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. 2017 Sep;38(9):927-944.
doi: 10.1080/07399332.2017.1337774. Epub 2017 Jun 6.

Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review

Elisabeth Chop  1 , Avani Duggaraju  1 , Angela Malley  1 , Virginia Burke  1 , Stephanie Caldas  1 , Ping Teresa Yeh  1 , Manjulaa Narasimhan  2 , Avni Amin  2 , Caitlin E Kennedy  1
Affiliations

Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review

Elisabeth Chop et al. Health Care Women Int. 2017 Sep.

Abstract

Gender inequalities shape the experience of food insecurity among women living with HIV (WLHIV). We systematically reviewed the impact of food insecurity on sexual risk behaviors and antiretroviral therapy (ART) adherence among WLHIV. We included qualitative or quantitative peer-reviewed articles, extracted data in duplicate, and assessed rigor. Seven studies, from sub-Saharan Africa, North America, and Europe, met inclusion criteria. Food insecurity was associated with increased sexual risk through transactional sex and inability to negotiate safer sex. Hunger and food insecurity were barriers to ART initiation/adherence. Multidimensional programming and policies should simultaneously address poverty, gender inequality, food insecurity, and HIV.

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Conflict of interest statement

Competing interests

The authors declare that they have no competing interests.

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