Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami
Open Access
- 15 January 2010
- journal article
- Published by Cambridge University Press (CUP) in Public Health Nutrition
- Vol. 13 (9), 1478-1484
- https://doi.org/10.1017/s1368980009993181
Abstract
To measure the occurrence and correlates of food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami, USA. Non-probability cross-sectional sample. Inner-city hospitals in Atlanta and Miami. Two hundred and eighty-seven HIV-infected crack users. One-third (34 %) of respondents experienced food insufficiency within 30 d of interview. Increased odds of food insufficiency was associated with current homelessness (adjusted OR = 3·78, 95 % CI 1·70, 8·41), living alone (adjusted OR = 2·85, 95 % CI 1·36, 5·98), religious service attendance (adjusted OR = 2·34, 95 % CI 1·02, 5·38) and presence of health insurance (adjusted OR = 2·41, 95 % CI 1·06, 5·54). Monthly income greater than $US 600 (adjusted OR = 0·19, 95 % CI 0·06, 0·58) was associated with decreased odds of food insufficiency, and less than weekly crack use was marginally associated with decreased odds of food insufficiency (adjusted OR = 0·39, 95 % CI 0·13, 1·08). Food insufficiency is very prevalent among HIV-infected urban crack-cocaine users in Atlanta and Miami. Correlates of food insufficiency confirm the social vulnerability of these individuals. Routine assessment for food insecurity should become a routine component of treatment and prevention programmes in at-risk populations.Keywords
This publication has 28 references indexed in Scilit:
- Food Insecurity is Associated with Incomplete HIV RNA Suppression Among Homeless and Marginally Housed HIV-infected Individuals in San FranciscoJournal of General Internal Medicine, 2008
- Hunger and health among undocumented Mexican migrants in a US urban areaPublic Health Nutrition, 2008
- Food Insecurity—A Risk Factor for HIV InfectionPLoS Medicine, 2007
- Food Insufficiency Is Associated with High-Risk Sexual Behavior among Women in Botswana and SwazilandPLoS Medicine, 2007
- Food Insecurity is Associated with Diabetes Mellitus: Results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002Journal of General Internal Medicine, 2007
- HIV-Related Wasting in HIV-Infected Drug Users in the Era of Highly Active Antiretroviral TherapyClinical Infectious Diseases, 2005
- Food insufficiency and women's mental health: Findings from a 3-year panel of welfare recipientsSocial Science & Medicine, 2005
- Association Between Crack Cocaine Use and High-Risk Sexual Behaviors After HIV DiagnosisJAIDS Journal of Acquired Immune Deficiency Syndromes, 2000
- A comparison of the nutritional status and food security of drug-using and non-drug-using Hispanic women in Hartford, ConnecticutAmerican Journal of Physical Anthropology, 1998
- Drug use, health, family and social support in “crack” cocaine usersAddictive Behaviors, 1990