Alexander C. Tsai|David R. Bangsberg|Nneka Emenyonu|Jude Senkungu|Jeffrey N. Martin|Sheri D. Weiser
The social context of food insecurity among persons living with HIV/AIDS in rural Uganda
Robert Wood Johnson Foundation|Harvard University|Harvard University|Brigham and Women's Hospital|Ragon Institute of MGH, MIT and Harvard|Center for Global Health|Massachusetts General Hospital|Harvard Global Health Institute|Mbarara University of Science and Technology|University of North Carolina at Chapel Hill|Mbarara University of Science and Technology|University of California, San Francisco|San Francisco AIDS Foundation
hivaids food insecurity two leading causes morbidity mortality subsaharan africa heightening vulnerability worsening severity less research focused social determinants food insecurity resourcelimited settings including social support hivrelated stigma study analyzed data cohort 456 persons uganda aids rural treatment outcomes study ongoing prospective cohort persons living hivaids plwha initiating hiv antiretroviral therapy mbarara uganda quarterly data collected structured interviews primary outcome food insecurity measured household food insecurity access scale key covariates interest included social support internalized hivrelated stigma hivrelated enacted stigma disclosure hiv serostatus severe food insecurity highly prevalent overall 38 prevalent among women among men social support hiv disclosure internalized hivrelated stigma associated food insecurity associations persisted adjusting household wealth employment status previously identified correlates food insecurity adverse effects internalized stigma persisted lagged specification beneficial effect social support persisted inclusion fixed effects international organizations increasingly advocated addressing food insecurity part hivaids programming improve morbidity mortality study provides quantitative evidence social determinants food insecurity among plwha resourcelimited settings suggests points intervention findings also indicate structural interventions improve social support andor decrease hivrelated stigma may also improve food security plwha