Metabolism Unit, Massachusetts General Hospital, Boston, MA, USA.
Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, Boston, MA, USA.
AIDS Behav. 2022 May;26(5):1552-1561. doi: 10.1007/s10461-021-03508-1. Epub 2021 Nov 3.
Prior studies in people living with HIV (PLWH) suggest added sweetener intake exceeds recommendations and associates with cardiometabolic abnormalities. Little is known of factors that associate with increased sweetener consumption in PLWH. This cross-sectional study explored knowledge and consumption of added sweeteners and associations of social determinants of health (SDoH) among 900 PLWH residing in the United States. Demographics, SDoH, and added sweetener knowledge and consumption were assessed via an online survey, multivariable analyses were completed. Results demonstrate that sex, race, and low educational level associated with lower sweetener knowledge. Race, age, body mass index, income, limited access to fresh fruits/vegetables, and low sweetener knowledge associated with higher sweetener consumption. Findings highlight the need for consideration of specific demographics and inequitable social circumstances when developing nutrition lifestyle strategies, inclusive of added sweetener education, that are feasible and sustainable across diverse community settings of PLWH.
先前在艾滋病毒感染者（PLWH）中的研究表明，添加甜味剂的摄入量超过了建议量，并与心血管代谢异常有关。关于与 PLWH 中甜味剂消耗增加相关的因素知之甚少。这项横断面研究探讨了美国 900 名 PLWH 中社会决定因素（SDoH）与添加甜味剂的知识和消费之间的关系。通过在线调查评估人口统计学、SDoH 以及添加甜味剂的知识和消费情况，并完成了多变量分析。结果表明，性别、种族和低教育水平与较低的甜味剂知识相关。种族、年龄、体重指数、收入、新鲜水果/蔬菜获取受限以及甜味剂知识较低与较高的甜味剂消费相关。研究结果强调，在制定营养生活方式策略时，需要考虑特定的人口统计学特征和不平等的社会环境，包括添加甜味剂的教育，这些策略在 PLWH 的不同社区环境中是可行和可持续的。
