nach oben

Erschienen in:

01.09.2011

Food Insufficiency and Medication Adherence Among People Living with HIV/AIDS in Urban and Peri-Urban Settings

verfasst von: Seth C. Kalichman, Jennifer Pellowski, Moira O. Kalichman, Chauncey Cherry, Mervi Detorio, Angela M. Caliendo, Raymond F. Schinazi

Erschienen in: Prevention Science | Ausgabe 3/2011

Einloggen, um Zugang zu erhalten

Abstract

Food insufficiency is associated with medication non-adherence among people living with HIV/AIDS. The current study examines the relationship between hunger and medication adherence in a US urban and peri-urban sample of people living with HIV/AIDS. Men (N = 133) and women (N = 46) living with HIV/AIDS were recruited using snowball sampling and small media in Atlanta, Georgia. Participants completed computerized behavioral interviews that included measures of demographics, food insufficiency, social support, depression, and substance use, and provided blood specimens to determine HIV viral load. Participants also completed monthly unannounced pill counts to prospectively monitor medication adherence over 8 months. Results indicated that 45% of participants were less than 85% adherent to their medications and that food insufficiency was related to non-adherence; nearly half of non-adherent participants reported recent hunger. Geocoding of participant residences showed that 40% lived more than 5 miles from the city center. Multivariable logistic regression controlling for demographics and common factors associated with adherence showed that the interaction between distance from downtown and experiencing hunger significantly predicted non-adherence over and above all other factors. Medication adherence interventions should address access to food, particularly for people living outside of urban centers.

Anema, A., Vogenthaler, N., Frongillo, E. A., Kadiyala, S., & Weiser, S. D. (2009). Food insecurity and HIV/AIDS: Current knowledge, gaps, and research priorities. Currrent HIV/AIDS Reports, 6, 224–231.CrossRef

Bangsberg, D. R., & Deeks, S. G. (2010). Spending more to save more: Interventions to promote adherence. Annals of Internal Medicine, 152, 54–56. W-13.PubMed

Bangsberg, D. R., Hecht, F. M., Charlebois, E. D., Chesney, M., & Moss, A. (2001). Comparing objective measures of adherence to HIV antiretroviral therapy: Electronic medication monitors and unannounced pill counts. AIDS and Behavior, 5, 275–281.CrossRef

Bangsberg, D. R., Kroetz, D. L., & Deeks, S. G. (2007). Adherence-resistance relationships to combination HIV antiretroviral therapy. Current HIV/AIDS Reports, 4, 65–72.PubMedCrossRef

Boston, D. (2008). Poverty rates in Georgia. From http://poverty.suite101.com/article.cfm/poverty_in_georgia

Brock, D., Sarason, I., Sarason, B., & Pierce, G. (1996). Simultaneous assessment of perceived global and relationship-specific support. Journal of Social and Personal Relationships, 13, 143–152.CrossRef

Cantrell, R. A., Sinkala, M., Megazinni, K., Lawson-Marriott, S., Washington, S., Chi, B. H., et al. (2008). A pilot study of food supplementation to improve adherence to antiretroviral therapy among food-insecure adults in Lusaka, Zambia. Journal of Acquired Immune Deficiency Syndromes, 49, 190–195.PubMedCrossRef

Centers for Disease Control and Prevention (2007). HIV/AIDS statistics and surveillance. From http://www.cdc.gov/hiv/topics/surveillance/basic.htm#hivaidsexposure

Conigrave, K. M., Hall, W. D., & Saunders, J. B. (1995). The AUDIT questionnaire: Choosing a cut-off score. Addictions, 90, 1349–1356.CrossRef

Cook, J. T., & Frank, D. A. (2008). Food security, poverty, and human development in the United States. Annals of the N Y Academy of Sciences, 1136, 193–209.CrossRef

Elliott, L. J., Blanchard, J. F., Beaudoin, C. M., Green, C. G., Nowicki, D. L., Matusko, P., et al. (2002). Geographical variations in the epidemiology of bacterial sexually transmitted infections in Manitoba, Canada. Sexually Transmitted Infectections, 78, i139–144.CrossRef

Franke, M. F., Murray, M. B., Munoz, M., Hernandez-Diaz, S., Sebastian, J. L., Atwood, S., et al. (2010). Food insufficiency is a risk factor for suboptimal antiretroviral therapy adherence among HIV-Infected adults in urban Peru. AIDS and Behavior, Published ahead of print, August 17, 2010.

Haberer, J. E., Kahane, J., Kigozi, I., Emenyonu, N., Hunt, P., Martin, J., et al. (2010). Real-time adherence monitoring for HIV antiretroviral therapy. AIDS and Behavior, 14, 1340–1346.PubMedCrossRef

Hall, H., Espinoza, L., Benbow, N., & Hu, Y. W. (2010). Epidemiology of HIV infection in large urban areas in the United States. PLoS ONE, 5, e12756.PubMedCrossRef

Heckman, T. G., & Carlson, B. (2007). A randomized clinical trial of two telephone-delivered, mental health interventions for HIV-infected persons in rural areas of the United States. AIDS and Behavior, 11, 5–14.PubMedCrossRef

Heckman, T. G., Somlai, A. M., Peters, J., Walker, J., Otto-Salaj, L., Galdabini, C. A., et al. (1998). Barriers to care among persons living with HIV/AIDS in urban and rural areas. AIDS Care, 10, 365–375.PubMedCrossRef

Heckman, T. G., Heckman, B. D., Kochman, A., Sikkema, K. J., Suhr, J., & Goodkin, K. (2002). Psychological symptoms among persons 50 years of age and older living with HIV disease. Aging and Mental Health, 6, 121–128.PubMedCrossRef

Heckman, B. D., Catz, S. L., Heckman, T. G., Miller, J. G., & Kalichman, S. C. (2004). Adherence to antiretroviral therapy in rural persons living with HIV disease in the United States. AIDS Care, 16, 219–230.PubMedCrossRef

Ivers, L. C., Cullen, K. A., Freedberg, K. A., Block, S., Coates, J., & Webb, P. (2009). HIV/AIDS, undernutrition, and food insecurity. Clinical Infectious Diseases, 49, 1096–1102.PubMedCrossRef

Ivers, L. C., Chang, Y., Jerome, J. G., & Freedberg, K. A. (2010). Food assistance is associated with improved body mass index, food security and attendance at clinic in an HIV program in central Haiti: A prospective observational cohort study. AIDS Resesearch and Therapy, 7(33).

Kalichman, S. C., Rompa, D., & Cage, M. (2000). Distinguishing between overlapping somatic symptoms of depression and HIV disease in people living with HIV-AIDS. Journal of Nervous and Mental Disorders, 188, 662–670.CrossRef

Kalichman, S. C., Amaral, C. M., Stearns, H. L., White, D., Flanagan, J. A., Pope, H., et al. (2007). Adherence to antiretroviral therapy assessed by unannounced pill counts conducted by telephone. Journal of General Internal Medicine, 22, 1003–1006.PubMedCrossRef

Kalichman, S. C., Amaral, C. M., Cherry, C., Flanagan, J. A., Pope, H., Eaton, L., et al. (2008). Monitoring antiretroviral adherence by unannounced pill counts conducted by telephone: Reliability and criterion-related validity. HIV Clinical Trials, 9, 298–308.PubMedCrossRef

Kalichman, S. C., Cherry, C., Amaral, C., White, D., Kalichman, M. O., Pope, H., et al. (2010). Health and treatment implications of food insufficiency among people living with HIV/AIDS, Atlanta, Georgia. Journal of Urban Health, 87, 631–641.PubMedCrossRef

Leaver, C. A., Bargh, G., Dunn, J. R., & Hwang, S. W. (2007). The effects of housing status on health-related outcomes in people living with HIV: A systematic review of the literature. AIDS and Behavior, 11, 85–100.PubMedCrossRef

Miller, C. L., Bangsberg, D. R., Tuller, D. M., Senkungu, J., Kawuma, A., Frongillo, E. A., et al. (2010). Food insecurity and sexual risk in an HIV endemic community in Uganda. AIDS and Behavior, Published online ahead of print, April 20, 2010.

Parienti, J. J., Das-Douglas, M., Massari, V., Guzman, D., Deeks, S. G., Verdon, R., et al. (2008). Not all missed doses are the same: Sustained NNRTI treatment interruptions predict HIV rebound at low-to-moderate adherence levels. PLoS ONE, 3, e2783.PubMedCrossRef

Piot, P., Greener, R., & Russell, S. (2007). Squaring the circle: AIDS, poverty, and human development. PLoS Med, 4, 1571–1575.PubMedCrossRef

Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef

Rosenblum, M., Deeks, S. G., van der Laan, M., & Bangsberg, D. R. (2009). The risk of virologic failure decreases with duration of HIV suppression, at greater than 50% adherence to antiretroviral therapy. PLoS ONE, 4, e7196.PubMedCrossRef

Schleihauf, E., Watkins, R. E., & Plant, A. J. (2009). Heterogeneity in the spatial distribution of bacterial sexually transmitted infections. Sexually Transmitted Infections, 85, 45–49.PubMedCrossRef

Stein, M. D., Herman, D. S., Bishop, D., Anderson, B. J., Trisvan, E., Lopez, R., et al. (2007). A telephone-based intervention for depression in HIV patients: Negative results from a randomized clinical trial. AIDS and Behavior, 11, 15–23.PubMedCrossRef

Vogenthaler, N. S., Hadley, C., Rodriguez, A. E., Valverde, E. E., Del Rio, C., & Metsch, L. R. (2010). Depressive symptoms and food insufficiency among HIV-infected crack users in Atlanta and Miami. AIDS and Behavior, Published online ahead of print, January 23, 2010.

Weiser, S. D., Leiter, K., Bangsberg, D. R., Butler, L. M., Percy-de Korte, F., Hlanze, Z., et al. (2007). Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Med, 4, 1589–1597. discussion 1598.PubMedCrossRef

Weiser, S. D., Bangsberg, D. R., Kegeles, S., Ragland, K., Kushel, M. B., & Frongillo, E. A. (2009a). Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. AIDSand Behavior, 13, 841–848.CrossRef

Weiser, S. D., Fernandes, K. A., Brandson, E. K., Lima, V. D., Anema, A., Bangsberg, D. R., et al. (2009b). The association between food insecurity and mortality among HIV-infected individuals on HAART. Journal of Acquired Immune Deficiency Syndromes, 52, 342–349.CrossRef

Weiser, S. D., Frongillo, E. A., Ragland, K., Hogg, R. S., Riley, E. D., & Bangsberg, D. R. (2009c). Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. Joural of General Internal Medicine, 24, 14–20.CrossRef

Titel: Food Insufficiency and Medication Adherence Among People Living with HIV/AIDS in Urban and Peri-Urban Settings
verfasst von: Seth C. Kalichman
Jennifer Pellowski
Moira O. Kalichman
Chauncey Cherry
Mervi Detorio
Angela M. Caliendo
Raymond F. Schinazi
Publikationsdatum: 01.09.2011
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe 3/2011
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-011-0222-9

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2011

The Effects of Priming on a Public Health Campaign Targeting Cardiovascular Risks

Effects of a Social-Emotional and Character Development Program on the Trajectory of Behaviors Associated with Social-Emotional and Character Development: Findings from Three Randomized Trials

Unintended Pregnancy and Perinatal Depression Trajectories in Low-Income, High-Risk Hispanic Immigrants

Earlier Age of Smoking Initiation May Not Predict Heavier Cigarette Consumption in Later Adolescence

The Prevention of Child and Adolescent Anxiety: A Meta-analytic Review

Effects of Communities That Care on the Adoption and Implementation Fidelity of Evidence-Based Prevention Programs in Communities: Results from a Randomized Controlled Trial