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AIDS Behav. 2017 Mar;21(3):724-733. doi: 10.1007/s10461-016-1556-x.

Alcohol Use and Food Insecurity Among People Living with HIV in Mbarara, Uganda and St. Petersburg, Russia.

Author information

1
Data Coordinating Center, Boston University School of Public Health, 85 East Newton St., M921, Boston, MA, 02118, USA. gpatts@bu.edu.
2
Department of Biostatistics, Boston University School of Public Health, Boston, USA.
3
Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, UCSF, San Francisco, USA.
4
Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston Medical Center, Boston, USA.
5
Data Coordinating Center, Boston University School of Public Health, 85 East Newton St., M921, Boston, MA, 02118, USA.
6
Department of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
7
Laboratory of Clinical Pharmacology of Addictions, First St. Petersburg Pavlov State Medical University, St. Petersburg, Russia.
8
Department of Addictions, Bekhterev Research Psychoneurological Institute, St. Petersburg, Russia.
9
Department of Medicine, Boston University School of Medicine, Boston, USA.
10
Community Health Sciences, Boston University School of Public Health, Boston, USA.

Abstract

Food insecurity (FI) is a documented problem associated with adverse health outcomes among HIV-infected populations. Little is known about the relationship between alcohol use and FI. We assessed whether heavy alcohol use was associated with FI among HIV-infected, antiretroviral therapy (ART)-naïve cohorts in Uganda and Russia. Inverse probability of treatment weighted logistic regression models were used to evaluate the association using cross-sectional baseline data. FI was experienced by half of the Russia cohort (52 %) and by a large majority of the Uganda cohort (84 %). We did not detect an association between heavy alcohol use and FI in either cohort (Russia: AOR = 0.80, 95 % CI 0.46, 1.40; Uganda: AOR = 1.00, 95 % CI 0.57, 1.74) or based on the overall combined estimate (AOR = 0.89, 95 % CI 0.60, 1.33). Future studies should explore the determinants of FI in HIV-infected populations to inform strategies for its mitigation.

KEYWORDS:

Alcohol; Food insecurity; HIV

PMID:
27699595
PMCID:
PMC5303539
DOI:
10.1007/s10461-016-1556-x
[Indexed for MEDLINE]
Free PMC Article

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