Magarenge, Richard" uniqKey="Magarenge R" first="Richard" last="Magarenge">Richard Magarenge</name><affiliation><nlm:aff id="A3">Organic Health Response, Mfangano Island, Nyanza Province, Kenya</nlm:aff></affiliation></author><author><name sortKey="Young, Sera L" sort="Young, Sera L" uniqKey="Young S" first="Sera L." last="Young">Sera L. Young</name><affiliation><nlm:aff id="A4">Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA</nlm:aff></affiliation></author><author><name sortKey="Oguta, Joel" sort="Oguta, Joel" uniqKey="Oguta J" first="Joel" last="Oguta">Joel Oguta</name><affiliation><nlm:aff id="A3">Organic Health Response, Mfangano Island, Nyanza Province, Kenya</nlm:aff></affiliation></author><author><name sortKey="Weiser, Sheri A" sort="Weiser, Sheri A" uniqKey="Weiser S" first="Sheri A." last="Weiser">Sheri A. Weiser</name><affiliation><nlm:aff id="A5">Division of HIV/AIDS, San Francisco General Hospital, University of California, San Francisco, San Francisco, CA, USA</nlm:aff></affiliation></author><author><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><affiliation><nlm:aff id="A6">Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22150119</idno><idno type="pmc">4418445</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418445</idno><idno type="RBID">PMC:4418445</idno><idno type="doi">10.1080/09540121.2011.630358</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001D89</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya</title><author><name sortKey="Nagata, Jason M" sort="Nagata, Jason M" uniqKey="Nagata J" first="Jason M." last="Nagata">Jason M. Nagata</name><affiliation><nlm:aff id="A1">Institute of Social and Cultural Anthropology, University of Oxford, Oxford, UK</nlm:aff></affiliation><affiliation><nlm:aff id="A2">School of Medicine, University of California, San Francisco, San Francisco, CA, USA</nlm:aff></affiliation></author><author><name sortKey="Magarenge, Richard" sort="Magarenge, Richard" uniqKey="Magarenge R" first="Richard" last="Magarenge">Richard Magarenge</name><affiliation><nlm:aff id="A3">Organic Health Response, Mfangano Island, Nyanza Province, Kenya</nlm:aff></affiliation></author><author><name sortKey="Young, Sera L" sort="Young, Sera L" uniqKey="Young S" first="Sera L." last="Young">Sera L. Young</name><affiliation><nlm:aff id="A4">Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA</nlm:aff></affiliation></author><author><name sortKey="Oguta, Joel" sort="Oguta, Joel" uniqKey="Oguta J" first="Joel" last="Oguta">Joel Oguta</name><affiliation><nlm:aff id="A3">Organic Health Response, Mfangano Island, Nyanza Province, Kenya</nlm:aff></affiliation></author><author><name sortKey="Weiser, Sheri A" sort="Weiser, Sheri A" uniqKey="Weiser S" first="Sheri A." last="Weiser">Sheri A. Weiser</name><affiliation><nlm:aff id="A5">Division of HIV/AIDS, San Francisco General Hospital, University of California, San Francisco, San Francisco, CA, USA</nlm:aff></affiliation></author><author><name sortKey="Cohen, Craig R" sort="Cohen, Craig R" uniqKey="Cohen C" first="Craig R." last="Cohen">Craig R. Cohen</name><affiliation><nlm:aff id="A6">Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA</nlm:aff></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="ISSN">0954-0121</idno><idno type="eISSN">1360-0451</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS on the shore of Lake Victoria in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sampling of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy (ART)). All respondents were either severely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including: (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes.</p></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">8915313</journal-id><journal-id journal-id-type="pubmed-jr-id">1056</journal-id><journal-id journal-id-type="nlm-ta">AIDS Care</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Care</journal-id><journal-title-group><journal-title>AIDS care</journal-title></journal-title-group><issn pub-type="ppub">0954-0121</issn><issn pub-type="epub">1360-0451</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22150119</article-id><article-id pub-id-type="pmc">4418445</article-id><article-id pub-id-type="doi">10.1080/09540121.2011.630358</article-id><article-id pub-id-type="manuscript">NIHMS684686</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nagata</surname><given-names>Jason M.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Magarenge</surname><given-names>Richard</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Young</surname><given-names>Sera L.</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>Oguta</surname><given-names>Joel</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Weiser</surname><given-names>Sheri A.</given-names></name><xref ref-type="aff" rid="A5">e</xref></contrib><contrib contrib-type="author"><name><surname>Cohen</surname><given-names>Craig R.</given-names></name><xref ref-type="aff" rid="A6">f</xref></contrib></contrib-group><aff id="A1"><label>a</label>Institute of Social and Cultural Anthropology, University of Oxford, Oxford, UK</aff><aff id="A2"><label>b</label>School of Medicine, University of California, San Francisco, San Francisco, CA, USA</aff><aff id="A3"><label>c</label>Organic Health Response, Mfangano Island, Nyanza Province, Kenya</aff><aff id="A4"><label>d</label>Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA</aff><aff id="A5"><label>e</label>Division of HIV/AIDS, San Francisco General Hospital, University of California, San Francisco, San Francisco, CA, USA</aff><aff id="A6"><label>f</label>Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA</aff><author-notes><corresp id="cor1"><label>*</label>Corresponding Author: J.M. Nagata <email>jasonmnagata@gmail.com</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>28</day><month>4</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>07</day><month>12</month><year>2011</year></pub-date><pub-date pub-type="ppub"><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>04</day><month>5</month><year>2015</year></pub-date><volume>24</volume><issue>6</issue><fpage>728</fpage><lpage>736</lpage><pmc-comment>elocation-id from pubmed: 10.1080/09540121.2011.630358</pmc-comment>
<abstract><p id="P1">Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS on the shore of Lake Victoria in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sampling of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy (ART)). All respondents were either severely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including: (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes.</p></abstract><kwd-group><kwd>food insecurity</kwd><kwd>hunger</kwd><kwd>HIV/AIDS</kwd><kwd>anti-retroviral agents</kwd><kwd>social determinants</kwd><kwd>Kenya</kwd><kwd>sub-Saharan Africa</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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