Psychosocial Factors Associated with Food Insufficiency Among People Living with HIV/AIDS (PLWH) Initiating ART in Ethiopia

Food insufficiency is associated with suboptimal HIV treatment outcomes. Less is known about psychosocial correlates of food insufficiency among PLWH. This sample includes 1176 adults initiating antiretroviral therapy at HIV clinics in Ethiopia. Logistic regression modeled the association of psychol...

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Bibliographic Details
Published in:AIDS and behavior 2019-11, Vol.23 (11), p.3052-3057
Main Authors: DiLorenzo, Madeline A., Parcesepe, Angela, Tymejczyk, Olga, Hoffman, Susie, Elul, Batya, Weiser, Sheri D., Remien, Robert H., Kulkarni, Sarah Gorrell, Gadisa, Tsigereda, Melaku, Zenebe, Nash, Denis
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
Adults
AIDS
Anti-HIV Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Antiretroviral Therapy, Highly Active
Ethiopia - epidemiology
Female
Food
Food Supply
Health Psychology
HIV
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - psychology
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
Nutritional Status
Original Paper
Prescription drugs
Psychological distress
Psychosocial factors
Public Health
Social interactions
Social Stigma
Social Support
Stigma
Stress, Psychological
Treatment outcomes
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Summary:Food insufficiency is associated with suboptimal HIV treatment outcomes. Less is known about psychosocial correlates of food insufficiency among PLWH. This sample includes 1176 adults initiating antiretroviral therapy at HIV clinics in Ethiopia. Logistic regression modeled the association of psychological distress, social support, and HIV-related stigma with food insufficiency. Among respondents, 21.4% reported frequent food insufficiency. Psychological distress [adjusted odds ratio (aOR) 2.61 (95% CI 1.79, 3.82)], low social support [aOR 2.20 (95% CI 1.57, 3.09)] and enacted stigma [aOR 1.69 (95% CI 1.26, 2.25)] were independently associated with food insufficiency. Food insufficiency interventions should address its accompanying psychosocial context.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-019-02505-9