Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States
Identifieur interne : 001D65 ( Pmc/Corpus ); précédent : 001D64; suivant : 001D66Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States
Auteurs : Kartika Palar ; Barbara Laraia ; Alexander C. Tsai ; Mallory Johnson ; Sheri D. WeiserSource :
- AIDS (London, England) [ 0269-9370 ] ; 2016.
Abstract
To examine the population-level association between food insecurity, HIV risk factors, and HIV serostatus among men, the group representing the majority of HIV diagnoses in the United States (US).
Cross-sectional secondary data analysis using the National Health and Nutrition Examination Survey (NHANES) 1999-2012, a nationally representative survey of the civilian non-institutionalized US population.
Logistic regression with design weights and complex survey commands was used to estimate nationally-representative associations between food insecurity and HIV serostatus (primary outcome), herpes simplex virus 2 (HSV-2), self-reported STIs, and past-year illicit drug use among men, adjusting for potential confounders. Food security was measured using the 18-item Household Food Security Survey.
We analyzed data for 9150 men representing 61 million individuals in the US. Unadjusted HIV prevalence was 1.5% among food insecure men, compared to 0.4% among food secure men (p<0.001). In adjusted models, food insecure men had over 2 times higher odds of HIV seropositivity compared to food secure men (adjusted odds ratio (AOR)=2.10; 95% CI 1.01 - 4.37; p<0.05). Food insecurity was associated with higher odds of HSV-2 seropositivity (AOR=1.28; 95% CI 1.04 - 1.57; p<0.05), self-reported STIs (AOR=1.54; 95% CI 1.08 - 2.20; p<0.05), and illicit drug use (AOR=1.57; 95% CI 1.14 - 2.15; p<0.01). Results were robust to sensitivity analyses restricted to lower incomes.
Food insecurity is associated with prevalent HIV, STIs and illicit drug use among men in the US. Further research is needed to establish whether and through what mechanisms improved food security may help prevent new HIV infections.
Url:
DOI: 10.1097/QAD.0000000000001095
PubMed: 26990632
PubMed Central: 4864057
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PMC:4864057Le document en format XML
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<author><name sortKey="Palar, Kartika" sort="Palar, Kartika" uniqKey="Palar K" first="Kartika" last="Palar">Kartika Palar</name>
<affiliation><nlm:aff id="A1"> Division of HIV, ID and Global Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA</nlm:aff>
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<author><name sortKey="Laraia, Barbara" sort="Laraia, Barbara" uniqKey="Laraia B" first="Barbara" last="Laraia">Barbara Laraia</name>
<affiliation><nlm:aff id="A2"> School of Public Health, University of California Berkeley, Berkeley, CA</nlm:aff>
</affiliation>
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<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="A3"> Massachusetts General Hospital, MGH Global Health, Boston, MA</nlm:aff>
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<author><name sortKey="Johnson, Mallory" sort="Johnson, Mallory" uniqKey="Johnson M" first="Mallory" last="Johnson">Mallory Johnson</name>
<affiliation><nlm:aff id="A4"> Center for AIDS Prevention Studies, Department of Medicine, UCSF</nlm:aff>
</affiliation>
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<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="A1"> Division of HIV, ID and Global Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA</nlm:aff>
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<affiliation><nlm:aff id="A4"> Center for AIDS Prevention Studies, Department of Medicine, UCSF</nlm:aff>
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<author><name sortKey="Palar, Kartika" sort="Palar, Kartika" uniqKey="Palar K" first="Kartika" last="Palar">Kartika Palar</name>
<affiliation><nlm:aff id="A1"> Division of HIV, ID and Global Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA</nlm:aff>
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<author><name sortKey="Laraia, Barbara" sort="Laraia, Barbara" uniqKey="Laraia B" first="Barbara" last="Laraia">Barbara Laraia</name>
<affiliation><nlm:aff id="A2"> School of Public Health, University of California Berkeley, Berkeley, CA</nlm:aff>
</affiliation>
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<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="A3"> Massachusetts General Hospital, MGH Global Health, Boston, MA</nlm:aff>
</affiliation>
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<author><name sortKey="Johnson, Mallory" sort="Johnson, Mallory" uniqKey="Johnson M" first="Mallory" last="Johnson">Mallory Johnson</name>
<affiliation><nlm:aff id="A4"> Center for AIDS Prevention Studies, Department of Medicine, UCSF</nlm:aff>
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<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="A1"> Division of HIV, ID and Global Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA</nlm:aff>
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<affiliation><nlm:aff id="A4"> Center for AIDS Prevention Studies, Department of Medicine, UCSF</nlm:aff>
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<series><title level="j">AIDS (London, England)</title>
<idno type="ISSN">0269-9370</idno>
<idno type="eISSN">1473-5571</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To examine the population-level association between food insecurity, HIV risk factors, and HIV serostatus among men, the group representing the majority of HIV diagnoses in the United States (US).</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional secondary data analysis using the National Health and Nutrition Examination Survey (NHANES) 1999-2012, a nationally representative survey of the civilian non-institutionalized US population.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">Logistic regression with design weights and complex survey commands was used to estimate nationally-representative associations between food insecurity and HIV serostatus (primary outcome), herpes simplex virus 2 (HSV-2), self-reported STIs, and past-year illicit drug use among men, adjusting for potential confounders. Food security was measured using the 18-item Household Food Security Survey.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">We analyzed data for 9150 men representing 61 million individuals in the US. Unadjusted HIV prevalence was 1.5% among food insecure men, compared to 0.4% among food secure men (p<0.001). In adjusted models, food insecure men had over 2 times higher odds of HIV seropositivity compared to food secure men (adjusted odds ratio (AOR)=2.10; 95% CI 1.01 - 4.37; p<0.05). Food insecurity was associated with higher odds of HSV-2 seropositivity (AOR=1.28; 95% CI 1.04 - 1.57; p<0.05), self-reported STIs (AOR=1.54; 95% CI 1.08 - 2.20; p<0.05), and illicit drug use (AOR=1.57; 95% CI 1.14 - 2.15; p<0.01). Results were robust to sensitivity analyses restricted to lower incomes.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">Food insecurity is associated with prevalent HIV, STIs and illicit drug use among men in the US. Further research is needed to establish whether and through what mechanisms improved food security may help prevent new HIV infections.</p>
</sec>
</div>
</front>
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<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">26990632</article-id>
<article-id pub-id-type="pmc">4864057</article-id>
<article-id pub-id-type="doi">10.1097/QAD.0000000000001095</article-id>
<article-id pub-id-type="manuscript">NIHMS775884</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>PALAR</surname>
<given-names>Kartika</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>LARAIA</surname>
<given-names>Barbara</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>TSAI</surname>
<given-names>Alexander C.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>JOHNSON</surname>
<given-names>Mallory</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>WEISER</surname>
<given-names>Sheri D.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Division of HIV, ID and Global Medicine, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA</aff>
<aff id="A2"><label>2</label>
School of Public Health, University of California Berkeley, Berkeley, CA</aff>
<aff id="A3"><label>3</label>
Massachusetts General Hospital, MGH Global Health, Boston, MA</aff>
<aff id="A4"><label>4</label>
Center for AIDS Prevention Studies, Department of Medicine, UCSF</aff>
<author-notes><corresp id="CR1"><bold>Corresponding author:</bold>
Kartika Palar, PhD, Division of HIV, ID and Global Medicine at San Francisco General Hospital, Department of Medicine, UCSF, San Francisco, CA, <email>kartika.palar@ucsf.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>20</day>
<month>4</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><day>1</day>
<month>6</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>6</month>
<year>2017</year>
</pub-date>
<volume>30</volume>
<issue>9</issue>
<fpage>1457</fpage>
<lpage>1465</lpage>
<pmc-comment>elocation-id from pubmed: 10.1097/QAD.0000000000001095</pmc-comment>
<abstract><sec id="S1"><title>Objective</title>
<p id="P1">To examine the population-level association between food insecurity, HIV risk factors, and HIV serostatus among men, the group representing the majority of HIV diagnoses in the United States (US).</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">Cross-sectional secondary data analysis using the National Health and Nutrition Examination Survey (NHANES) 1999-2012, a nationally representative survey of the civilian non-institutionalized US population.</p>
</sec>
<sec id="S3"><title>Methods</title>
<p id="P3">Logistic regression with design weights and complex survey commands was used to estimate nationally-representative associations between food insecurity and HIV serostatus (primary outcome), herpes simplex virus 2 (HSV-2), self-reported STIs, and past-year illicit drug use among men, adjusting for potential confounders. Food security was measured using the 18-item Household Food Security Survey.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">We analyzed data for 9150 men representing 61 million individuals in the US. Unadjusted HIV prevalence was 1.5% among food insecure men, compared to 0.4% among food secure men (p<0.001). In adjusted models, food insecure men had over 2 times higher odds of HIV seropositivity compared to food secure men (adjusted odds ratio (AOR)=2.10; 95% CI 1.01 - 4.37; p<0.05). Food insecurity was associated with higher odds of HSV-2 seropositivity (AOR=1.28; 95% CI 1.04 - 1.57; p<0.05), self-reported STIs (AOR=1.54; 95% CI 1.08 - 2.20; p<0.05), and illicit drug use (AOR=1.57; 95% CI 1.14 - 2.15; p<0.01). Results were robust to sensitivity analyses restricted to lower incomes.</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">Food insecurity is associated with prevalent HIV, STIs and illicit drug use among men in the US. Further research is needed to establish whether and through what mechanisms improved food security may help prevent new HIV infections.</p>
</sec>
</abstract>
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<kwd>HIV</kwd>
<kwd>herpes</kwd>
<kwd>sexually transmitted infections</kwd>
<kwd>drug use</kwd>
<kwd>men</kwd>
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