Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States

Matthew A. Spinelli, Edward A. Frongillo, Lila A. Sheira, Kartika Palar, Phyllis C. Tien, Tracey Wilson, Daniel Merenstein, Mardge Cohen, Adebola Adedimeji, Eryka Wentz, Adaora A. Adimora, Lisa R. Metsch, Janet M. Turan, Margot B. Kushel, Sheri D. Weiser

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Women in the general population experience more food insecurity than men. Few studies have examined food insecurity’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.

Original languageEnglish (US)
Pages (from-to)3473-3477
Number of pages5
JournalAIDS and Behavior
Issue number12
StatePublished - Dec 1 2017


  • Food insecurity
  • HIV
  • Viral load
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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