Measuring Food and Nutrition Security: Tools and Considerations for Use Among People Living with HIV

Fielden, Sarah J.; Anema, Aranka; Fergusson, Pamela; Muldoon, Katherine A.; Grede, Nils; Pee, Saskia de

doi:10.1007/s10461-013-0669-8

Cited by 18 publications

(16 citation statements)

References 103 publications

(94 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, a recent nationally representative study in Canada found that the prevalence of a mental health diagnosis was highest among those reporting food insufficiency (hunger) compared to those reporting poor diet quality (24). Future studies using robust indicators of food insufficiency can help confirm the association between severe food insecurity and symptoms of depression among PLHIV(54). …”

Section: Discussionmentioning

confidence: 99%

Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV

et al. 2014

Self Cite

View full text Add to dashboard Cite

Introduction Depression and food insecurity are prevalent among people with HIV (PLHIV) and contribute to poor HIV outcomes. Longitudinal data can help clarify the effect of food insecurity on depression among PLHIV in the United States. Methods We assessed the longitudinal association of food insecurity with symptoms of depression using validated measures among participants living with HIV from the Research on Access to Care in the Homeless cohort in San Francisco. Results We followed 346 participants for a median of 28 months. Over half of participants (55.0%) were food insecure and 35.8% had symptoms of depression. In adjusted models, severe food insecurity in the previous period was associated with increased depressive symptom severity (b=1.22; p<0.001). The association remained statistically significant in models including participant fixed effects. Conclusions Severe food insecurity was longitudinally associated with symptoms of depression. Efforts to increase access to and participation in food security safety net programs for PLHIV could improve depression.

show abstract

Section: Discussionmentioning

confidence: 99%

Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV

et al. 2014

Self Cite

View full text Add to dashboard Cite

show abstract

“…Despite greater household agriculture and livestock ownership in Ziguinchor, the mean IDDS score did not differ between sites. Dietary diversity has been used as a measure of food security [ 36 , 37 ] and lower dietary diversity has been associated with food insecurity among people living with HIV [ 32 ]. This is consistent with our finding that severe food insecurity was associated with lower dietary diversity.…”

Section: Discussionmentioning

confidence: 99%

High Prevalence of Severe Food Insecurity and Malnutrition among HIV-Infected Adults in Senegal, West Africa

et al. 2015

View full text Add to dashboard Cite

BackgroundMalnutrition and food insecurity are associated with increased mortality and poor clinical outcomes among people living with HIV/AIDS; however, the prevalence of malnutrition and food insecurity among people living with HIV/AIDS in Senegal, West Africa is unknown. The objective of this study was to determine the prevalence and severity of food insecurity and malnutrition among HIV-infected adults in Senegal, and to identify associations between food insecurity, malnutrition, and HIV outcomes.MethodsWe conducted a cross-sectional study at outpatient clinics in Dakar and Ziguinchor, Senegal. Data were collected using participant interviews, anthropometry, the Household Food Insecurity Access Scale, the Individual Dietary Diversity Scale, and chart review.ResultsOne hundred and nine HIV-1 and/or HIV-2 participants were enrolled. The prevalence of food insecurity was 84.6% in Dakar and 89.5% in Ziguinchor. The prevalence of severe food insecurity was 59.6% in Dakar and 75.4% in Ziguinchor. The prevalence of malnutrition (BMI <18.5) was 19.2% in Dakar and 26.3% in Ziguinchor. Severe food insecurity was associated with missing clinic appointments (p = 0.01) and not taking antiretroviral therapy due to hunger (p = 0.02). Malnutrition was associated with lower CD4 cell counts (p = 0.01).ConclusionsSevere food insecurity and malnutrition are highly prevalent among HIV-infected adults in both Dakar and Ziguinchor, and are associated with poor HIV outcomes. Our findings warrant further studies to determine the root causes of malnutrition and food insecurity in Senegal, and the short- and long-term impacts of malnutrition and food insecurity on HIV care. Urgent interventions are needed to address the unacceptably high rates of malnutrition and food insecurity in this population.

show abstract

“…Of importance was to evaluate the food affordability, food accessibility, food utilization and food aid (Pinstrup-Andersen, 2009; Weiser et al., 2012). The study found out that food aid was the most crucial element of food insecurity among the study population (Fielden et al., 2014). Households that were exposed were less likely to receive food (p=0.041) .…”

Section: Discussionmentioning

confidence: 99%

Undernutrition of HEU infants in their first 1000 days of life: A case in the urban-low resource setting of Mukuru Slum, Nairobi, Kenya

Wambura

Marnane

2019

Heliyon

View full text Add to dashboard Cite

Background According to the Lancet, the successful chemoprophylaxis and the introduction of lifelong antiretroviral therapy programs to eliminate mother to child transmission of HIV has promoted the rise in number of HIV exposed uninfected (HEU) infants. In resource limited settings, these infants are at an increased risk of undernutrition due to risk factors such as low birth weight, food insecurity, household composition, income and improper feeding patterns. As several other studies have suggested, the risk factors vary from one setting to another. This paper delved into reviewing the predisposing undernutrition factors in relation to HIV exposure among infants within the low resource urban setting of Mukuru Slum, in Nairobi, Kenya. Methods A retrospective cohort study was performed on 160 mother/guardian-child pairs in Mukuru Slum, Nairobi, Kenya. Growth charts of the HIV exposed uninfected infants were studied against a control group of HIV unexposed uninfected infants (HUU). Interviews to collect information on socio economic status, household composition, HIV exposure, infant feeding practices and food insecurity related challenges were done. Data was analyzed using IBM SPSS version 20 and WHO anthroplus software. Descriptive statistics as well as Chi square, t-tests and multivariate analysis was done. Results Stunting among the HIV exposed uninfected infants was the most common form of undernutrition. 38.9% of the HEU infants were severely stunted (LFAZ), while 5.6% of them were severely wasted (WFLZ), while 24.4% of them were severely underweight. The mean birth weights of the HEU infants (2.953kg ) was lower than the HUU (3.195kg). HIV exposure was associated with lower Weight for Length Z score (WFLZ), Weight for Age Z score (WFAZ), Length for Age Z score (LFAZ), BMI for Age Z score (BAZ) and Middle Upper Arm Circumference Z score (MUACZ) (p<0.001) . HEU infants were more likely to live in households with lesser number of adults (p=0.016) and higher number of children (p<0.001) as compared to the HUU. Although exclusive breastfeeding was upheld among all infants, the HEU were more likely to rely on Food by Prescription supplements (p<0.001) to meet their daily energy needs. Households with HEU infants were, however, less likely to receive food (p=0.041). Overall the largest effect sizes on undernutrition of all infants was found to be affected by the age of children (η p 2 =0.439; p<0.001) , sex (η p 2 =0.135; p=0.001) , HIV exposure ...

show abstract

Measuring Food and Nutrition Security: Tools and Considerations for Use Among People Living with HIV

Cited by 18 publications

References 103 publications

Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV

Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV

High Prevalence of Severe Food Insecurity and Malnutrition among HIV-Infected Adults in Senegal, West Africa

Undernutrition of HEU infants in their first 1000 days of life: A case in the urban-low resource setting of Mukuru Slum, Nairobi, Kenya

Contact Info

Product

Resources

About