The social context of food insecurity among persons living with HIV/AIDS in rural Uganda

Social Science and Medicine

Volumn 73, Issue 12, 2011, Pages 1717-1724

  Tsai, Alexander C ^a   Bangsberg, David R ^b,c,d,e,f,g   Emenyonu, Nneka ^h   Senkungu, Jude K ^e   Martin, Jeffrey N ⁱ   Weiser, Sheri D ⁱ  

^a HARVARD UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c Harvard Initiative for Global Health   (United States)

^d MASSACHUSETTS GENERAL HOSPITAL   (United States)

^e MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Uganda)

^f MASSACHUSETTS INSTITUTE OF TECHNOLOGY   (United States)

^g BRIGHAM AND WOMEN S HOSPITAL   (United States)

^h IL   (United States)

ⁱ UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Food security; HIV AIDS; International health; Social support; Stigma; Uganda

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; COHORT ANALYSIS; DISEASE PREVALENCE; FOOD SECURITY; GENDER ISSUE; HEALTH STATUS; HUMAN IMMUNODEFICIENCY VIRUS; MORBIDITY; MORTALITY; RURAL SOCIETY; SOCIAL IMPACT;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADULT; AIDS PATIENT; ARTICLE; ATTITUDE TO AIDS; COHORT ANALYSIS; EDUCATIONAL STATUS; FEMALE; FOOD AVAILABILITY; FOOD SECURITY; HEALTH STATUS; HIGHLY ACTIVE ANTIRETROVIRAL THERAPY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; INCOME; INTERPERSONAL COMMUNICATION; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PROSPECTIVE STUDY; PUBLIC HEALTH; RURAL AREA; SEASONAL VARIATION; SEX DIFFERENCE; SOCIAL ENVIRONMENT; SOCIAL STATUS; SOCIAL STIGMA; SOCIAL SUPPORT; UGANDA; UNEMPLOYMENT;

ADULT; FEMALE; FOOD SUPPLY; HIV LONG-TERM SURVIVORS; HUMANS; MALE; QUESTIONNAIRES; RURAL POPULATION; SOCIAL SUPPORT; UGANDA;

MBARARA; SOUTHERN PROVINCE [UGANDA]; UGANDA;

EID: 81555202514     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2011.09.026     Document Type: Article

References (95)

1. Abadia-Barrero C.E., Castro A. Experiences of stigma and access to HAART in children and adolescents living with HIV/AIDS in Brazil. Social Science & Medicine 2006, 62(5):1219-1228.
2. Alaimo K., Briefel R.R., Frongillo E.A., Olson C.M. Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). American Journal of Public Health 1998, 88(3):419-426.
3. Anderson S.A. Core indicators of nutritional state for difficult-to-sample populations. Journal of Nutrition 1990, 120(11):1559-1600.
4. Anema A., Vogenthaler N., Frongillo E.A., Kadiyala S., Weiser S.D. Food insecurity and HIV/AIDS: current knowledge, gaps, and research priorities. Current HIV/AIDS Reports 2009, 6(4):224-231.
5. Anema A., Weiser S.D., Fernandes K.A., Ding E., Brandson E.K., Palmer A., et al. High prevalence of food insecurity among HIV-infected individuals receiving HAART in a resource-rich setting. AIDS Care 2011, 23(2):221-230.
6. Antelman G., Smith Fawzi M.C., Kaaya S., Mbwambo J., Msamanga G.I., Hunter D.J., et al. Predictors of HIV-1 serostatus disclosure: a prospective study among HIV-infected pregnant women in Dar es Salaam, Tanzania. AIDS 2001, 15(14):1865-1874.
7. Ashburn K., Kerrigan D., Sweat M. Micro-credit, women's groups, control of own money: HIV-related negotiation among partnered Dominican women. AIDS and Behavior 2008, 12(3):396-403.
8. Bangsberg D.R., Deeks S.G. Spending more to save more: interventions to promote adherence. Annals of Internal Medicine 2010, 152(1):54-56.
9. Behrman J. Intrahousehold allocation of nutrients in rural India: are boys favored? Do parents exhibit inequality aversion?. Oxford Economic Papers 1988, 40(1):32-54.
10. Berkman L.F. Assessing the physical health effects of social networks and social support. Annual Review of Public Health 1984, 5:413-432.
11. Berkman L.F., Glass T., Brissette I., Seeman T.E. From social integration to health: Durkheim in the new millennium. Social Science & Medicine 2000, 51(6):843-857.
12. Berkman L.F., Syme S.L. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. American Journal of Epidemiology 1979, 109(2):186-204.
13. Braitstein P., Boulle A., Nash D., Brinkhof M.W., Dabis F., Laurent C., et al. Gender and the use of antiretroviral treatment in resource-constrained settings: findings from a multicenter collaboration. Journal of Womens Health (Larchmt) 2008, 17(1):47-55.
14. Broadhead W.E., Gehlbach S.H., de Gruy F.V., Kaplan B.H. The Duke-UNC functional social support questionnaire. Measurement of social support in family medicine patients. Medical Care 1988, 26(7):709-723.
15. Broadhead W.E., Kaplan B.H., James S.A., Wagner E.H., Schoenbach V.J., Grimson R., et al. The epidemiologic evidence for a relationship between social support and health. American Journal of Epidemiology 1983, 117(5):521-537.
16. Bukusuba J., Kikafunda J.K., Whitehead R.G. Food security status in households of people living with HIV/AIDS (PLWHA) in a Ugandan urban setting. British Journal of Nutrition 2007, 98(1):211-217.
17. Bush K., Kivlahan D.R., McDonell M.B., Fihn S.D., Bradley K.A. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol use disorders identification test. Archives of Internal Medicine 1998, 158(16):1789-1795.
18. Campbell C.C. Food insecurity: a nutritional outcome or a predictor variable?. Journal of Nutrition 1991, 121(3):408-415.
19. Carter M.R., Maluccio J.A. Social capital and coping with economic shocks: an analysis of stunting of South African children. World Development 2003, 31(7):1147-1163.
20. Chapoto A., Jayne T.S. Impact of AIDS-related mortality on farm household welfare in Zambia. Economic Development and Cultural Change 2008, 56(2):327-374.
21. Coates J., Swindale A., Bilinsky P. Household Food Insecurity Access Scale (HFIAS) for measurement of food access: Indicator guide 2006, Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington, D.C.
22. Crane J.T., Kawuma A., Oyugi J.H., Byakika J.T., Moss A., Bourgois P., et al. The price of adherence: qualitative findings from HIV positive individuals purchasing fixed-dose combination generic HIV antiretroviral therapy in Kampala, Uganda. AIDS and Behavior 2006, 10(4):437-442.
23. Daniel H. We are all people living with AIDS: myths and realities of AIDS in Brazil. International Journal of Health Services 1991, 21(3):539-551.
24. Danziger R. The social impact of HIV/AIDS in developing countries. Social Science & Medicine 1994, 39(7):905-917.
25. Dean W.R., Sharkey J.R. Food insecurity, social capital and perceived personal disparity in a predominantly rural region of Texas: an individual-level analysis. Social Science & Medicine 2011, 72(9):1454-1462.
26. Dercon S., Krishnan P. In sickness and in health: risk sharing within households in rural Ethiopia. Journal of Political Economy 2000, 108(4):688-727.
27. Ehiri J.E., Anyanwu E.C., Donath E., Kanu I., Jolly P.E. AIDS-related stigma in sub-Saharan Africa: its contexts and potential intervention strategies. AIDS & Public Policy Journal 2005, 20(1-2):25-39.
28. Food and Agriculture Organization of the United Nations The state of food insecurity in the world: Addressing food insecurity in protracted crises 2010, Food and Agriculture Organization of the United Nations, Rome.
29. Feigenberg B., Field E.M., Pande R. Building social capital through microfinance 2010, National Bureau of Economic Research Working Paper No. 16018, National Bureau of Economic Research, Cambridge.
30. la Ferrara E. Kin groups and reciprocity: a model of credit transactions in Ghana. American Economic Review 2003, 93(5):1730-1751.
31. Filmer D., Pritchett L.H. Estimating wealth effects without expenditure data - or tears: an application to educational enrollments in states of India. Demography 2001, 38(1):115-132.
32. Froot K.A. Consistent covariance matrix estimation with cross-sectional dependence and heteroskedasticity in financial data. Journal of Financial and Quantitative Analysis 1989, 24(3):333-355.
33. Garasky S., Morton L.W., Greder K.A. The effects of the local food environment and social support on rural food insecurity. Journal of Hunger & Environmental Nutrition 2006, 1(1):83-103.
34. Genberg B.L., Hlavka Z., Konda K.A., Maman S., Chariyalertsak S., Chingono A., et al. A comparison of HIV/AIDS-related stigma in four countries: negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS. Social Science & Medicine 2009, 68(12):2279-2287.
35. Genberg B.L., Kawichai S., Chingono A., Sendah M., Chariyalertsak S., Konda K.A., et al. Assessing HIV/AIDS stigma and discrimination in developing countries. AIDS and Behavior 2008, 12(5):772-780.
36. Geng E.H., Bwana M.B., Kabakyenga J., Muyindike W., Emenyonu N.I., Musinguzi N., et al. Diminishing availability of publicly funded slots for antiretroviral initiation among HIV-infected ART-eligible patients in Uganda. PLoS One 2010, 5(11):e14098.
37. Hadley C., Mulder M.B., Fitzherbert E. Seasonal food insecurity and perceived social support in rural Tanzania. Public Health Nutrition 2007, 10(6):544-551.
38. Heflin C.M., Corcoran M.E., Siefert K.A. Work trajectories, income changes, and food insufficiency in a Michigan welfare population. Social Service Review 2007, 81(1):3-25.
39. Heumann, N. (2010). Soziale netzwerke südafrikanischer farmarbeiter im kontext von nahrungs und existenzsicherheit: ein methoden-mix mit gender aspekten. Unpublished Ph.D. dissertation. Gießen: Fachbereiches Agrarwissenschaften, ökotrophologie und Umweltmanagement, Justus-Liebig-Universität.
40. Hosegood V., Preston-Whyte E., Busza J., Moitse S., Timaeus I.M. Revealing the full extent of households' experiences of HIV and AIDS in rural South Africa. Social Science & Medicine 2007, 65(6):1249-1259.
41. Kalichman S.C., Simbayi L.C., Cloete A., Mthembu P.P., Mkhonta R.N., Ginindza T. Measuring AIDS stigmas in people living with HIV/AIDS: the internalized AIDS-Related stigma scale. AIDS Care 2009, 21(1):87-93.
42. Kalichman S.C., Simbayi L.C., Jooste S., Toefy Y., Cain D., Cherry C., et al. Development of a brief scale to measure AIDS-related stigma in South Africa. AIDS and Behavior 2005, 9(2):135-143.
43. Kaschula S. Using people to cope with hunger: social networks and food transfers amongst HIV/AIDS afflicted households in KwaZulu-Natal, South Africa. AIDS and Behavior 2011, 15(7):1490-1502.
44. Kawachi I. Social capital and community effects on population and individual health. Annals of the New York Academy of Sciences 1999, 896:120-130.
45. Kawachi I., Kim D., Coutts A., Subramanian S.V. Commentary: reconciling the three accounts of social capital. International Journal of Epidemiology 2004, 33(4):682-690. discussion 700-684.
46. Lee J.S., Frongillo E.A. Factors associated with food insecurity among U.S. elderly persons: importance of functional impairments. The Journals of Gerontology: Series B Psychological Sciences and Social Sciences 2001, 56(2):S94-S99.
47. Locher J.L., Ritchie C.S., Roth D.L., Baker P.S., Bodner E.V., Allman R.M. Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences. Social Science & Medicine 2005, 60(4):747-761.
48. Maes K.C., Hadley C., Tesfaye F., Shifferaw S. Food insecurity and mental health: surprising trends among community health volunteers in Addis Ababa, Ethiopia during the 2008 food crisis. Social Science & Medicine 2010, 70(9):1450-1457.
49. Mak W.W., Cheung R.Y., Law R.W., Woo J., Li P.C., Chung R.W. Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS. Social Science & Medicine 2007, 64(8):1549-1559.
50. Martin K.S., Rogers B.L., Cook J.T., Joseph H.M. Social capital is associated with decreased risk of hunger. Social Science & Medicine 2004, 58(12):2645-2654.
51. Masanjala W. The poverty-HIV/AIDS nexus in Africa: a livelihood approach. Social Science & Medicine 2007, 64(5):1032-1041.
52. McGrath J.W., Ankrah E.M., Schumann D.A., Nkumbi S., Lubega M. AIDS and the urban family: its impact in Kampala, Uganda. AIDS Care 1993, 5(1):55-70.
53. Miller C.L., Bangsberg D.R., Tuller D.M., Senkungu J., Kawuma A., Frongillo E.A., et al. Food insecurity and sexual risk in an HIV endemic community in Uganda. AIDS and Behavior 2011, 15(7):1512-1519.
54. Muula A.S., Ngulube T.J., Siziya S., Makupe C.M., Umar E., Prozesky H.W., et al. Gender distribution of adult patients on highly active antiretroviral therapy (HAART) in Southern Africa: a systematic review. BMC Public Health 2007, 7:63.
55. Muyinda H., Seeley J., Pickering H., Barton T. Social aspects of AIDS-related stigma in rural Uganda. Health Place 1997, 3(3):143-147.
56. Nelson K., Brown M.E., Lurie N. Hunger in an adult patient population. JAMA 1998, 279(15):1211-1214.
57. Normen L., Chan K., Braitstein P., Anema A., Bondy G., Montaner J.S., et al. Food insecurity and hunger are prevalent among HIV-positive individuals in British Columbia, Canada. Journal of Nutrition 2005, 135(4):820-825.
58. Nyblade L., MacQuarrie K. Can we measure HIV/AIDS-related stigma and discrimination? Current knowledge about quantifying stigma in developing countries 2006, U.S. Agency for International Development, Washington, D.C.
59. Okoror T.A., Airhihenbuwa C.O., Zungu M., Makofani D., Brown D.C., Iwelunmor J. "My mother told me I must not cook anymore" -food, culture, and the context of HIV- and AIDS-related stigma in three communities in South Africa. International Quarterly of Community Health Education 2007, 28(3):201-213.
60. Pandit J.A., Sirotin N., Tittle R., Onjolo E., Bukusi E.A., Cohen C.R. Shamba Maisha: a pilot study assessing impacts of a micro-irrigation intervention on the health and economic wellbeing of HIV patients. BMC Public Health 2010, 10:245.
61. Pronyk P.M., Harpham T., Busza J., Phetla G., Morison L.A., Hargreaves J.R., et al. Can social capital be intentionally generated? A randomized trial from rural South Africa. Social Science & Medicine 2008, 67(10):1559-1570.
62. Putnam R.D. Commentary: "Health by association": some comments. International Journal of Epidemiology 2004, 33(4):667-671. discussion 700-664.
63. Radimer K.L., Olson C.M., Campbell C.C. Development of indicators to assess hunger. Journal of Nutrition 1990, 120(Suppl. 11):1544-1548.
64. Radimer K.L., Olson C.M., Greene J.C., Campbell C.C., Habicht J.P. Understanding hunger and developing indicators to assess it in women and children. Journal of Nutrition Education and Behavior 1992, 24(Suppl. 1):36S-45S.
65. Rogers W.H. Regression standard errors in clustered samples. Stata Technical Bulletin 1993, 13:19-23.
66. Rose D. Economic determinants and dietary consequences of food insecurity in the United States. Journal of Nutrition 1999, 129(2S Suppl.):517S-520S.
67. Rose E. Consumption smoothing and excess female mortality in rural India. Review of Economics and Statistics 1999, 81(1):41-49.
68. Rose D., Gundersen C., Oliveira V. Socio-economic determinants of food insecurity in the United States: Evidence from the SIPP and CSFII datasets 1998, Technical Bulletin No. 1869, Food and Rural Economics Division, Economic Research Service, U.S. Department of Agriculture, Washington, D.C.
69. Sanyal P. From credit to collective action: the role of microfinance in promoting women's social capital and normative influence. American Sociological Review 2009, 74(4):529-550.
70. Simbayi L.C., Kalichman S., Strebel A., Cloete A., Henda N., Mqeketo A. Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social Science & Medicine 2007, 64(9):1823-1831.
71. Steward W.T., Herek G.M., Ramakrishna J., Bharat S., Chandy S., Wrubel J., et al. HIV-related stigma: adapting a theoretical framework for use in India. Social Science & Medicine 2008, 67(8):1225-1235.
72. Stringer E.M., Stringer J.S., Cliver S.P., Goldenberg R.L., Goepfert A.R. Evaluation of a new testing policy for human immunodeficiency virus to improve screening rates. Obstetrics & Gynecology 2001, 98(6):1104-1108.
73. Szreter S., Woolcock M. Health by association? Social capital, social theory, and the political economy of public health. International Journal of Epidemiology 2004, 33(4):650-667.
74. Tirivayi N., Groot W. Health and welfare effects of integrating AIDS treatment with food assistance in resource constrained settings: a systematic review of theory and evidence. Social Science & Medicine 2011, 73(5):685-692.
75. Tsai A.C., Bangsberg D.R. The importance of social ties in sustaining medication adherence in resource-limited settings. Journal of General Internal Medicine 2011, (Epub ahead of print Aug 31).
76. Uganda Ministry of Health Uganda HIV/AIDS sero-behavioural survey, 2004-2005 2006, Uganda Ministry of Health and ORC/Macro, Kampala, Uganda.
77. UNAIDS HIV, food security, and nutrition 2008, Joint United Nations Programme on HIV/AIDS, Geneva.
78. UNAIDS Global report: UNAIDS report on the global AIDS epidemic 2010, Joint United Nations Programme on HIV/AIDS, Geneva.
79. Vogenthaler N.S., Hadley C., Lewis S.J., Rodriguez A.E., Metsch L.R., del Rio C. Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami. Public Health Nutrition 2010, 13(9):1478-1484.
80. Ware N.C., Idoko J., Kaaya S., Biraro I.A., Wyatt M.A., Agbaji O., et al. Explaining adherence success in sub-Saharan Africa: an ethnographic study. PLoS Medicine 2009, 6(1):e11.
81. de Weerdt J., Dercon S. Risk-sharing networks and insurance against illness. Journal of Development Economics 2006, 81(2):337-356.
82. Weiser S.D., Bangsberg D.R., Kegeles S., Ragland K., Kushel M.B., Frongillo E.A. Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. AIDS and Behavior 2009, 13(5):841-848.
83. Weiser S.D., Fernandes K.A., Brandson E.K., Lima V.D., Anema A., Bangsberg D.R., et al. The association between food insecurity and mortality among HIV-infected individuals on HAART. Journal of Acquired Immune Deficiency Syndromes 2009, 52(3):342-349.
84. Weiser S.D., Frongillo E.A., Ragland K., Hogg R.S., Riley E.D., Bangsberg D.R. Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. Journal of General Internal Medicine 2009, 24(1):14-20.
85. Weiser S.D., Leiter K., Bangsberg D.R., Butler L.M., Percy-de Korte F., Hlanze Z., et al. Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Medicine 2007, 4(10):1589-1597. discussion 1598.
86. Weiser S.D., Tsai A.C., Gupta R., Frongillo E.A., Kawuma A., Senkungu J.K., et al. Food insecurity is associated with morbidity and patterns of healthcare utilization among HIV-infected individuals in rural Uganda. AIDS 2011, (Epub ahead of print Sept 6).
87. Weiser S.D., Tuller D.M., Frongillo E.A., Senkungu J., Mukiibi N., Bangsberg D.R. Food insecurity as a barrier to sustained antiretroviral therapy adherence in Uganda. PLoS One 2010, 5(4):e10340.
88. Weiser S., Wolfe W., Bangsberg D., Thior I., Gilbert P., Makhema J., et al. Barriers to antiretroviral adherence for patients living with HIV infection and AIDS in Botswana. Journal of Acquired Immune Deficiency Syndromes 2003, 34(3):281-288.
89. Weiser, S. D., Young, S. L., Cohen, C. R., Kushel, M. B., Tsai, A. C., Tien, P. C., et al. (in press). Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. American Journal of Clinical Nutrition.
90. Williams R.L. A note on robust variance estimation for cluster-correlated data. Biometrics 2000, 56(2):645-646.
91. Wolfe W.R., Weiser S.D., Bangsberg D.R., Thior I., Makhema J.M., Dickinson D.B., et al. Effects of HIV-related stigma among an early sample of patients receiving antiretroviral therapy in Botswana. AIDS Care 2006, 18(8):931-933.
92. Wolfe W.R., Weiser S.D., Leiter K., Steward W.T., Percy-de Korte F., Phaladze N., et al. The impact of universal access to antiretroviral therapy on HIV stigma in Botswana. American Journal of Public Health 2008, 98(10):1865-1871.
93. World Food Programme Programming in the era of AIDS: WFP's response to HIV/AIDS 2003, World Food Programme of the United Nations, Rome.
94. Yamano T., Jayne T.S. Measuring the impact of working-age adult mortality on small-scale farm households in Kenya. World Development 2004, 32(1):91-119.
95. Zierler S., Krieger N. Reframing women's risk: social inequalities and HIV infection. Annual Review of Public Health 1997, 18:401-436.