. 2022 Mar;26(3):739-751.

doi: 10.1007/s10461-021-03433-3. Epub 2021 Aug 13.

Differences in COVID-19 Preventive Behavior and Food Insecurity by HIV Status in Nigeria

Morenike Oluwatoyin Folayan^{1

2}, Olanrewaju Ibigbami³, Brandon Brown^{4

5}, Maha El Tantawi^{4

6}, Benjamin Uzochukwu^{4

7}, Oliver C Ezechi^{4

8}, Nourhan M Aly^{4

6}, Giuliana Florencia Abeldaño^{4

9}, Eshrat Ara^{4

10}, Martin Amogre Ayanore^{4

11}, Oluwagbemiga O Ayoola^{4

12}, Bamidele Emmanuel Osamika^{4

13}, Passent Ellakany^{4

14}, Balgis Gaffar^{4

15}, Ifeoma Idigbe^{4

8}, Anthonia Omotola Ishabiyi^{4

16}, Mohammed Jafer^{4

17}, Abeedha Tu-Allah Khan^{4

18}, Zumama Khalid^{4

19}, Folake Barakat Lawal^{4

20}, Joanne Lusher^{4

21}, Ntombifuthi P Nzimande^{4

22}, Bamidele Olubukola Popoola^{4

23}, Mir Faeq Ali Quadri^{4

24}, Maher Rashwan^{4

25

26}, Mark Roque^{4

27}, Anas Shamala^{4

28}, Ala'a B Al-Tammemi^{4

29}, Muhammad Abrar Yousaf^{4

30}, Roberto Ariel Abeldaño Zuñiga^{4

31}, Joseph Chukwudi Okeibunor^{4

32}, Annie Lu Nguyen^{4

33}

Affiliations

¹ Mental Health and Wellness Study Group, Ile-Ife, Nigeria. toyinukpong@yahoo.co.uk.
² Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria. toyinukpong@yahoo.co.uk.
³ Department of Mental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
⁴ Mental Health and Wellness Study Group, Ile-Ife, Nigeria.
⁵ Department of Social Medicine, Population and Public Health, Center for Healthy Communities, UCR School of Medicine, Riverside, CA, USA.
⁶ Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
⁷ Department of Community Medicine, University of Nigeria Nsukka (Enugu Campus), Nsukka, Nigeria.
⁸ Department of Clinical Sciences, Nigerian Institute of Medical Research, Lagos, Nigeria.
⁹ School of Medicine, University of Sierra Sur, Oaxaca, Mexico.
¹⁰ Department of Psychology, Government College for Women, Moulana Azad Road, Srinagar, Kashmir (J&K), 190001, India.
¹¹ Department of Health Policy Planning and Management, University of Health and Allied Sciences, Ho, Ghana.
¹² Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
¹³ Department of Psychology, Lead City University, Ibadan, Nigeria.
¹⁴ Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
¹⁵ Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
¹⁶ Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
¹⁷ Department of Health Promotion, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, The Netherlands.
¹⁸ School of Biological Sciences, University of the Punjab, Quaid-i-Azam Campus, Lahore, 54590, Pakistan.
¹⁹ School of Biological Sciences, University of the Punjab, Lahore, 54590, Pakistan.
²⁰ Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
²¹ School of Health and Life Sciences, University of the West of Scotland, London, UK.
²² Department of Economic and Human Geography, University of Szeged, Szeged, 6722, Hungary.
²³ Department of Child Oral Health, University of Ibadan, Ibadan, Nigeria.
²⁴ Department of Preventive Dental Sciences, Jazan University, Jizan, Saudi Arabia.
²⁵ Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London, E1 4NS, UK.
²⁶ Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
²⁷ Maternity & Childhood Department, College of Nursing, Taibah University, Madinah, 42356, Kingdom of Saudi Arabia.
²⁸ Department of Preventive and Biomedical Science, College of Dentistry, University of Science & Technology, Sanaa, Yemen.
²⁹ Department of Family and Occupational Medicine, Faculty of Medicine, Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary.
³⁰ Institute of Zoology, University of the Punjab, Quaid-i-Azam Campus, Lahore, 54590, Pakistan.
³¹ Postgraduate Department, University of Sierra Sur, Oaxaca, Mexico.
³² World Health Organisation, AFRO, Addis Ababa, Ethiopia.
³³ Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

PMID: 34387776
PMCID: PMC8360820
DOI: 10.1007/s10461-021-03433-3

Differences in COVID-19 Preventive Behavior and Food Insecurity by HIV Status in Nigeria

Morenike Oluwatoyin Folayan et al. AIDS Behav. 2022 Mar.

. 2022 Mar;26(3):739-751.

doi: 10.1007/s10461-021-03433-3. Epub 2021 Aug 13.

Authors

Affiliations

¹ Mental Health and Wellness Study Group, Ile-Ife, Nigeria. toyinukpong@yahoo.co.uk.
² Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria. toyinukpong@yahoo.co.uk.
³ Department of Mental Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
⁴ Mental Health and Wellness Study Group, Ile-Ife, Nigeria.
⁵ Department of Social Medicine, Population and Public Health, Center for Healthy Communities, UCR School of Medicine, Riverside, CA, USA.
⁶ Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
⁷ Department of Community Medicine, University of Nigeria Nsukka (Enugu Campus), Nsukka, Nigeria.
⁸ Department of Clinical Sciences, Nigerian Institute of Medical Research, Lagos, Nigeria.
⁹ School of Medicine, University of Sierra Sur, Oaxaca, Mexico.
¹⁰ Department of Psychology, Government College for Women, Moulana Azad Road, Srinagar, Kashmir (J&K), 190001, India.
¹¹ Department of Health Policy Planning and Management, University of Health and Allied Sciences, Ho, Ghana.
¹² Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
¹³ Department of Psychology, Lead City University, Ibadan, Nigeria.
¹⁴ Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
¹⁵ Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
¹⁶ Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
¹⁷ Department of Health Promotion, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, The Netherlands.
¹⁸ School of Biological Sciences, University of the Punjab, Quaid-i-Azam Campus, Lahore, 54590, Pakistan.
¹⁹ School of Biological Sciences, University of the Punjab, Lahore, 54590, Pakistan.
²⁰ Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
²¹ School of Health and Life Sciences, University of the West of Scotland, London, UK.
²² Department of Economic and Human Geography, University of Szeged, Szeged, 6722, Hungary.
²³ Department of Child Oral Health, University of Ibadan, Ibadan, Nigeria.
²⁴ Department of Preventive Dental Sciences, Jazan University, Jizan, Saudi Arabia.
²⁵ Centre for Oral Bioengineering, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London, E1 4NS, UK.
²⁶ Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
²⁷ Maternity & Childhood Department, College of Nursing, Taibah University, Madinah, 42356, Kingdom of Saudi Arabia.
²⁸ Department of Preventive and Biomedical Science, College of Dentistry, University of Science & Technology, Sanaa, Yemen.
²⁹ Department of Family and Occupational Medicine, Faculty of Medicine, Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary.
³⁰ Institute of Zoology, University of the Punjab, Quaid-i-Azam Campus, Lahore, 54590, Pakistan.
³¹ Postgraduate Department, University of Sierra Sur, Oaxaca, Mexico.
³² World Health Organisation, AFRO, Addis Ababa, Ethiopia.
³³ Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

PMID: 34387776
PMCID: PMC8360820
DOI: 10.1007/s10461-021-03433-3

Abstract

The aim of the study was to assess if there were significant differences in the adoption of COVID-19 risk preventive behaviors and experience of food insecurity by people living with and without HIV in Nigeria. This was a cross-sectional study that recruited a convenience sample of 4471 (20.5% HIV positive) adults in Nigeria. Binary logistic regression analysis was conducted to test the associations between the explanatory variable (HIV positive and non-positive status) and the outcome variables-COVID-19 related behavior changes (physical distancing, isolation/quarantine, working remotely) and food insecurity (hungry but did not eat, cut the size of meals/skip meals) controlling for age, sex at birth, COVID-19 status, and medical status of respondents. Significantly fewer people living with HIV (PLWH) reported a positive COVID-19 test result; and had lower odds of practicing COVID-19 risk preventive behaviors. In comparison with those living without HIV, PLWH had higher odds of cutting meal sizes as a food security measure (AOR: 3.18; 95% CI 2.60-3.88) and lower odds of being hungry and not eating (AOR: 0.24; 95% CI 0.20-0.30). In conclusion, associations between HIV status, COVID-19 preventive behaviors and food security are highly complex and warrant further in-depth to unravel the incongruities identified.

Keywords: COVID-19; Food security; HIV; Health behavior; Pandemic.

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Conflict of interest statement

The authors declare no conflict of interest.

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Differences in COVID-19 Preventive Behavior and Food Insecurity by HIV Status in Nigeria

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Differences in COVID-19 Preventive Behavior and Food Insecurity by HIV Status in Nigeria

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