Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, Canada.
Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
AIDS Behav. 2018 Sep;22(9):3100-3110. doi: 10.1007/s10461-018-2119-0.
People living with HIV are disproportionately affected by food and housing insecurity. We assessed factors associated with experiencing food and/or housing insecurity among women living with HIV (WLHIV) in Canada. In our sample of WLHIV (N = 1403) 65% reported an income less than $20,000 per year. Most (78.69%) participants reported food and/or housing insecurity: 27.16% reported experiencing food insecurity alone, 14.26% reported housing insecurity alone, and 37.28% reported experiencing food and housing insecurity concurrently. In adjusted multivariable logistic regression analyses, experiencing concurrent food and housing insecurity was associated with: lower income, Black ethnicity versus White, province of residence, current injection drug use, lower resilience, HIV-related stigma, and racial discrimination. Findings underscore the urgent need for health professionals to assess for food and housing insecurity, to address the root causes of poverty, and for federal policy to allocate resources to ameliorate economic insecurity for WLHIV in Canada.
感染艾滋病毒的人在粮食和住房无保障方面受到的影响不成比例。我们评估了加拿大艾滋病毒感染者(WLHIV)经历粮食和/或住房无保障的相关因素。在我们的 WLHIV 样本中(N=1403),65%的人报告年收入低于 20,000 加元。大多数(78.69%)参与者报告粮食和/或住房无保障:27.16%单独报告粮食无保障,14.26%单独报告住房无保障,37.28%同时报告粮食和住房无保障。在调整后的多变量逻辑回归分析中,同时经历粮食和住房无保障与以下因素相关:收入较低、黑人种族而非白人种族、居住省份、目前注射吸毒、韧性较低、与艾滋病毒相关的耻辱感和种族歧视。研究结果强调了卫生专业人员迫切需要评估粮食和住房无保障情况,解决贫困的根本原因,并呼吁联邦政策为加拿大的 WLHIV 分配资源以改善经济无保障状况。