Stony Brook University (SUNY), Program in Public Health/Department of Preventive Medicine, Stony Brook, New York, USA.
PLoS One. 2013 Apr 18;8(4):e62353. doi: 10.1371/journal.pone.0062353. Print 2013.
Food insecurity is associated with poor nutritional and clinical outcomes among people living with HIV/AIDS. Few studies investigate the link between food insecurity, dietary diversity and health-related quality of life among people living with HIV/AIDS.
We investigated whether household food access and individual dietary diversity are associated with health-related quality of life among people living with HIV/AIDS in Uganda.
We surveyed 902 people living with HIV/AIDS and their households from two clinics in Northern Uganda. Health-related quality of life outcomes were assessed using the Medical Outcomes Study (MOS)-HIV Survey. We performed multivariate regressions to investigate the relationship between health-related quality of life, household food insecurity and individual dietary diversity.
People living with HIV/AIDS from severe food insecurity households have mean mental health status scores that are 1.7 points lower (p<.001) and physical health status scores that are 1.5 points lower (p<.01). Individuals with high dietary diversity have mean mental health status scores that were 3.6 points higher (p<.001) and physical health status scores that were 2.8 points higher (p<.05).
Food access and diet quality are associated with health-related quality of life and may be considered as part of comprehensive interventions designed to mitigate psychosocial consequences of HIV.
食物不安全与艾滋病毒/艾滋病感染者的营养和临床结局较差有关。很少有研究调查艾滋病毒/艾滋病感染者中食物不安全、饮食多样性和健康相关生活质量之间的联系。
我们调查了乌干达艾滋病毒感染者的家庭食物获取和个体饮食多样性是否与健康相关生活质量有关。
我们调查了来自乌干达北部两个诊所的 902 名艾滋病毒感染者及其家庭。使用医疗结局研究（MOS）-艾滋病毒调查评估健康相关生活质量结果。我们进行了多变量回归，以调查健康相关生活质量、家庭食物不安全和个体饮食多样性之间的关系。
来自严重食物不安全家庭的艾滋病毒感染者的心理健康状况评分平均低 1.7 分（p<.001），身体健康状况评分平均低 1.5 分（p<.01）。饮食多样性高的个体的心理健康状况评分平均高 3.6 分（p<.001），身体健康状况评分平均高 2.8 分（p<.05）。
食物获取和饮食质量与健康相关生活质量有关，可被视为旨在减轻艾滋病毒心理社会后果的综合干预措施的一部分。
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