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Review
. 2009 Nov;6(4):224-31.
doi: 10.1007/s11904-009-0030-z.

Food insecurity and HIV/AIDS: current knowledge, gaps, and research priorities

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Review

Food insecurity and HIV/AIDS: current knowledge, gaps, and research priorities

Aranka Anema et al. Curr HIV/AIDS Rep. 2009 Nov.

Abstract

Food insecurity and HIV/AIDS are intertwined in a vicious cycle that heightens vulnerability to, and worsens the severity of, each condition. We review current knowledge and research priorities regarding the impact of food insecurity on HIV transmission risk and clinical outcomes. Observational studies suggest that food insecurity is associated with increased HIV transmission risk behaviors and decreased access to HIV treatment and care. Among individuals receiving antiretroviral therapy (ART), food insecurity is associated with decreased ART adherence, reduced baseline CD4 cell count, incomplete virologic suppression, and decreased survival. Integration of food security interventions into HIV/AIDS treatment programs is essential to curtail the HIV/AIDS epidemic and improve health and quality of life among those infected. Longitudinal research applying validated measurement tools is needed to better understand the mechanisms through which food insecurity adversely impacts HIV transmission, treatment, and care. Research should compare the effectiveness of various food assistance and livelihood strategies.

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Conflict of interest statement

Disclosure

No potential conflicts of interest relevant to this article were reported.

References

    1. Joint United Nations Programme on HIV/AIDS (UNAIDS) [Accessed September 29, 2008];Report on the Global AIDS Epidemic. Available at http://www.unaids.org/en/KnowledgeCentre/HIVData/Global-Report/2008/
    1. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector. Progress Report. Geneva: World Health Organization; 2008.
    1. The State of Food Insecurity in the World: High Prices and Food Security--Threats and Opportunities. United Nations Food and Agriculture Organization; 2008.
    1. Health Canada: Office of Nutrition Policy and Promotion. [Accessed January 28, 2009];Income-Related Household Food Security in Canada. Report no. H164–42/2007E. Available at http://www.hc-sc.gc.ca/fn-an/surveill/nutrition/commun/income_food_sec-s....
    1. Nord M, Andrews M, Carlson S. Household food security in the United States, 2007. Economic Research Report No. (ERR-66) 65. Washington, DC: United States Department of Agriculture; 2008.

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