Integrating Nutrition Support for Food-Insecure Patients and Their Dependents Into an HIV Care and Treatment Program in Western Kenya

Mamlin, Joseph J.; Kimaiyo, Sylvester; Lewis, Stephen; Tadayo, Hannah; Jerop, Fanice Komen; Gichunge, Catherine; Petersen, Tomeka; Yih, Yuehwern; Braitstein, Paula; Einterz, Robert M.

doi:10.2105/ajph.2008.137174

Cited by 85 publications

(57 citation statements)

References 7 publications

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“…To our knowledge, this is the first study to evaluate the experience of food insecurity and its correlates among PLWHA in Kenya. Food insecurity levels in this study among PLWHA were higher than food insecurity levels reported in other parts of sub-Saharan Africa (Knueppel, et al, 2010; Mamlin et al, 2009). Rural areas may have higher levels of food insecurity due to higher levels of poverty, smaller plots of land per family, and poor soil quality (Mamlin, et al, 2009).…”

Section: Discussioncontrasting

confidence: 83%

Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya

Nagata

Magerenge²,

Young

et al. 2011

AIDS Care

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Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS on the shore of Lake Victoria in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sampling of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy (ART)). All respondents were either severely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including: (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes.

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Section: Discussioncontrasting

confidence: 83%

Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya

Nagata

Magerenge²,

Young

et al. 2011

AIDS Care

View full text Add to dashboard Cite

show abstract

“…In addition, since prior studies have mainly been conducted in (semi-) rural populations in developing areas (2, 4, 7, 8) or at-risk-populations such as the homeless or injecting drug users in resource-rich countries (15, 17, 24), this study extends previous work by focusing on FI among more mainstream and mostly urban PLHIV in a resource-limited setting. These findings could be useful for similar populations in other urban setting in South Asia as well.…”

Section: Introductionmentioning

confidence: 76%

Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV

et al. 2014

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Food insecurity (FI) and its link with depression and quality of life (QOL) among people living with HIV (PLHIV) in India are not well-documented. We analyzed cohort data from 243 male and 129 female PLHIV from Bengaluru, and found 19% of men and 26% of women reported moderate or severe FI over a six-month period. Women reported higher mean depression than men, and lower mean QOL. In multivariate analyses adjusting for HIV stigma and demographic covariates, both male and female PLHIV with moderate to severe FI showed lower mean QOL than those reporting mild to no FI. Male but not female food insecure participants also had higher depression scores in adjusted regression analyses. As ART has improved the physical health of PLHIV, more effort is being invested in improving their psychological well-being. Our results suggest such interventions could benefit from including nutritional support to reduce FI among PLHIV.

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“…Although data are limited on the prevalence of food insecurity in resource-limited settings, a recent summary of 67,038 individuals enrolling in HIV care programs at Academic Model Providing Access to Healthcare clinics in western Kenya reported that 33.5% of enrollees were food insecure, with a range from 20% to 50% depending on clinic site [21••]. A Ugandan survey of 144 households, involving primarily HIV-infected women, found that 59% had low dietary diversity and 44% were accessing food aid.…”

Section: Food Insecurity: Definition Measurement and Prevalencementioning

confidence: 99%

Food insecurity and HIV/AIDS: Current knowledge, gaps, and research priorities

Anema¹,

Vogenthaler²,

Frongillo³

et al. 2009

Curr HIV/AIDS Rep

274

241

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Food insecurity and HIV/AIDS are intertwined in a vicious cycle that heightens vulnerability to, and worsens the severity of, each condition. We review current knowledge and research priorities regarding the impact of food insecurity on HIV transmission risk and clinical outcomes. Observational studies suggest that food insecurity is associated with increased HIV transmission risk behaviors and decreased access to HIV treatment and care. Among individuals receiving antiretroviral therapy (ART), food insecurity is associated with decreased ART adherence, reduced baseline CD4 cell count, incomplete virologic suppression, and decreased survival. Integration of food security interventions into HIV/AIDS treatment programs is essential to curtail the HIV/AIDS epidemic and improve health and quality of life among those infected. Longitudinal research applying validated measurement tools is needed to better understand the mechanisms through which food insecurity adversely impacts HIV transmission, treatment, and care. Research should compare the effectiveness of various food assistance and livelihood strategies.

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Integrating Nutrition Support for Food-Insecure Patients and Their Dependents Into an HIV Care and Treatment Program in Western Kenya

Cited by 85 publications

References 7 publications

Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya

Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya

Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV

Food insecurity and HIV/AIDS: Current knowledge, gaps, and research priorities

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