乌干达姆巴拉拉和俄罗斯圣彼得堡的艾滋病毒感染者中的酒精使用与粮食不安全状况
Alcohol Use and Food Insecurity Among People Living with HIV in Mbarara, Uganda and St. Petersburg, Russia.
作者信息
Patts Gregory J, Cheng Debbie M, Emenyonu Nneka, Bridden Carly, Gnatienko Natalia, Lloyd-Travaglini Christine A, Ngabirano Christine, Yaroslavtseva Tatiana, Muyindike Winnie R, Weiser Sheri D, Krupitsky Evgeny M, Hahn Judith A, Samet Jeffrey H
机构信息
Data Coordinating Center, Boston University School of Public Health, 85 East Newton St., M921, Boston, MA, 02118, USA.
Department of Biostatistics, Boston University School of Public Health, Boston, USA.
出版信息
AIDS Behav. 2017 Mar;21(3):724-733. doi: 10.1007/s10461-016-1556-x.
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.
粮食不安全（FI）是一个有文献记载的问题，与艾滋病毒感染人群的不良健康结果相关。关于饮酒与粮食不安全之间的关系，人们知之甚少。我们评估了在乌干达和俄罗斯未接受抗逆转录病毒治疗（ART）的艾滋病毒感染队列中，大量饮酒是否与粮食不安全有关。使用逆概率加权逻辑回归模型，利用横断面基线数据评估这种关联。俄罗斯队列中有一半（52%）经历了粮食不安全，乌干达队列中的绝大多数（84%）也经历了粮食不安全。在这两个队列中，我们均未发现大量饮酒与粮食不安全之间存在关联（俄罗斯：调整后的比值比[AOR]=0.80，95%置信区间[CI]为0.46至1.40；乌干达：AOR=1.00，95%CI为0.57至1.74），基于总体合并估计值也未发现关联（AOR=0.89，95%CI为0.60至1.33）。未来的研究应探索艾滋病毒感染人群中粮食不安全的决定因素，为减轻粮食不安全的策略提供依据。
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