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Title Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya
Full text http://www.escholarship.org/uc/item/1hm16646
Date 2011
Author(s) Nagata, Jason M; Magerenge, Richard O; Young, Sera L; Oguta, Joel O; Weiser, Sheri D; Cohen, Craig R
Abstract Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sampling of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy (ART)). Respondents were eitherseverely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes.
Subject(s) Medicine and Health Sciences; Social and Behavioral Sciences; food insecurity; hunger; HIV/AIDS; anti-retroviral agents; social determinants; Kenya; sub-Saharan Africa
Coverage 728 - 736
Language english
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source Nagata, Jason M; Magerenge, Richard O; Young, Sera L; Oguta, Joel O; Weiser, Sheri D; & Cohen, Craig R. (2011). Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/1hm16646
Rights public
Identifier qt1hm16646
Repository Berkeley - University of California
Added to C-A: 2014-04-07;09:58:09