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Title Food insecurity, socioeconomic status, and HIV-related risk behavior among women in farming households in Tanzania.
Full text https://escholarship.org/uc/item/5c4454tr
Date 2014
Author(s) McCoy, Sandra I; Ralph, Lauren J; Njau, Prosper F; Msolla, Mbette Mshindo; Padian, Nancy S
Abstract Food insecurity (FI) is associated with higher-risk sexual behavior in some studies. However, the overlap between FI and socioeconomic status (SES) has been poorly described. The study objectives were to: (1) determine the relationship between household FI and four dimensions of SES among sexually active Tanzanian women in farming households: expenditures, assets, flooring material of the home, and land ownership; and (2) determine whether FI is associated with higher-risk sexual behavior and relationship power. In male-headed households, FI was associated with assets, flooring material, and land ownership but not expenditures. There was no association between FI and the four dimensions of SES in female-headed households. Among women in male-headed households, but not female household heads themselves, severe FI was associated with a non-significant increase in the likelihood of being in a relationship because of material goods [adjusted prevalence ratio (PRa) = 1.76, 95 % confidence interval (CI) 0.81, 3.81] and was inversely associated with being able to ask partners to use condoms (PRa = 0.47, 95 % CI 0.25, 0.88). There was not a strong association between food security and relationship power. Our findings suggest that the association between FI and HIV risk behavior may differ depending on the type of household.
Subject(s) Humans; HIV Infections; Risk Factors; Cross-Sectional Studies; Condoms; Risk-Taking; Sexual Behavior; Family Characteristics; Residence Characteristics; Socioeconomic Factors; Agriculture; Food Supply; Adult; Tanzania; Female; Surveys and Questionnaires; Power; Psychological; Behavioral and Social Science; HIV/AIDS; Prevention; Aetiology; 2.3 Psychological; social and economic factors; Zero Hunger; HIV prevention; Food security; Economic empowerment; Socioeconomic status; Women; Public Health and Health Services; Social Work; Public Health
Coverage 1224 - 1236
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS and behavior, vol 18, iss 7
Rights public
Identifier qt5c4454tr
Repository Berkeley - University of California
Added to C-A: 2023-05-08;09:16:36