旧金山感染艾滋病毒/艾滋病的无家可归者和居住条件差的人面临的粮食不安全问题。
Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco.
作者信息
Weiser Sheri D, Bangsberg David R, Kegeles Susan, Ragland Kathleen, Kushel Margot B, Frongillo Edward A
机构信息
University of California San Francisco, San Francisco, CA 94143, USA.
出版信息
AIDS Behav. 2009 Oct;13(5):841-8. doi: 10.1007/s10461-009-9597-z. Epub 2009 Jul 31.
Abstract
Food insecurity is a risk factor for both HIV transmission and worse HIV clinical outcomes. We examined the prevalence of and factors associated with food insecurity among homeless and marginally housed HIV-infected individuals in San Francisco recruited from the Research on Access to Care in the Homeless Cohort. We used multiple logistic regression to determine socio-demographic and behavioral factors associated with food insecurity, which was measured using the Household Food Insecurity Access Scale. Among 250 participants, over half (53.6%) were food insecure. Higher odds of food insecurity was associated with being white, low CD4 counts, recent crack use, lack of health insurance, and worse physical and mental health. Food insecurity is highly prevalent among HIV-infected marginally housed individuals in San Francisco, and is associated with poor physical and mental health and poor social functioning. Screening for and addressing food insecurity should be a critical component of HIV prevention and treatment programs.
摘要
粮食不安全是艾滋病毒传播和更差的艾滋病毒临床结果的一个风险因素。我们调查了从无家可归者队列护理获取研究中招募的旧金山无家可归和住房条件差的艾滋病毒感染者中粮食不安全的患病率及其相关因素。我们使用多元逻辑回归来确定与粮食不安全相关的社会人口和行为因素，粮食不安全通过家庭粮食不安全获取量表进行测量。在250名参与者中，超过一半（53.6%）存在粮食不安全问题。粮食不安全几率较高与白人、低CD4细胞计数、近期使用快克、缺乏医疗保险以及较差的身心健康有关。在旧金山住房条件差的艾滋病毒感染者中，粮食不安全非常普遍，并且与身心健康不佳和社会功能不良有关。筛查和解决粮食不安全问题应成为艾滋病毒预防和治疗项目的一个关键组成部分。
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