Food Insecurity, Socioeconomic Status, and HIV-Related Risk Behavior Among Women in Farming Households in Tanzania
Open accessAbstract
Food insecurity (FI) is associated with higher-risk sexual behavior in some studies. However, the overlap between FI and socioeconomic status (SES) has been poorly described. The study objectives were to: (1) determine the relationship between household FI and four dimensions of SES among sexually active Tanzanian women in farming households: expenditures, assets, flooring material of the home, and land ownership; and (2) determine whether FI is associated with higher-risk sexual behavior and relationship power. In male-headed households, FI was associated with assets, flooring material, and land ownership but not expenditures. There was no association between FI and the four dimensions of SES in female-headed households. Among women in male-headed households, but not female household heads themselves, severe FI was associated with a non-significant increase in the likelihood of being in a relationship because of material goods [adjusted prevalence ratio (PRa) = 1.76, 95 % confidence interval (CI) 0.81, 3.81] and was inversely associated with being able to ask partners to use condoms (PRa = 0.47, 95 % CI 0.25, 0.88). There was not a strong association between food security and relationship power. Our findings suggest that the association between FI and HIV risk behavior may differ depending on the type of household.
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Studies have consistently linked food insecurity to risky sexual behavior among women in resource-limited settings, including sub-Saharan Africa.
“Other studies have documented a consistent association between food insecurity and women’s risky sexual behavior in resource-limited settings including those in sub-Saharan Africa [30–34].”
From Relationship power and sexual violence among HIV-positive women in rural Uganda (2016) · cites this paper as [33]
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References 56 · Cited by 22
Research works printed but not linked: 1
- [49]Rothman KJ Greenland S Modern Epidemiology 1998 2nd ed. Philadelphia Lippincott Williams & Wilkins
- Authors
- McCoy, S. I., Ralph, L. J., Njau, P. F., Msolla, M. M., & Padian, N. S.
- Affiliations
- University of California, Berkeley (US)
- Ministry of Health and Social Welfare (TZ)
- Ministry of Agriculture, Food Security and Cooperatives (TZ)
- Corresponding author
- McCoy, Sandra I.
- Venue
- AIDS and Behavior
- Published
- 2013-10-06
- Volume
- 18
- Issue
- 7
- Pages
- 1224-1236
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC3977025
- OpenAlex
- W1984459709
- Cited by
- 22
- References
- 56
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 2
- FWCI
- 4.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- World Bank Group
- National Institutes of Health
- National Institute of Mental Health (K01MH094246)
- Topics
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Life Sciences › Agricultural and Biological Sciences › General Agricultural and Biological Sciences › Food Security and Socioeconomic Dynamics
- Keywords
- food insecurity, socioeconomic status, HIV risk behavior, women, farm households, household headship, power in relationships, condom use, land ownership, household assets, floor materials, household expenditure, Tanzania
- MeSH terms
- Adult, Agriculture, Cross-Sectional Studies, Family Characteristics, Female, Food Supply, Humans, Power, Psychological, Surveys and Questionnaires, Residence Characteristics, Risk Factors, Risk-Taking, Sexual Behavior, Socioeconomic Factors, Tanzania, HIV Infections, Condoms
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