@article{e77a1fc6799949d9b9ac9e9fe266d092,
title = "Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States",
abstract = "Women in the general population experience more food insecurity than men. Few studies have examined food insecurity{\textquoteright}s impact on HIV treatment outcomes among women. We examined the association between food insecurity and HIV outcomes in a multi-site sample of HIV-infected women in the United States (n = 1154). Two-fifths (40%) of participants reported food insecurity. In an adjusted multivariable Tobit regression model, food insecurity was associated with 2.08 times higher viral load (95% confidence interval (CI): 1.04, 4.15) and lower CD4+ counts (− 42.10, CI: − 81.16, − 3.03). Integration of food insecurity alleviation into HIV programs may improve HIV outcomes in women.",
keywords = "Food insecurity, HIV, Viral load, Women",
author = "Spinelli, {Matthew A.} and Frongillo, {Edward A.} and Sheira, {Lila A.} and Kartika Palar and Tien, {Phyllis C.} and Tracey Wilson and Daniel Merenstein and Mardge Cohen and Adebola Adedimeji and Eryka Wentz and Adimora, {Adaora A.} and Metsch, {Lisa R.} and Turan, {Janet M.} and Kushel, {Margot B.} and Weiser, {Sheri D.}",
note = "Funding Information: Acknowledgements This project was funded by NIH R01MH095683. Data in this manuscript were collected by the Women{\textquoteright}s Interagency HIV Study (WIHS). The contents of this publication are solely the responsibility of the authors and do not represent the official views of the National Institutes of Health (NIH). WIHS (Principal Investigators): UAB-MS WIHS (Michael Saag, Mirjam-Colette Kempf, and Deborah Konkle-Parker), U01-AI-103401; Atlanta WIHS (Ighovwerha Ofotokun and Gina Wingood), U01-AI-103408; Bronx WIHS (Kathryn Anastos), U01-AI-035004; Brooklyn WIHS (Howard Minkoff and Deborah Gustafson), U01-AI-031834; Chicago WIHS (Mardge Cohen and Audrey French), U01-AI-034993; Metropolitan Washington WIHS (Seble Kassaye), U01-AI-034994; Miami WIHS (Margaret Fischl and Lisa Metsch), U01-AI-103397; UNC WIHS (Adaora Adi-mora), U01-AI-103390; Connie Wofsy Women{\textquoteright}s HIV Study, Northern California (Ruth Greenblatt, Bradley Aouizerat, and Phyllis Tien), U01-AI-034989; WIHS Data Management and Analysis Center (Stephen Gange and Elizabeth Golub), U01-AI-042590; Southern California WIHS (Alexandra Levine and Marek Nowicki), U01-HD-032632 (WIHS I–WIHS IV). The WIHS is funded primarily by the National Institute of Allergy and Infectious Diseases (NIAID), with additional co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Cancer Institute (NCI), the National Institute on Drug Abuse (NIDA), and the National Institute on Mental Health (NIMH). Targeted supplemental funding for specific projects is also provided by the National Institute of Dental and Craniofacial Research (NIDCR), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Deafness and other Communication Disorders (NIDCD), and the NIH Office of Research on Women{\textquoteright}s Health. WIHS data collection is also supported by UL1-TR000004 (UCSF CTSA) and UL1-TR000454 (Atlanta CTSA). Publisher Copyright: {\textcopyright} 2017, Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2017",
month = dec,
day = "1",
doi = "10.1007/s10461-017-1968-2",
language = "English (US)",
volume = "21",
pages = "3473--3477",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "12",
}