The social context of food insecurity among persons living with HIV/AIDS in rural Uganda
Identifieur interne : 001195 ( Pmc/Corpus ); précédent : 001194; suivant : 001196The social context of food insecurity among persons living with HIV/AIDS in rural Uganda
Auteurs : Alexander C. Tsai ; David R. Bangsberg ; Nneka Emenyonu ; Jude K. Senkungu ; Jeffrey N. Martin ; Sheri D. WeiserSource :
- Social science & medicine (1982) [ 0277-9536 ] ; 2011.
Abstract
HIV/AIDS and food insecurity are two of the leading causes of morbidity and mortality in sub-Saharan Africa, with each heightening the vulnerability to, and worsening the severity of, the other. Less research has focused on the social determinants of food insecurity in resource-limited settings, including social support and HIV-related stigma. In this study, we analyzed data from a cohort of 456 persons from the Uganda AIDS Rural Treatment Outcomes study, an ongoing prospective cohort of persons living with HIV/AIDS (PLWHA) initiating HIV antiretroviral therapy in Mbarara, Uganda. Quarterly data were collected by structured interviews. The primary outcome, food insecurity, was measured with the Household Food Insecurity Access Scale. Key covariates of interest included social support, internalized HIV-related stigma, HIV-related enacted stigma, and disclosure of HIV serostatus. Severe food insecurity was highly prevalent overall (38%) and more prevalent among women than among men. Social support, HIV disclosure, and internalized HIV-related stigma were associated with food insecurity; these associations persisted after adjusting for household wealth, employment status, and other previously identified correlates of food insecurity. The adverse effects of internalized stigma persisted in a lagged specification, and the beneficial effect of social support further persisted after the inclusion of fixed effects. International organizations have increasingly advocated for addressing food insecurity as part of HIV/AIDS programming to improve morbidity and mortality. This study provides quantitative evidence on social determinants of food insecurity among PLWHA in resource-limited settings and suggests points of intervention. These findings also indicate that structural interventions to improve social support and/or decrease HIV-related stigma may also improve the food security of PLWHA.
Url:
DOI: 10.1016/j.socscimed.2011.09.026
PubMed: 22019367
PubMed Central: 3221802
Links to Exploration step
PMC:3221802Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The social context of food insecurity among persons 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><nlm:aff id="A1">Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge, Massachusetts, United States</nlm:aff></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><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Harvard Initiative for Global Health, Cambridge, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University; Charlestown, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Division of Global Health Equity, Brigham and Women’s Hospital, Boston, Massachusetts, United States</nlm:aff></affiliation></author><author><name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name><affiliation><nlm:aff id="A8">Department of Health Policy and Management, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States</nlm:aff></affiliation></author><author><name sortKey="Senkungu, Jude K" sort="Senkungu, Jude K" uniqKey="Senkungu J" first="Jude K." last="Senkungu">Jude K. Senkungu</name><affiliation><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff></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><nlm:aff id="A9">Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States</nlm:aff></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><nlm:aff id="A10">Division of HIV/AIDS and Center for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, United States</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22019367</idno><idno type="pmc">3221802</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221802</idno><idno type="RBID">PMC:3221802</idno><idno type="doi">10.1016/j.socscimed.2011.09.026</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001195</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001195</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The social context of food insecurity among persons 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><nlm:aff id="A1">Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge, Massachusetts, United States</nlm:aff></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><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A3">Harvard Initiative for Global Health, Cambridge, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A4">Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University; Charlestown, Massachusetts, United States</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Division of Global Health Equity, Brigham and Women’s Hospital, Boston, Massachusetts, United States</nlm:aff></affiliation></author><author><name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name><affiliation><nlm:aff id="A8">Department of Health Policy and Management, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States</nlm:aff></affiliation></author><author><name sortKey="Senkungu, Jude K" sort="Senkungu, Jude K" uniqKey="Senkungu J" first="Jude K." last="Senkungu">Jude K. Senkungu</name><affiliation><nlm:aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff></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><nlm:aff id="A9">Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States</nlm:aff></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><nlm:aff id="A10">Division of HIV/AIDS and Center for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, United States</nlm:aff></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="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P2">HIV/AIDS and food insecurity are two of the leading causes of morbidity and mortality in sub-Saharan Africa, with each heightening the vulnerability to, and worsening the severity of, the other. Less research has focused on the social determinants of food insecurity in resource-limited settings, including social support and HIV-related stigma. In this study, we analyzed data from a cohort of 456 persons from the Uganda AIDS Rural Treatment Outcomes study, an ongoing prospective cohort of persons living with HIV/AIDS (PLWHA) initiating HIV antiretroviral therapy in Mbarara, Uganda. Quarterly data were collected by structured interviews. The primary outcome, food insecurity, was measured with the Household Food Insecurity Access Scale. Key covariates of interest included social support, internalized HIV-related stigma, HIV-related enacted stigma, and disclosure of HIV serostatus. Severe food insecurity was highly prevalent overall (38%) and more prevalent among women than among men. Social support, HIV disclosure, and internalized HIV-related stigma were associated with food insecurity; these associations persisted after adjusting for household wealth, employment status, and other previously identified correlates of food insecurity. The adverse effects of internalized stigma persisted in a lagged specification, and the beneficial effect of social support further persisted after the inclusion of fixed effects. International organizations have increasingly advocated for addressing food insecurity as part of HIV/AIDS programming to improve morbidity and mortality. This study provides quantitative evidence on social determinants of food insecurity among PLWHA in resource-limited settings and suggests points of intervention. These findings also indicate that structural interventions to improve social support and/or decrease HIV-related stigma may also improve the food security of PLWHA.</p></div></front></TEI><pmc article-type="research-article" xml:lang="en"><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">8303205</journal-id><journal-id journal-id-type="pubmed-jr-id">7517</journal-id><journal-id journal-id-type="nlm-ta">Soc Sci Med</journal-id><journal-title-group><journal-title>Social science & medicine (1982)</journal-title></journal-title-group><issn pub-type="ppub">0277-9536</issn><issn pub-type="epub">1873-5347</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22019367</article-id><article-id pub-id-type="pmc">3221802</article-id><article-id pub-id-type="doi">10.1016/j.socscimed.2011.09.026</article-id><article-id pub-id-type="manuscript">NIHMS331636</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The social context of food insecurity among persons living with HIV/AIDS in rural Uganda</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Alexander C.</given-names></name><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Bangsberg</surname><given-names>David R.</given-names></name><xref rid="A2" ref-type="aff">2</xref><xref rid="A3" ref-type="aff">3</xref><xref rid="A4" ref-type="aff">4</xref><xref rid="A5" ref-type="aff">5</xref><xref rid="A6" ref-type="aff">6</xref><xref rid="A7" ref-type="aff">7</xref></contrib><contrib contrib-type="author"><name><surname>Emenyonu</surname><given-names>Nneka</given-names></name><xref rid="A8" ref-type="aff">8</xref></contrib><contrib contrib-type="author"><name><surname>Senkungu</surname><given-names>Jude K.</given-names></name><xref rid="A5" ref-type="aff">5</xref></contrib><contrib contrib-type="author"><name><surname>Martin</surname><given-names>Jeffrey N.</given-names></name><xref rid="A9" ref-type="aff">9</xref></contrib><contrib contrib-type="author"><name><surname>Weiser</surname><given-names>Sheri D.</given-names></name><xref rid="A10" ref-type="aff">10</xref></contrib></contrib-group><aff id="A1"><label>1</label>Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge, Massachusetts, United States</aff><aff id="A2"><label>2</label>Harvard Medical School, Boston, Massachusetts, United States</aff><aff id="A3"><label>3</label>Harvard Initiative for Global Health, Cambridge, Massachusetts, United States</aff><aff id="A4"><label>4</label>Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States</aff><aff id="A5"><label>5</label>Mbarara University of Science and Technology, Mbarara, Uganda</aff><aff id="A6"><label>6</label>Phillip T. and Susan M. Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University; Charlestown, Massachusetts, United States</aff><aff id="A7"><label>7</label>Division of Global Health Equity, Brigham and Women’s Hospital, Boston, Massachusetts, United States</aff><aff id="A8"><label>8</label>Department of Health Policy and Management, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States</aff><aff id="A9"><label>9</label>Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States</aff><aff id="A10"><label>10</label>Division of HIV/AIDS and Center for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, United States</aff><author-notes><corresp id="FN1">Correspondence to: Alexander Tsai, MD, PhD, Harvard Center for Population and Development Studies, 9 Bow Street, Cambridge, MA 02138, United States. <email>atsai@hsph.harvard.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>27</day><month>10</month><year>2011</year></pub-date><pub-date pub-type="epub"><day>10</day><month>10</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>12</month><year>2012</year></pub-date><volume>73</volume><issue>12</issue><fpage>1717</fpage><lpage>1724</lpage><permissions><copyright-statement>© 2011 Elsevier Ltd. All rights reserved.</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><p id="P2">HIV/AIDS and food insecurity are two of the leading causes of morbidity and mortality in sub-Saharan Africa, with each heightening the vulnerability to, and worsening the severity of, the other. Less research has focused on the social determinants of food insecurity in resource-limited settings, including social support and HIV-related stigma. In this study, we analyzed data from a cohort of 456 persons from the Uganda AIDS Rural Treatment Outcomes study, an ongoing prospective cohort of persons living with HIV/AIDS (PLWHA) initiating HIV antiretroviral therapy in Mbarara, Uganda. Quarterly data were collected by structured interviews. The primary outcome, food insecurity, was measured with the Household Food Insecurity Access Scale. Key covariates of interest included social support, internalized HIV-related stigma, HIV-related enacted stigma, and disclosure of HIV serostatus. Severe food insecurity was highly prevalent overall (38%) and more prevalent among women than among men. Social support, HIV disclosure, and internalized HIV-related stigma were associated with food insecurity; these associations persisted after adjusting for household wealth, employment status, and other previously identified correlates of food insecurity. The adverse effects of internalized stigma persisted in a lagged specification, and the beneficial effect of social support further persisted after the inclusion of fixed effects. International organizations have increasingly advocated for addressing food insecurity as part of HIV/AIDS programming to improve morbidity and mortality. This study provides quantitative evidence on social determinants of food insecurity among PLWHA in resource-limited settings and suggests points of intervention. These findings also indicate that structural interventions to improve social support and/or decrease HIV-related stigma may also improve the food security of PLWHA.</p></abstract><kwd-group><kwd>Uganda</kwd><kwd>HIV/AIDS</kwd><kwd>international health</kwd><kwd>social support</kwd><kwd>stigma</kwd><kwd>food security</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>K24 MH087227-10 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>K23 MH079713-03S1 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>K23 MH079713-01 || MH</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001195 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 001195 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:3221802
|texte= The social context of food insecurity among persons living with HIV/AIDS in rural Uganda
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:22019367" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |