Benzekri Noelle A, Plaisy Marie K, Koffi Jean Jacques, Mensah Ephrem, Minga Albert, Ekouevi Didier K, Moh Raoul, Bernard Charlotte, Jaquet Antoine
Department of Medicine, Division of Allergy & Infectious Diseases, University of Washington, Seattle, WA, USA.
University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Centre, Bordeaux, France.
AIDS. 2025 Jul 15;39(9):1262-1272. doi: 10.1097/QAD.0000000000004200. Epub 2025 Apr 8.
This study was conducted in order to determine whether food insecurity is associated with poor mental health outcomes among people with HIV (PWH) in Togo and Côte d'Ivoire, West Africa.
Cross-sectional study among participants enrolled in the International epidemiological Databases to Evaluate AIDS West Africa cohort.
The Household Food Insecurity Access Scale was used to measure food insecurity. The PHQ-9, GAD-7, PCL-5, and AUDIT-C instruments were used to assess depressive symptoms, anxiety symptoms, symptoms of posttraumatic stress disorder (PTSD), and harmful alcohol use, respectively. Logistic regression was used to identify factors associated with poor mental health outcomes.
Among 584 participants (68.8% female, median age 52 years), nearly half (48.1%) were food insecure; 7.0% were mildly food insecure, 26.7% were moderately food insecure, and 14.4% were severely food insecure. Severe food insecurity [odds ratio (OR) 2.63 (1.30-5.34)] and being widowed [OR 2.15 (1.07-4.30)] were associated with moderate-to-severe depressive symptoms and formal education was protective [OR 0.30 (0.15-0.61)]; there was a trend towards an association between severe food insecurity and moderate-to-severe anxiety symptoms [OR 2.14 (0.98-4.70)] and formal education was protective [OR 0.35 (0.18-0.71)]; severe food insecurity [OR 6.87 (2.89-16.38)] and being widowed [OR 3.55 (1.46-8.59)] were associated with PTSD; mild food insecurity [OR 2.74 (1.20-6.26)] and male sex [OR 11.58 (5.44-24.68)] were associated with high risk alcohol use.
Food insecurity is associated with poor mental health outcomes among PWH in Togo and Côte d'Ivoire, West Africa. Future studies to understand and address the causal links between food insecurity and mental health among PWH are warranted.
本研究旨在确定在西非的多哥和科特迪瓦，粮食不安全状况是否与艾滋病毒感染者（PWH）的心理健康状况不佳相关。
对参与国际评估艾滋病西非队列的流行病学数据库的参与者进行横断面研究。
使用家庭粮食不安全获取量表来衡量粮食不安全状况。分别使用PHQ - 9、GAD - 7、PCL - 5和AUDIT - C工具来评估抑郁症状、焦虑症状、创伤后应激障碍（PTSD）症状和有害饮酒情况。采用逻辑回归来确定与心理健康状况不佳相关的因素。
在584名参与者中（68.8%为女性，年龄中位数为52岁），近一半（48.1%）粮食不安全；7.0%为轻度粮食不安全，26.7%为中度粮食不安全，14.4%为重度粮食不安全。重度粮食不安全[比值比（OR）2.63（1.30 - 5.34）]和丧偶[OR 2.15（1.07 - 4.30）]与中度至重度抑郁症状相关，而正规教育具有保护作用[OR 0.30（0.15 - 0.61）]；重度粮食不安全与中度至重度焦虑症状之间存在关联趋势[OR 2.14（0.98 - 4.70）]，正规教育具有保护作用[OR 0.35（0.18 - 0.71）]；重度粮食不安全[OR 6.87（2.89 - 16.38）]和丧偶[OR 3.55（1.46 - 8.59）]与创伤后应激障碍相关；轻度粮食不安全[OR 2.74（1.20 - 6.26）]和男性[OR 11.58（5.44 - 24.68）]与高风险饮酒相关。
在西非的多哥和科特迪瓦，粮食不安全状况与艾滋病毒感染者的心理健康状况不佳相关。有必要开展进一步研究以了解和解决艾滋病毒感染者中粮食不安全与心理健康之间的因果关系。
