Food insecurity and violence in a prospective cohort of women at risk for or living with HIV in the U.S.

Amy A. Conroy, Mardge H. Cohen, Edward A. Frongillo, Alexander C. Tsai, Tracey E. Wilson, Eryka L. Wentz, Adaora A. Adimora, Daniel Merenstein, Ighovwerha Ofotokun, Lisa Metsch, Mirjam Colette Kempf, Adebola A. Adedimeji, Janet M. Turan, Phyllis C. Tien, Sheri D. Weiser

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Food insecurity and violence are two major public health issues facing U.S. women. The link between food insecurity and violence has received little attention, particularly regarding the temporal ordering of events. The present study used data from the Women’s Interagency Human Immunodeficiency Virus Study to investigate the longitudinal association of food insecurity and violence in a cohort of women at risk for or living with HIV. Methods Study participants completed six assessments from 2013–16 on food insecurity (operatio-nalized as marginal, low, and very low food security) and violence (sexual or physical, and psychological). We used multi-level logistic regression, controlling for visits (level 1) nested within individuals (level 2), to estimate the association of experiencing violence. Results Among 2,343 women (8,528 visits), we found that victims of sexual or physical violence (odds ratio = 3.10; 95% confidence interval: 1.88, 5.19) and psychological violence (odds ratio = 3.00; 95% confidence interval: 1.67, 5.50) were more likely to report very low food security. The odds of experiencing violence were higher for women with very low food security at both the current and previous visit as compared to only the current visit. HIV status did not modify these associations. Conclusions Food insecurity was strongly associated with violence, and women exposed to persistent food insecurity were even more likely to experience violence. Food programs and policy must consider persistent exposure to food insecurity, and interpersonal harms faced by food insecure women, such as violence.

Original languageEnglish (US)
Article numbere0213365
JournalPLoS ONE
Volume14
Issue number3
DOIs
StatePublished - Mar 1 2019

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violence
Food Supply
food security
Violence
HIV
Sex Offenses
odds ratio
confidence interval
Odds Ratio
Confidence Intervals
Psychology
Nutrition Policy
food policy
food and nutrition programs
Human immunodeficiency virus
Public health
Viruses
Public Health
Logistic Models
public health

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Conroy, A. A., Cohen, M. H., Frongillo, E. A., Tsai, A. C., Wilson, T. E., Wentz, E. L., ... Weiser, S. D. (2019). Food insecurity and violence in a prospective cohort of women at risk for or living with HIV in the U.S. PLoS ONE, 14(3), [e0213365]. https://doi.org/10.1371/journal.pone.0213365

Food insecurity and violence in a prospective cohort of women at risk for or living with HIV in the U.S. / Conroy, Amy A.; Cohen, Mardge H.; Frongillo, Edward A.; Tsai, Alexander C.; Wilson, Tracey E.; Wentz, Eryka L.; Adimora, Adaora A.; Merenstein, Daniel; Ofotokun, Ighovwerha; Metsch, Lisa; Kempf, Mirjam Colette; Adedimeji, Adebola A.; Turan, Janet M.; Tien, Phyllis C.; Weiser, Sheri D.

In: PLoS ONE, Vol. 14, No. 3, e0213365, 01.03.2019.

Research output: Contribution to journalArticle

Conroy, AA, Cohen, MH, Frongillo, EA, Tsai, AC, Wilson, TE, Wentz, EL, Adimora, AA, Merenstein, D, Ofotokun, I, Metsch, L, Kempf, MC, Adedimeji, AA, Turan, JM, Tien, PC & Weiser, SD 2019, 'Food insecurity and violence in a prospective cohort of women at risk for or living with HIV in the U.S.', PLoS ONE, vol. 14, no. 3, e0213365. https://doi.org/10.1371/journal.pone.0213365
Conroy, Amy A. ; Cohen, Mardge H. ; Frongillo, Edward A. ; Tsai, Alexander C. ; Wilson, Tracey E. ; Wentz, Eryka L. ; Adimora, Adaora A. ; Merenstein, Daniel ; Ofotokun, Ighovwerha ; Metsch, Lisa ; Kempf, Mirjam Colette ; Adedimeji, Adebola A. ; Turan, Janet M. ; Tien, Phyllis C. ; Weiser, Sheri D. / Food insecurity and violence in a prospective cohort of women at risk for or living with HIV in the U.S. In: PLoS ONE. 2019 ; Vol. 14, No. 3.
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abstract = "Background Food insecurity and violence are two major public health issues facing U.S. women. The link between food insecurity and violence has received little attention, particularly regarding the temporal ordering of events. The present study used data from the Women’s Interagency Human Immunodeficiency Virus Study to investigate the longitudinal association of food insecurity and violence in a cohort of women at risk for or living with HIV. Methods Study participants completed six assessments from 2013–16 on food insecurity (operatio-nalized as marginal, low, and very low food security) and violence (sexual or physical, and psychological). We used multi-level logistic regression, controlling for visits (level 1) nested within individuals (level 2), to estimate the association of experiencing violence. Results Among 2,343 women (8,528 visits), we found that victims of sexual or physical violence (odds ratio = 3.10; 95{\%} confidence interval: 1.88, 5.19) and psychological violence (odds ratio = 3.00; 95{\%} confidence interval: 1.67, 5.50) were more likely to report very low food security. The odds of experiencing violence were higher for women with very low food security at both the current and previous visit as compared to only the current visit. HIV status did not modify these associations. Conclusions Food insecurity was strongly associated with violence, and women exposed to persistent food insecurity were even more likely to experience violence. Food programs and policy must consider persistent exposure to food insecurity, and interpersonal harms faced by food insecure women, such as violence.",
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AU - Wilson, Tracey E.

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AU - Kempf, Mirjam Colette

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