Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV

Kartika Palar; Lila A. Sheira; Edward A. Frongillo; Margot Kushel; Tracey E. Wilson; Amy A. Conroy; Adebola Adedimeji; Daniel Merenstein; Mardge H. Cohen; Eryka L. Wentz; Adaora A. Adimora; Ighovwerha Ofotokun; Lisa R. Metsch; Janet M. Turan; Phyllis C. Tien; Sheri D. Weiser

doi:10.1007/s10461-023-04053-9

Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV

Kartika Palar, Lila A. Sheira, Edward A. Frongillo, Margot Kushel, Tracey E. Wilson, Amy A. Conroy, Adebola Adedimeji, Daniel Merenstein, Mardge H. Cohen, Eryka L. Wentz, Adaora A. Adimora, Ighovwerha Ofotokun, Lisa R. Metsch, Janet M. Turan, Phyllis C. Tien, Sheri D. Weiser

Epidemiology & Population Health

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Food insecurity disproportionately affects people with HIV and women in the United States (US). More evidence is needed to understand the interplay between levels of food insecurity and levels of antiretroviral therapy (ART) adherence over time, as well as how food insecurity relates to engagement in HIV care. We used random effects models with longitudinal data from the US Women’s Interagency HIV Study to estimate the (1) adjusted associations of current and 6-month lagged food security with ART adherence categories (n = 1646), and (2) adjusted associations of food security with engagement-in-care (n = 1733). Very low food security was associated with a higher relative risk of ART non-adherence at prior and current visits compared with food security, and this association increased across non-adherence categories. Very low food security was associated with lower odds of receiving HIV care and higher odds of a missed visit. Food insecurity among US women with HIV is associated with poorer engagement in care and degree of ART non-adherence over time.

Original language	English (US)
Pages (from-to)	3345-3355
Number of pages	11
Journal	AIDS and Behavior
Volume	27
Issue number	10
DOIs	https://doi.org/10.1007/s10461-023-04053-9
State	Published - Oct 2023

Keywords

Adherence
Engagement in car
Food security
Nutrition
Women

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-023-04053-9

Cite this

Palar, K., Sheira, L. A., Frongillo, E. A., Kushel, M., Wilson, T. E., Conroy, A. A., Adedimeji, A., Merenstein, D., Cohen, M. H., Wentz, E. L., Adimora, A. A., Ofotokun, I., Metsch, L. R., Turan, J. M., Tien, P. C., & Weiser, S. D. (2023). Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV. AIDS and Behavior, 27(10), 3345-3355. https://doi.org/10.1007/s10461-023-04053-9

Palar, K, Sheira, LA, Frongillo, EA, Kushel, M, Wilson, TE, Conroy, AA, Adedimeji, A, Merenstein, D, Cohen, MH, Wentz, EL, Adimora, AA, Ofotokun, I, Metsch, LR, Turan, JM, Tien, PC & Weiser, SD 2023, 'Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV', AIDS and Behavior, vol. 27, no. 10, pp. 3345-3355. https://doi.org/10.1007/s10461-023-04053-9

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abstract = "Food insecurity disproportionately affects people with HIV and women in the United States (US). More evidence is needed to understand the interplay between levels of food insecurity and levels of antiretroviral therapy (ART) adherence over time, as well as how food insecurity relates to engagement in HIV care. We used random effects models with longitudinal data from the US Women{\textquoteright}s Interagency HIV Study to estimate the (1) adjusted associations of current and 6-month lagged food security with ART adherence categories (n = 1646), and (2) adjusted associations of food security with engagement-in-care (n = 1733). Very low food security was associated with a higher relative risk of ART non-adherence at prior and current visits compared with food security, and this association increased across non-adherence categories. Very low food security was associated with lower odds of receiving HIV care and higher odds of a missed visit. Food insecurity among US women with HIV is associated with poorer engagement in care and degree of ART non-adherence over time.",

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AU - Adedimeji, Adebola

AU - Merenstein, Daniel

AU - Cohen, Mardge H.

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AU - Adimora, Adaora A.

AU - Ofotokun, Ighovwerha

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AU - Turan, Janet M.

AU - Tien, Phyllis C.

AU - Weiser, Sheri D.

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N2 - Food insecurity disproportionately affects people with HIV and women in the United States (US). More evidence is needed to understand the interplay between levels of food insecurity and levels of antiretroviral therapy (ART) adherence over time, as well as how food insecurity relates to engagement in HIV care. We used random effects models with longitudinal data from the US Women’s Interagency HIV Study to estimate the (1) adjusted associations of current and 6-month lagged food security with ART adherence categories (n = 1646), and (2) adjusted associations of food security with engagement-in-care (n = 1733). Very low food security was associated with a higher relative risk of ART non-adherence at prior and current visits compared with food security, and this association increased across non-adherence categories. Very low food security was associated with lower odds of receiving HIV care and higher odds of a missed visit. Food insecurity among US women with HIV is associated with poorer engagement in care and degree of ART non-adherence over time.

AB - Food insecurity disproportionately affects people with HIV and women in the United States (US). More evidence is needed to understand the interplay between levels of food insecurity and levels of antiretroviral therapy (ART) adherence over time, as well as how food insecurity relates to engagement in HIV care. We used random effects models with longitudinal data from the US Women’s Interagency HIV Study to estimate the (1) adjusted associations of current and 6-month lagged food security with ART adherence categories (n = 1646), and (2) adjusted associations of food security with engagement-in-care (n = 1733). Very low food security was associated with a higher relative risk of ART non-adherence at prior and current visits compared with food security, and this association increased across non-adherence categories. Very low food security was associated with lower odds of receiving HIV care and higher odds of a missed visit. Food insecurity among US women with HIV is associated with poorer engagement in care and degree of ART non-adherence over time.

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Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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