Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A pilot study of food supplementation to improve adherence to antiretroviral therapy among food-insecure adults in Lusaka, Zambia
Journal of Acquired Immune Deficiency Syndromes, Volume 49, No. 2, Year 2008
Notification
URL copied to clipboard!
Description
Background: The provision of food supplementation to foodinsecure patients initiating antiretroviral therapy (ART) may improve adherence to medications. Methods: A home-based adherence support program at 8 government clinics assessed patients for food insecurity. Four clinics provided food supplementation, and 4 acted as controls. The analysis compared adherence (assessed by medication possession ratio), CD4, and weight gain outcomes among food-insecure patients enrolled at the food clinics with those enrolled at the control clinics. Results: Between May 1, 2004, and March 31, 2005, 636 foodinsecure adults were enrolled. Food, supplementation was associated with better adherence to therapy. Two hundred fifty-eight of 366 (70%) patients in the food group achieved a medication possession ratio of 95% or greater versus 79 of 166 (48%) among controls (relative risk = 1.5; 95% confidence interval: 1.2 to 1.8). This finding was unchanged after adjustment for sex, age, baseline CD4 count, baseline World Health Organization stage, and baseline hemoglobin. We did not observe a significant effect of food supplementation on weight gain or CD4 cell response. Conclusions: This analysis suggests that providing food to foodinsecure patients initiating ART is feasible and may improveadherence to medication. A large randomized study of the clinical benefits of food supplementation to ART patients is urgently needed to inform international policy. Copyright © 2008 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Cantrell, Ronald A.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Sinkala, Moses M.
Zambia, Lusaka
Catholic Medical Mission Board
Megazinni, Karen
United States, Rockville
Westat, Inc.
Lawson-Marriott, Sibi
Ghana, Accra
World Food Programme
Washington, Sierra
United States, San Francisco
Ucsf School of Medicine
Chi, Benjamin H.
United States, Birmingham
The University of Alabama at Birmingham
Tambatamba, Bushimbwa
Zambia, Lusaka
Lusaka Urban District Health Management Team
Levy, Jens W.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Stringer, Elizabeth Mc Phillips
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Mulenga, Lloyd Berdad
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Stringer, Jeffrey S.A.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Statistics
Citations: 250
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1097/QAI.0b013e31818455d2
ISSN:
15254135
Research Areas
Food Security
Health System And Policy
Study Locations
Zambia