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Food Insecurity and Transmission Risks Among People with HIV Who Use Substances

Food insecurity (FI) impacts people with HIV (PWH) and those who use substances (i.e. drugs and alcohol). We evaluated the longitudinal association between FI and HIV transmission risks (unprotected sexual contacts and shared needles/syringes). Among 351 PWH who use substances in Russia, 51.6% repor...

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Autores principales: Idrisov, Bulat, Lunze, Karsten, Cheng, Debbie M., Blokhina, Elena, Gnatienko, Natalia, Patts, Gregory, Bridden, Carly, Rossi, Sarah L., Weiser, Sheri D., Krupitsky, Evgeny, Samet, Jeffrey H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859749/
https://www.ncbi.nlm.nih.gov/pubmed/36670209
http://dx.doi.org/10.1007/s10461-022-03965-2
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author Idrisov, Bulat
Lunze, Karsten
Cheng, Debbie M.
Blokhina, Elena
Gnatienko, Natalia
Patts, Gregory
Bridden, Carly
Rossi, Sarah L.
Weiser, Sheri D.
Krupitsky, Evgeny
Samet, Jeffrey H.
author_facet Idrisov, Bulat
Lunze, Karsten
Cheng, Debbie M.
Blokhina, Elena
Gnatienko, Natalia
Patts, Gregory
Bridden, Carly
Rossi, Sarah L.
Weiser, Sheri D.
Krupitsky, Evgeny
Samet, Jeffrey H.
author_sort Idrisov, Bulat
collection PubMed
description Food insecurity (FI) impacts people with HIV (PWH) and those who use substances (i.e. drugs and alcohol). We evaluated the longitudinal association between FI and HIV transmission risks (unprotected sexual contacts and shared needles/syringes). Among 351 PWH who use substances in Russia, 51.6% reported FI and 37.0% past month injection drug use. The mean number of unprotected sexual contacts in the past 90 days was 13.4 (SD 30.1); 9.7% reported sharing needles/syringes in the past month. We did not find a significant association between mild/moderate FI (adjusted IRR = 0.87, 95% CI 0.47, 1.61) or severe FI (aIRR = 0.84, 95% CI 0.46, 1.54; global p = 0.85) and unprotected sexual contacts. We observed a significant association between severe FI and sharing needles/syringes in the past month (adjusted OR = 3.27, 95% CI 1.45, 7.39; p = 0.004), but not between mild/moderate FI and sharing needles/syringes in the past month (aOR = 1.40,95% CI 0.58, 3.38; p = 0.45). These findings suggest that severe FI could be a potential target for interventions to lower HIV transmission.
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spelling pubmed-98597492023-01-23 Food Insecurity and Transmission Risks Among People with HIV Who Use Substances Idrisov, Bulat Lunze, Karsten Cheng, Debbie M. Blokhina, Elena Gnatienko, Natalia Patts, Gregory Bridden, Carly Rossi, Sarah L. Weiser, Sheri D. Krupitsky, Evgeny Samet, Jeffrey H. AIDS Behav Original Paper Food insecurity (FI) impacts people with HIV (PWH) and those who use substances (i.e. drugs and alcohol). We evaluated the longitudinal association between FI and HIV transmission risks (unprotected sexual contacts and shared needles/syringes). Among 351 PWH who use substances in Russia, 51.6% reported FI and 37.0% past month injection drug use. The mean number of unprotected sexual contacts in the past 90 days was 13.4 (SD 30.1); 9.7% reported sharing needles/syringes in the past month. We did not find a significant association between mild/moderate FI (adjusted IRR = 0.87, 95% CI 0.47, 1.61) or severe FI (aIRR = 0.84, 95% CI 0.46, 1.54; global p = 0.85) and unprotected sexual contacts. We observed a significant association between severe FI and sharing needles/syringes in the past month (adjusted OR = 3.27, 95% CI 1.45, 7.39; p = 0.004), but not between mild/moderate FI and sharing needles/syringes in the past month (aOR = 1.40,95% CI 0.58, 3.38; p = 0.45). These findings suggest that severe FI could be a potential target for interventions to lower HIV transmission. Springer US 2023-01-21 2023 /pmc/articles/PMC9859749/ /pubmed/36670209 http://dx.doi.org/10.1007/s10461-022-03965-2 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Idrisov, Bulat
Lunze, Karsten
Cheng, Debbie M.
Blokhina, Elena
Gnatienko, Natalia
Patts, Gregory
Bridden, Carly
Rossi, Sarah L.
Weiser, Sheri D.
Krupitsky, Evgeny
Samet, Jeffrey H.
Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
title Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
title_full Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
title_fullStr Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
title_full_unstemmed Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
title_short Food Insecurity and Transmission Risks Among People with HIV Who Use Substances
title_sort food insecurity and transmission risks among people with hiv who use substances
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859749/
https://www.ncbi.nlm.nih.gov/pubmed/36670209
http://dx.doi.org/10.1007/s10461-022-03965-2
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