School of Public Health, Department of Community Health Sciences, Boston University, Boston, MA, USA.
School of Social Work, University of North Carolina, Chapel Hill, NC, USA.
Int J STD AIDS. 2024 Jan;35(1):25-32. doi: 10.1177/09564624231201917. Epub 2023 Sep 14.
Mental health problems are common among people living with HIV/AIDS and contribute to poor HIV-related outcomes, including AIDS-related mortality. We examined the association between severe food insecurity and depressive symptoms in young people living with HIV (YPLH) in Zambia. We sampled 120 youth living with HIV aged 18-21 years in the Eastern Province of Zambia. Household food insecurity was measured using the Household Food Insecurity Access Scale (HFIAS). Mental health was assessed using the Children's Depression Inventory-Short Form. We fitted linear regression models to assess whether food insecurity is associated with depressive symptoms. The mean age was 19 years, and 63% were female. Overall, 43% were severely food insecure. After adjusting for sociodemographic variables and other confounders, severely food insecure participants were more likely to report depressive symptoms (β = 0.81, 95% Confidence Interval [CI] 0.07-1.55) and engagement in sex work (β = 1.78, 95% CI 0.32-3.25). Almost half of the sample reported severe food insecurity which was associated with depressive symptoms. Interventions aimed at improving food insecurity may have beneficial effects on mental health and HIV outcomes among young people living with HIV in resource-limited settings.
心理健康问题在艾滋病毒/艾滋病感染者中很常见，导致与艾滋病毒相关的不良结果，包括艾滋病相关死亡。我们研究了赞比亚艾滋病毒感染者青年人群（YPLH）中严重粮食不安全与抑郁症状之间的关联。我们在赞比亚东部省抽取了 120 名年龄在 18-21 岁之间的感染艾滋病毒的青年。家庭粮食不安全状况采用家庭粮食不安全评估量表（HFIAS）进行衡量。心理健康采用儿童抑郁量表-短式评估。我们拟合线性回归模型来评估粮食不安全是否与抑郁症状相关。平均年龄为 19 岁，63%为女性。总体而言，43%的人严重粮食不安全。在调整社会人口统计学变量和其他混杂因素后，严重粮食不安全的参与者更有可能报告抑郁症状（β=0.81，95%置信区间 [CI] 0.07-1.55）和从事性工作（β=1.78，95% CI 0.32-3.25）。几乎一半的样本报告了严重的粮食不安全，这与抑郁症状有关。在资源有限的环境中，旨在改善粮食不安全的干预措施可能对艾滋病毒感染者青年的心理健康和艾滋病毒结果产生有益影响。
