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Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV
- Source :
- AIDS and Behavior. 19:1548-1558
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Food insecurity (FI) and its link with depression and quality of life (QOL) among people living with HIV (PLHIV) in India are not well-documented. We analyzed cohort data from 243 male and 129 female PLHIV from Bengaluru, and found 19 % of men and 26 % of women reported moderate or severe FI over a 6-month period. Women reported higher mean depression than men, and lower mean QOL. In multivariate analyses adjusting for HIV stigma and demographic covariates, both male and female PLHIV with moderate to severe FI showed lower mean QOL than those reporting mild to no FI. Male but not female food insecure participants also had higher depression scores in adjusted regression analyses. As ART has improved the physical health of PLHIV, more effort is being invested in improving their psychological well-being. Our results suggest such interventions could benefit from including nutritional support to reduce FI among PLHIV. Entre las personas que viven con el VIH en India, no se ha documentado bien la inseguridad alimentaria y su conexion con la depresion y la calidad de vida. Se analizaron datos de un cohorte de 243 hombres y 129 mujeres que viven con el VIH en Bengaluru, y se descubrieron que durante un periodo de seis meses, 19 % de los hombres y 26 % de las mujures reportaron inseguridad alimentario. Las mujeres reportaron una media de depresion mas alta que la reportado por los hombres, y una media de calidad de vida mas baja. Analisis multivariado, ajustado por el estigma y por covariables demograficos, demostro que personas que viven con el VIH – tanto hombres como mujeres – con moderada a severa inseguridad alimentaria mostraron menor calidad de vida que aquellos que se reportaron leves. Los masculinos tambien tuvieron altos niveles de depresion en analisis de regresion ajustada. Como la terapia antirretroviral ha mejorado la salud fisica de las personas que viven con el VIH, mas esfuerzos estan siendo invertidos en mejorar el bienestar sicologico. Nuestros resultados sugieren que tales intervenciones podrian beneficiar al incluir apoyo nutricional para reducir la inseguridad alimentaria entre personas que viven con el VIH.
- Subjects :
- Adult
Male
Gerontology
Social Psychology
Research methodology
Social Stigma
Population
Human immunodeficiency virus (HIV)
India
HIV Infections
medicine.disease_cause
Article
Food Supply
Sex factors
Food supply
Humans
Medicine
education
Poverty
education.field_of_study
Depression
business.industry
Public Health, Environmental and Occupational Health
Social Support
Middle Aged
Antiretroviral therapy
Food insecurity
Cross-Sectional Studies
Infectious Diseases
Psychological well-being
Multivariate Analysis
Quality of Life
Female
business
Humanities
Subjects
Details
- ISSN :
- 15733254 and 10907165
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- AIDS and Behavior
- Accession number :
- edsair.doi.dedup.....8107d8818f420b8be92c270a96436579