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AIDS Behav. 2018 Sep;22(9):2861-2867. doi: 10.1007/s10461-018-2069-6.

Smoking Predicts Food Insecurity Severity among Persons Living with HIV.

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Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, MA, USA.
Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
Positive Resource Center, San Francisco, CA, USA.
Division of HIV, ID and Global Medicine, University of California, San Francisco, San Francisco, CA, USA.
Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami, 1120 NW 14th St., Miami, FL, 33136, USA.


Food insecurity is a key social and health issue among persons living with HIV (PLHIV). Food insecurity oftentimes co-occurs with substance use, but little is known about the relationship between tobacco use and food insecurity particularly among PLHIV. In this study, we prospectively examined the association of cigarette smoking with food insecurity in a cohort of 108 individuals seeking vocational rehabilitation services. Over the 12-month study period, smokers at baseline reported consistently higher levels of food insecurity compared to non-smokers. Smoking remained an independent risk factor for greater food insecurity, controlling for sociodemographic characteristics and known confounders (e.g., substance use, depression). Food insecurity is a key structural and socioeconomic barrier that may partially explain HIV-related health disparities observed among smokers. Further research is needed to characterize the bio-behavioral mechanisms linking smoking and food insecurity as well as test whether smoking cessation can reduce food insecurity in PLHIV who smoke.


Food insecurity; HIV; Smoking; Substance use

[Available on 2019-09-01]
[Indexed for MEDLINE]
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