Population-Based Study of Food Insecurity and HIV Transmission Risk Behaviors and Symptoms of Sexually Transmitted Infections Among Linked Couples in Nepal
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Food insecurity has recently emerged as an important risk factor for HIV acquisition among women worldwide. No previous studies have used linked data that would permit investigation of the extent to which food insecurity may have differential associations with HIV transmission risk behaviors or symptoms of sexually transmitted infections (STIs) among men and women in the same households. We used nationally representative data on linked couples from the Nepal 2011 Demographic and Health Survey. The primary explanatory variable of interest was food insecurity, measured with a modified version of the Household Food Insecurity Access Scale. In multivariable logistic regression models, women in food insecure households were less likely to report recent condom use and more likely to report symptoms consistent with STIs. These patterns were absent among men. Interventions targeting food insecurity may have beneficial implications for both HIV prevention and gender equity in Nepal.
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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 [34]
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- Authors
- Tsai, A. C., & Weiser, S. D.
- Affiliations
- Harvard University (US)
- San Francisco General Hospital (US)
- Corresponding author
- Tsai, Alexander C.
- Venue
- AIDS and Behavior
- Published
- 2014-05-15
- Volume
- 18
- Issue
- 11
- Pages
- 2187-2197
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC4198426
- OpenAlex
- W2019153873
- Cited by
- 31
- References
- 55
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2021: 7 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 2
- FWCI
- 6.04
- 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
- Burke Foundation
- Hellman Foundation
- Hellman Family Foundation
- Center for AIDS Research, University of Washington
- National Institute of Mental Health (K23MH096620)
- 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
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- food insecurity, HIV risk factors, sexually transmitted infections, condom use, household food insecurity, gender differences, HIV prevention, gender equity, Nepal
- MeSH terms
- Adolescent, Adult, Female, Food Supply, Humans, Male, Middle Aged, Nepal, Risk Factors, Sexually Transmitted Diseases, HIV Infections, Condoms, Unsafe Sex, Young Adult
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