感染艾滋病毒女性中的粮食不安全、性风险行为及抗逆转录病毒疗法依从性：一项系统综述
Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review.
作者信息
Chop Elisabeth, Duggaraju Avani, Malley Angela, Burke Virginia, Caldas Stephanie, Yeh Ping Teresa, Narasimhan Manjulaa, Amin Avni, Kennedy Caitlin E
机构信息
a Department of International Health , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
b Department of Reproductive Health and Research , World Health Organization , Geneva , Switzerland.
出版信息
Health Care Women Int. 2017 Sep;38(9):927-944. doi: 10.1080/07399332.2017.1337774. Epub 2017 Jun 6.
Abstract
Gender inequalities shape the experience of food insecurity among women living with HIV (WLHIV). We systematically reviewed the impact of food insecurity on sexual risk behaviors and antiretroviral therapy (ART) adherence among WLHIV. We included qualitative or quantitative peer-reviewed articles, extracted data in duplicate, and assessed rigor. Seven studies, from sub-Saharan Africa, North America, and Europe, met inclusion criteria. Food insecurity was associated with increased sexual risk through transactional sex and inability to negotiate safer sex. Hunger and food insecurity were barriers to ART initiation/adherence. Multidimensional programming and policies should simultaneously address poverty, gender inequality, food insecurity, and HIV.
摘要
性别不平等影响着感染艾滋病毒的妇女（WLHIV）的粮食不安全经历。我们系统回顾了粮食不安全对感染艾滋病毒妇女的性风险行为和抗逆转录病毒疗法（ART）依从性的影响。我们纳入了定性或定量的同行评审文章，重复提取数据，并评估其严谨性。来自撒哈拉以南非洲、北美和欧洲的七项研究符合纳入标准。粮食不安全与通过交易性行为和无法协商更安全性行为导致的性风险增加有关。饥饿和粮食不安全是启动抗逆转录病毒疗法/坚持治疗的障碍。多层面的规划和政策应同时解决贫困、性别不平等、粮食不安全和艾滋病毒问题。
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