&lt;p&gt;Relationship Between Food Insufficiency and HIV Infection Among Caregivers of Orphans and Vulnerable Children in Tanzania&lt;/p&gt;

Exavery, Amon; Charles, John B.; Kuhlik, Erica; Barankena, Asheri; Mubyazi, Godfrey M.; Kikoyo, Levina; Jere, Elizabeth

doi:10.2147/hiv.s255549

Cited by 3 publications

(1 citation statement)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that the majority of participants experienced food insecurity during the lockdown time. Food insecurity among MSM has been shown to be associated with lower rates of HIV testing (Nyirenda et al, 2018 ; Takada et al, 2020 ; Weinhardt et al, 2017 ; Wiss et al, 2021 ), higher new HIV infection (Amon Exavery et al, 2020 ), and potential violence in the community (Adhikari et al, 2020 ). It is important to improve the access to food secure care programs.…”

Section: Discussionmentioning

confidence: 99%

Mental Health among African American and Latinx Men who have sex with men after the COVID-19 Lockdown in Los Angeles – Findings from the HOPE cohort

Wang

Kinsler

Cumberland

et al. 2022

Community Ment Health J

View full text Add to dashboard Cite

This study aimed to examine the depression and anxiety among men of color (primarily African American and Latinx) who have sex with men after the lockdown due to the COVID-19 pandemic. Outcomes included 21-item Beck Depression Inventory (BDI), 7-item Generalized Anxiety Disorder (GAD), and a 10-item COVID-related anxiety measure using a modified H1N1-related anxiety question. Independent variables were food insecurity and belief in government efficiency. Data were analyzed by Regression models with random cluster effects. Food insecurity experiences were significantly associated with higher depression (p < 0.001), higher anxiety (p < 0.001), and higher pandemic-related anxiety (p < 0.001). Higher levels of belief in government efficiency were significantly associated with lower depression (p < 0.05), less anxiety (p < 0.05), and less pandemic-related anxiety (p-value < 0.001). These findings emphasize the importance of establishing trust between government and at-risk communities when issuing public health policies, especially during unforeseen circumstances, as well as to ensure basic human rights, such as food security.

show abstract

Section: Discussionmentioning

confidence: 99%

Mental Health among African American and Latinx Men who have sex with men after the COVID-19 Lockdown in Los Angeles – Findings from the HOPE cohort

Wang

Kinsler

Cumberland

et al. 2022

Community Ment Health J

View full text Add to dashboard Cite

show abstract

A systematic literature review on coping mechanisms and food security during pandemics

Budiawati,

Natawidjaja,

Sarwo Utomo

et al. 2024

Food Sec.

View full text Add to dashboard Cite

Accelerating caregivers’ HIV status disclosure to community-based lay social welfare volunteers in Tanzania

Exavery¹,

Charles²,

Barankena³

et al. 2021

AIDS Res Ther

View full text Add to dashboard Cite

Background HIV status disclosure facilitates access to HIV-related prevention and treatment services and increases opportunities for social support, HIV risk reduction with partners, and index testing for sexual partners or children. This study assessed the effect of a program model of community-based social welfare volunteers on HIV status disclosure among caregivers of orphans and vulnerable children (OVC). Methods This was a longitudinal study, which was based on OVC caregivers who were beneficiaries of the USAID Kizazi Kipya project in Tanzania. They were enrolled (baseline) by community social welfare volunteers during 2017–2018, received services, and reassessed at midline in 2019. Caregivers who reported having been HIV tested, were asked to voluntarily report the status in order for the volunteers to establish and provide needed services. Those who reported their HIV status as negative or positive were grouped as “disclosed”, and those who knew their status but did not report it were documented as “undisclosed”. McNemar’s tests compared disclosure rates at baseline and midline. Multivariable analysis was conducted using generalized estimating equation (GEE). Results The study analyzed 140,664 caregivers (72% female) from 81 district councils of Tanzania. Their mean age at enrollment was 47.4 years. Overall, 81.3% of the caregivers disclosed their HIV status to the project staff at baseline; this increased significantly to 96.1% at midline (p < 0.001). Disclosure at baseline varied significantly by sociodemographic characteristic (p < 0.05), with higher disclosure in females, among urban residents, and higher educated caregivers. However, the observed disclosure variations by sociodemographic characteristics at baseline disappeared at midline and disclosure reached around 96% across the characteristics (p > 0.05). In the multivariable analysis, caregivers’ likelihood of HIV status disclosure was nearly 6 times higher at midline than at baseline, when baseline characteristics were adjusted for (OR = 5.76, 95% CI 5.59–5.94, p < 0.001). There were 26,329 caregivers who did not disclose their HIV status at baseline (i.e., 0% diclosure rate at baseline), but 94.7% (n = 24,933) had disclosed by midline, and their disclosure trend was rapidly increasing as their duration of exposure to the project increased. Conclusions This study detected an increased caregivers’ HIV status disclosure to the USAID Kizazi Kipya project staff by 14.8%, from 81.3% at baseline to 96.1% at midline within an average project exposure period of 1.4 years. The observed loss of sociodemographic differences in HIV status disclosure rate at midline implies that community-based interventions may be well-positioned to successfully address and eliminate sociodemographic barriers to service uptake and consequently improve services coverage and health outcomes.

show abstract

<p>Relationship Between Food Insufficiency and HIV Infection Among Caregivers of Orphans and Vulnerable Children in Tanzania</p>

Cited by 3 publications

References 41 publications

Mental Health among African American and Latinx Men who have sex with men after the COVID-19 Lockdown in Los Angeles – Findings from the HOPE cohort

Mental Health among African American and Latinx Men who have sex with men after the COVID-19 Lockdown in Los Angeles – Findings from the HOPE cohort

A systematic literature review on coping mechanisms and food security during pandemics

Accelerating caregivers’ HIV status disclosure to community-based lay social welfare volunteers in Tanzania

Contact Info

Product

Resources

About