Skip to main content
Erschienen in: AIDS and Behavior 5/2013

01.06.2013 | Original Paper

Food Insecurity and Risky Sexual Behaviors Among Homeless and Marginally Housed HIV-Infected Individuals in San Francisco

verfasst von: Nicholas S. Vogenthaler, Margot B. Kushel, Craig Hadley, Ed A. Frongillo Jr., Elise D. Riley, David R. Bangsberg, Sheri D. Weiser

Erschienen in: AIDS and Behavior | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Food insecurity is common among HIV-infected populations in resource-rich and resource-poor countries. We hypothesized that food insecurity would be associated with risky sexual behaviors. We examined this hypothesis among all sexually active participants (n = 154) in the Research on Access to Care in the Homeless (REACH) cohort in San Francisco. The outcomes were unprotected vaginal or anal sex and multiple sexual partners during the prior 90 days. Associations were examined using repeated measures multivariable logistic regression analyses. Food insecurity was independently associated with unprotected sexual activity (AOR = 2.01 for each five point increase in HFIAS scale, 95 % CI 1.31–3.10) and multiple sexual partners (AOR = 1.54 for each five-point increase in HFIAS scale, 95 % CI 1.05–2.29). Food insecurity is a risk factor for unprotected sexual activity and multiple sexual partners among homeless and marginally housed HIV-infected individuals in San Francisco. Measures to alleviate food insecurity may play a role in decreasing secondary HIV transmission.
Literatur
1.
Zurück zum Zitat Robertson MJ, Clark RA, Charlebois ED, et al. HIV seroprevalence among homeless and marginally housed adults in San Francisco. Am J Public Health. 2004;94(7):1207–17.PubMedCrossRef Robertson MJ, Clark RA, Charlebois ED, et al. HIV seroprevalence among homeless and marginally housed adults in San Francisco. Am J Public Health. 2004;94(7):1207–17.PubMedCrossRef
2.
Zurück zum Zitat Neblett RC, Davey-Rothwell M, Chander G, Latkin CA. Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women. J Urban Health. 2011;88(1):54–65.PubMedCrossRef Neblett RC, Davey-Rothwell M, Chander G, Latkin CA. Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women. J Urban Health. 2011;88(1):54–65.PubMedCrossRef
3.
Zurück zum Zitat Adimora AA, Schoenbach VJ, Floris-Moore MA. Ending the epidemic of heterosexual HIV transmission among African Americans. Am J Prev Med. 2009;37(5):468–71.PubMedCrossRef Adimora AA, Schoenbach VJ, Floris-Moore MA. Ending the epidemic of heterosexual HIV transmission among African Americans. Am J Prev Med. 2009;37(5):468–71.PubMedCrossRef
4.
Zurück zum Zitat Coleman SM, Rajabiun S, Cabral HJ, Bradford JB, Tobias CR. Sexual risk behavior and behavior change among persons newly diagnosed with HIV: the impact of targeted outreach interventions among hard-to-reach populations. AIDS Patient Care STDS. 2009;23(8):639–45.PubMedCrossRef Coleman SM, Rajabiun S, Cabral HJ, Bradford JB, Tobias CR. Sexual risk behavior and behavior change among persons newly diagnosed with HIV: the impact of targeted outreach interventions among hard-to-reach populations. AIDS Patient Care STDS. 2009;23(8):639–45.PubMedCrossRef
5.
Zurück zum Zitat Weiser SD, Bangsberg DR, Kegeles S, Ragland K, Kushel MB, Frongillo EA. Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. AIDS Behav. 2009;13(5):841–8.PubMedCrossRef Weiser SD, Bangsberg DR, Kegeles S, Ragland K, Kushel MB, Frongillo EA. Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. AIDS Behav. 2009;13(5):841–8.PubMedCrossRef
6.
Zurück zum Zitat Normen L, Chan K, Braitstein P, et al. Food insecurity and hunger are prevalent among HIV-positive individuals in British Columbia, Canada. J Nutr. 2005;135(4):820–5.PubMed Normen L, Chan K, Braitstein P, et al. Food insecurity and hunger are prevalent among HIV-positive individuals in British Columbia, Canada. J Nutr. 2005;135(4):820–5.PubMed
7.
Zurück zum Zitat Vogenthaler NS, Hadley C, Lewis SJ, Rodriguez AE, Metsch LR, del Rio C. Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami. Public Health Nutr. 2010;13(9):1478–84.PubMedCrossRef Vogenthaler NS, Hadley C, Lewis SJ, Rodriguez AE, Metsch LR, del Rio C. Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami. Public Health Nutr. 2010;13(9):1478–84.PubMedCrossRef
8.
Zurück zum Zitat Kalichman SC, Cherry C, Amaral C, et al. Health and treatment implications of food insufficiency among people living with HIV/AIDS, Atlanta, Georgia. J Urban Health. 2010;87(4):631–41.PubMedCrossRef Kalichman SC, Cherry C, Amaral C, et al. Health and treatment implications of food insufficiency among people living with HIV/AIDS, Atlanta, Georgia. J Urban Health. 2010;87(4):631–41.PubMedCrossRef
9.
Zurück zum Zitat Weiser SD, Young SL, Cohen CR, et al. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr. 2011;94(6):1729S–39S.PubMedCrossRef Weiser SD, Young SL, Cohen CR, et al. Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr. 2011;94(6):1729S–39S.PubMedCrossRef
10.
Zurück zum Zitat Gillespie S, Greener R, Whiteside A, Whitworth J. Investigating the empirical evidence for understanding vulnerability and the associations between poverty. HIV infection and AIDS impact. AIDS. 2007;21(Suppl 7):S1–4.PubMedCrossRef Gillespie S, Greener R, Whiteside A, Whitworth J. Investigating the empirical evidence for understanding vulnerability and the associations between poverty. HIV infection and AIDS impact. AIDS. 2007;21(Suppl 7):S1–4.PubMedCrossRef
11.
Zurück zum Zitat Vogenthaler NS, Hadley C, Rodriguez AE, Valverde EE, del Rio C, Metsch LR. Depressive symptoms and food insufficiency among HIV-infected crack users in Atlanta and Miami. AIDS Behav. 2011;15(7):1520–6.PubMedCrossRef Vogenthaler NS, Hadley C, Rodriguez AE, Valverde EE, del Rio C, Metsch LR. Depressive symptoms and food insufficiency among HIV-infected crack users in Atlanta and Miami. AIDS Behav. 2011;15(7):1520–6.PubMedCrossRef
12.
Zurück zum Zitat Anema A, Weiser SD, Fernandes KA, et al. High prevalence of food insecurity among HIV-infected individuals receiving HAART in a resource-rich setting. AIDS Care. 2011;23(2):221–30.PubMedCrossRef Anema A, Weiser SD, Fernandes KA, et al. High prevalence of food insecurity among HIV-infected individuals receiving HAART in a resource-rich setting. AIDS Care. 2011;23(2):221–30.PubMedCrossRef
13.
Zurück zum Zitat Anema A, Wood E, Weiser SD, Qi J, Montaner JS, Kerr T. Hunger and associated harms among injection drug users in an urban Canadian setting. Subst Abuse Treat Prev Policy. 2010;5:20.PubMedCrossRef Anema A, Wood E, Weiser SD, Qi J, Montaner JS, Kerr T. Hunger and associated harms among injection drug users in an urban Canadian setting. Subst Abuse Treat Prev Policy. 2010;5:20.PubMedCrossRef
14.
Zurück zum Zitat Weiser SD, Frongillo EA, Ragland K, Hogg RS, Riley ED, Bangsberg DR. Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. J Gen Intern Med. 2009;24(1):14–20.PubMedCrossRef Weiser SD, Frongillo EA, Ragland K, Hogg RS, Riley ED, Bangsberg DR. Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. J Gen Intern Med. 2009;24(1):14–20.PubMedCrossRef
15.
Zurück zum Zitat Kalichman SC, Cherry C, Amaral C, et al. Health and treatment implications of food insufficiency among people living with HIV/AIDS, Atlanta, Georgia. J Urban Health. 2010;87(4):631–41.PubMedCrossRef Kalichman SC, Cherry C, Amaral C, et al. Health and treatment implications of food insufficiency among people living with HIV/AIDS, Atlanta, Georgia. J Urban Health. 2010;87(4):631–41.PubMedCrossRef
16.
Zurück zum Zitat Weiser SD, Tuller DM, Frongillo EA, Senkungu J, Mukiibi N, Bangsberg DR. Food insecurity as a barrier to sustained antiretroviral therapy adherence in Uganda. PLoS One. 2010;5(4):e10340.PubMedCrossRef Weiser SD, Tuller DM, Frongillo EA, Senkungu J, Mukiibi N, Bangsberg DR. Food insecurity as a barrier to sustained antiretroviral therapy adherence in Uganda. PLoS One. 2010;5(4):e10340.PubMedCrossRef
17.
Zurück zum Zitat Wang EA, McGinnis KA, Fiellin DA, et al. Food insecurity is associated with poor virologic response among HIV-infected patients receiving antiretroviral medications. J Gen Intern Med. 2011;26(9):1012–8.PubMedCrossRef Wang EA, McGinnis KA, Fiellin DA, et al. Food insecurity is associated with poor virologic response among HIV-infected patients receiving antiretroviral medications. J Gen Intern Med. 2011;26(9):1012–8.PubMedCrossRef
18.
Zurück zum Zitat Weiser SD, Fernandes KA, Brandson EK, et al. The association between food insecurity and mortality among HIV-infected individuals on HAART. J Acquir Immune Defic Syndr. 2009;52(3):342–9.PubMedCrossRef Weiser SD, Fernandes KA, Brandson EK, et al. The association between food insecurity and mortality among HIV-infected individuals on HAART. J Acquir Immune Defic Syndr. 2009;52(3):342–9.PubMedCrossRef
19.
Zurück zum Zitat Weiser SD, Leiter K, Bangsberg DR, et al. Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Med. 2007;4(10):1589–97. Discussion 98.PubMedCrossRef Weiser SD, Leiter K, Bangsberg DR, et al. Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Med. 2007;4(10):1589–97. Discussion 98.PubMedCrossRef
20.
Zurück zum Zitat Miller CL, Bangsberg DR, Tuller DM, et al. Food insecurity and sexual risk in an HIV endemic community in Uganda. AIDS Behav. 2011;15(7):1512–9.PubMedCrossRef Miller CL, Bangsberg DR, Tuller DM, et al. Food insecurity and sexual risk in an HIV endemic community in Uganda. AIDS Behav. 2011;15(7):1512–9.PubMedCrossRef
21.
Zurück zum Zitat Oyefara JL. Food insecurity, HIV/AIDS pandemic and sexual behaviour of female commercial sex workers in Lagos metropolis. Nigeria. SAHARA J. 2007;4(2):626–35.CrossRef Oyefara JL. Food insecurity, HIV/AIDS pandemic and sexual behaviour of female commercial sex workers in Lagos metropolis. Nigeria. SAHARA J. 2007;4(2):626–35.CrossRef
22.
Zurück zum Zitat Shannon K, Kerr T, Milloy MJ, et al. Severe food insecurity is associated with elevated unprotected sex among HIV-seropositive injection drug users independent of HAART use. AIDS. 2011;25(16):2037–42.PubMedCrossRef Shannon K, Kerr T, Milloy MJ, et al. Severe food insecurity is associated with elevated unprotected sex among HIV-seropositive injection drug users independent of HAART use. AIDS. 2011;25(16):2037–42.PubMedCrossRef
23.
Zurück zum Zitat Tsai AC, Hung KJ, Weiser SD. Is food insecurity associated with HIV risk? Cross-sectional evidence from sexually active women in Brazil. PLoS Med. 2012;9(4):e1001203.PubMedCrossRef Tsai AC, Hung KJ, Weiser SD. Is food insecurity associated with HIV risk? Cross-sectional evidence from sexually active women in Brazil. PLoS Med. 2012;9(4):e1001203.PubMedCrossRef
24.
Zurück zum Zitat Zolopa AR, Hahn JA, Gorter R, et al. HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample. JAMA. 1994;272(6):455–61.PubMedCrossRef Zolopa AR, Hahn JA, Gorter R, et al. HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample. JAMA. 1994;272(6):455–61.PubMedCrossRef
25.
Zurück zum Zitat Coates J, Swindale A, Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for measurement of food access: indicator guide. Washington: Food and Nutrition Technical Assistance. Academy for Educational Development; 2006. Coates J, Swindale A, Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for measurement of food access: indicator guide. Washington: Food and Nutrition Technical Assistance. Academy for Educational Development; 2006.
26.
Zurück zum Zitat Miller CL, Bangsberg DR, Tuller DM, et al. Food Insecurity and Sexual Risk in an HIV Endemic Community in Uganda. AIDS Behav. 2011;15(7):1512–9.PubMedCrossRef Miller CL, Bangsberg DR, Tuller DM, et al. Food Insecurity and Sexual Risk in an HIV Endemic Community in Uganda. AIDS Behav. 2011;15(7):1512–9.PubMedCrossRef
27.
Zurück zum Zitat Booysen Fle R, Summerton J. Poverty, risky sexual behaviour, and vulnerability to HIV infection evidence from South Africa. J Health Popul Nutr. 2002;20(4):285–8.PubMed Booysen Fle R, Summerton J. Poverty, risky sexual behaviour, and vulnerability to HIV infection evidence from South Africa. J Health Popul Nutr. 2002;20(4):285–8.PubMed
28.
Zurück zum Zitat Leclerc-Madlala S. Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability. AIDS. 2008;22(Suppl 4):S17–25.PubMedCrossRef Leclerc-Madlala S. Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability. AIDS. 2008;22(Suppl 4):S17–25.PubMedCrossRef
29.
Zurück zum Zitat NIAAA. The physician’s guide to helping patients with alcohol problems. Alcoholism. Washington: Government Printing Office; 1995. NIAAA. The physician’s guide to helping patients with alcohol problems. Alcoholism. Washington: Government Printing Office; 1995.
30.
Zurück zum Zitat Alaimo K, Olson CM, Frongillo EA. Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents. J Nutr. 2002;132(4):719–25.PubMed Alaimo K, Olson CM, Frongillo EA. Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents. J Nutr. 2002;132(4):719–25.PubMed
31.
Zurück zum Zitat Ware JJ, Snow K, Kosinski M, Gandek B. Health survey: SF-36 health survey: manual and interpretation guide. Boston: The Health Institute; 1993. Ware JJ, Snow K, Kosinski M, Gandek B. Health survey: SF-36 health survey: manual and interpretation guide. Boston: The Health Institute; 1993.
32.
Zurück zum Zitat Vogenthaler NS, Hadley C, Lewis SJ, Rodriguez AE, Metsch LR, del Rio C. Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami. Public Health Nutr. 2012;13(9):1478–84.CrossRef Vogenthaler NS, Hadley C, Lewis SJ, Rodriguez AE, Metsch LR, del Rio C. Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami. Public Health Nutr. 2012;13(9):1478–84.CrossRef
33.
Zurück zum Zitat Riley ED, Moore K, Sorensen JL, Tulsky JP, Bangsberg DR, Neilands TB. Basic subsistence needs and overall health among human immunodeficiency virus-infected homeless and unstably housed women. Am J Epidemiol. 2011;174(5):515–22.PubMedCrossRef Riley ED, Moore K, Sorensen JL, Tulsky JP, Bangsberg DR, Neilands TB. Basic subsistence needs and overall health among human immunodeficiency virus-infected homeless and unstably housed women. Am J Epidemiol. 2011;174(5):515–22.PubMedCrossRef
34.
Zurück zum Zitat McMahon JH, Wanke CA, Elliott JH, Skinner S, Tang AM. Repeated assessments of food security predict CD4 change in the setting of antiretroviral therapy. J Acquir Immune Defic Syndr. 2011;58(1):60–3.PubMedCrossRef McMahon JH, Wanke CA, Elliott JH, Skinner S, Tang AM. Repeated assessments of food security predict CD4 change in the setting of antiretroviral therapy. J Acquir Immune Defic Syndr. 2011;58(1):60–3.PubMedCrossRef
35.
Zurück zum Zitat Granich RM, Gilks CF, Dye C, De Cock KM, Williams BG. Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model. Lancet. 2009;373(9657):48–57.PubMedCrossRef Granich RM, Gilks CF, Dye C, De Cock KM, Williams BG. Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model. Lancet. 2009;373(9657):48–57.PubMedCrossRef
36.
Zurück zum Zitat Armstrong WS, del Rio C. Gender, race, and geography: do they matter in primary human immunodeficiency virus infection? J Infect Dis. 2011;203(4):437–8.PubMedCrossRef Armstrong WS, del Rio C. Gender, race, and geography: do they matter in primary human immunodeficiency virus infection? J Infect Dis. 2011;203(4):437–8.PubMedCrossRef
37.
Zurück zum Zitat Dunkle KL, Wingood GM, Camp CM, DiClemente RJ. Economically motivated relationships and transactional sex among unmarried African American and white women: results from a U.S. national telephone survey. Public Health Rep. 2010;125(Suppl 4):90–100.PubMed Dunkle KL, Wingood GM, Camp CM, DiClemente RJ. Economically motivated relationships and transactional sex among unmarried African American and white women: results from a U.S. national telephone survey. Public Health Rep. 2010;125(Suppl 4):90–100.PubMed
Metadaten
Titel
Food Insecurity and Risky Sexual Behaviors Among Homeless and Marginally Housed HIV-Infected Individuals in San Francisco
verfasst von
Nicholas S. Vogenthaler
Margot B. Kushel
Craig Hadley
Ed A. Frongillo Jr.
Elise D. Riley
David R. Bangsberg
Sheri D. Weiser
Publikationsdatum
01.06.2013
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 5/2013
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0355-2

Weitere Artikel der Ausgabe 5/2013

AIDS and Behavior 5/2013 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.