de Pee Saskia, Grede Nils, Mehra Divya, Bloem Martin W
Nutrition Advisory Office, World Food Programme, Via. G. Viola 68 Parco dei Medici, 00148, Rome, Italy,
AIDS Behav. 2014 Oct;18 Suppl 5:S531-41. doi: 10.1007/s10461-014-0730-2.
Socioeconomic costs of HIV and TB and the difficulty of maintaining optimal treatment are well documented. Social protection measures such as food assistance may be required to offset some of the treatment related costs as well as to ensure food security and maintain good health of the affected individual and household. Programmes have started placing greater emphasis on treatment adherence and are looking for proven interventions that can optimize it. This paper looks at the effect of food assistance for enabling treatment adherence and reviews studies that used food assistance to promote adherence. Eight of ten studies found that provision of food can improve adherence and/or treatment completion for HIV care and treatment, ART and TB-DOTS. This indicates that food provision is not only a biological, but also a behavioural intervention, and underscores that unresolved food insecurity can be an impediment to treatment adherence and consequently to good treatment outcomes.
艾滋病毒和结核病的社会经济成本以及维持最佳治疗的困难已有充分记录。可能需要诸如粮食援助等社会保护措施来抵消一些与治疗相关的成本，同时确保粮食安全并维持受影响个人和家庭的健康。各项计划已开始更加重视治疗依从性，并在寻找可优化治疗依从性的经证实的干预措施。本文探讨了粮食援助对促进治疗依从性的影响，并回顾了利用粮食援助来促进依从性的研究。十分之八的研究发现，提供食物可以提高艾滋病毒护理和治疗、抗逆转录病毒疗法以及结核病直接观察短程治疗的依从性和/或治疗完成率。这表明提供食物不仅是一种生理干预，也是一种行为干预，并强调未解决的粮食不安全问题可能会阻碍治疗依从性，进而影响良好的治疗效果。
