食物不安全与美国女性中较差的 HIV 结局相关。
Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States.
机构信息
Division of Infectious Disease, University of California, San Francisco, USA.
Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.
出版信息
AIDS Behav. 2017 Dec;21(12):3473-3477. doi: 10.1007/s10461-017-1968-2.
Abstract
Women in the general population experience more food insecurity than men. Few studies have examined food insecurity's impact on HIV treatment outcomes among women. We examined the association between food insecurity and HIV outcomes in a multi-site sample of HIV-infected women in the United States (n = 1154). Two-fifths (40%) of participants reported food insecurity. In an adjusted multivariable Tobit regression model, food insecurity was associated with 2.08 times higher viral load (95% confidence interval (CI): 1.04, 4.15) and lower CD4+ counts (- 42.10, CI: - 81.16, - 3.03). Integration of food insecurity alleviation into HIV programs may improve HIV outcomes in women.
摘要
一般人群中的女性比男性经历更多的粮食不安全。很少有研究调查粮食不安全对女性艾滋病毒治疗结果的影响。我们在美国的一个多地点艾滋病毒感染女性样本中研究了粮食不安全与艾滋病毒结果之间的关联（n=1154）。五分之二（40%）的参与者报告粮食不安全。在调整后的多变量 Tobit 回归模型中，粮食不安全与病毒载量高出 2.08 倍（95%置信区间（CI）：1.04，4.15）和 CD4+计数降低（-42.10，CI：-81.16，-3.03）相关。将粮食不安全缓解纳入艾滋病毒规划可能会改善女性的艾滋病毒结果。
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