Alcohol Use and Food Insecurity Among People Living with HIV in Mbarara,Uganda and St. Petersburg,Russia |
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| Authors: | Gregory J. Patts Debbie M. Cheng Nneka Emenyonu Carly Bridden Natalia Gnatienko Christine A. Lloyd-Travaglini Christine Ngabirano Tatiana Yaroslavtseva Winnie R. Muyindike Sheri D. Weiser Evgeny M. Krupitsky Judith A. Hahn Jeffrey H. Samet |
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| Affiliation: | 1.Data Coordinating Center,Boston University School of Public Health,Boston,USA;2.Department of Biostatistics,Boston University School of Public Health,Boston,USA;3.Division of HIV, Infectious Disease and Global Medicine, Department of Medicine,UCSF,San Francisco,USA;4.Section of General Internal Medicine, Clinical Addiction Research and Education Unit,Boston Medical Center,Boston,USA;5.Department of Internal Medicine,Mbarara University of Science and Technology,Mbarara,Uganda;6.Laboratory of Clinical Pharmacology of Addictions,First St. Petersburg Pavlov State Medical University,St. Petersburg,Russia;7.Department of Addictions,Bekhterev Research Psychoneurological Institute,St. Petersburg,Russia;8.Department of Medicine,Boston University School of Medicine,Boston,USA;9.Community Health Sciences,Boston University School of Public Health,Boston,USA |
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| Abstract: | Food insecurity (FI) is a documented problem associated with adverse health outcomes among HIV-infected populations. Little is known about the relationship between alcohol use and FI. We assessed whether heavy alcohol use was associated with FI among HIV-infected, antiretroviral therapy (ART)-naïve cohorts in Uganda and Russia. Inverse probability of treatment weighted logistic regression models were used to evaluate the association using cross-sectional baseline data. FI was experienced by half of the Russia cohort (52 %) and by a large majority of the Uganda cohort (84 %). We did not detect an association between heavy alcohol use and FI in either cohort (Russia: AOR = 0.80, 95 % CI 0.46, 1.40; Uganda: AOR = 1.00, 95 % CI 0.57, 1.74) or based on the overall combined estimate (AOR = 0.89, 95 % CI 0.60, 1.33). Future studies should explore the determinants of FI in HIV-infected populations to inform strategies for its mitigation. |
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