Food insecurity, HIV disease progression and access to care among HIV-infected Russians not on ART
Open accessAbstract
Food insecurity (FI) has been associated with HIV disease progression among people on antiretroviral therapy (ART), presumably a consequence of poor medication adherence. We assessed whether there is a longitudinal association between FI and two primary outcomes reflecting on HIV disease progression (i.e., CD4 count and time to ART initiation) among people not on ART. Analyses used linear mixed effects and Cox models controlling for confounders. In this cohort (n = 310) FI was common (53%). Most (71.3%) reported past month heavy alcohol use and 37.1% reported past month injection drug use. Only 50 participants initiated ART during the study and mean time to ART was 128 days (SD 120). There were no significant differences in CD4 cell count between the groups with mild/moderate FI or severe FI versus those with no FI [adjusted mean difference, mild/moderate insecurity versus no FI -32.5 (95% CI -94.3, 29.3); severe versus no FI -45.5 (95% CI -124.1, 33.0); global p = 0.42]. We found no significant association between FI and longer time to ART initiation (p = 0.36). Food security is a desirable goal for overall health and shown beneficial for those on ART, however it does not appear to be associated with HIV disease progression among those with high prevalence of substance use and not yet on ART.
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Experiences of substance use stigma and negative perceptions about addiction treatment are associated with adverse healthcare outcomes such as impaired utilization of and retention in addiction treatment, less access to harm reduction services, and reduced ART adherence.
“Experiences of substance use stigma and negative perceptions about addiction treatment are associated with adverse healthcare outcomes such as impaired utilization of and retention in addiction treatment, less access to harm reduction services, and reduced ART adherence.5, 6, 7, 8”
From An acceptance-based, intersectional stigma coping intervention for people with HIV who inject drugs—a randomized clinical trial (2023) · cites this paper as [6]
The Introduction and Discussion (page numbers unavailable) discuss food insecurity, HIV care, ART adherence, and harm reduction, but do not link substance use stigma or negative perceptions of addiction treatment to the claimed outcomes. Searches for those terms found no passage addressing that association. (LLM, conf=0.76)
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- [47]Anema A Weiser SD Fernandes KA High prevalence of food insecurity among HIV-infected individuals receiving HAART in a resource-rich setting AIDS Care 2011 23 2 221 30 21259135
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- Authors
- Idrisov, B., Lunze, K., Cheng, D. M., Blokhina, E., Gnatienko, N., Patts, G. J., Bridden, C., Kleinman, R. E., Weiser, S. D., Krupitsky, E., & Samet, J. H.
- Affiliations
- Boston University (US)
- First Pavlov State Medical University of St. Petersburg (RU)
- Boston Medical Center (US)
- Massachusetts General Hospital (US)
- University of California, San Francisco (US)
- Corresponding author
- Samet, Jeffrey H.
- ORCID
- Venue
- AIDS and Behavior
- Published
- 2017-08-18
- Volume
- 21
- Issue
- 12
- Pages
- 3486-3495
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC5705384
- OpenAlex
- W2747843985
- Cited by
- 9
- References
- 47
- Citations by year
- 2023: 3 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 2 · 2016: 1
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R01DA032082, K99DA041245, INVEST Drug Abuse Research Fellowship)
- National Institute on Alcohol Abuse and Alcoholism (U01AA020780, U24AA020778, U24AA020779, U01AA021989)
- 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 › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- food insecurity, HIV disease progression, CD4 count, HIV care access, untreated HIV, alcohol consumption, intravenous drug use, substance use
- MeSH terms
- Adult, Female, Food Supply, Health Services Accessibility, Humans, Longitudinal Studies, Male, Middle Aged, Russia, Cohort Studies, HIV Infections, Treatment Outcome, Disease Progression, CD4 Lymphocyte Count, Substance-Related Disorders, Anti-Retroviral Agents, Medication Adherence, Young Adult
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