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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: A cross-sectional study
PLoS ONE, Volume 9, No. 1, Article e85327, Year 2014
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Description
Background: Food insecurity is increasingly reported as an important barrier of patient adherence to antiretroviral therapy (ART) in both resource-poor and rich settings. However, unlike in resource rich-settings, very few quantitative studies to date have investigated the association of food insecurity with patient adherence to ART in Sub-Saharan Africa. The current study examines the association between food insecurity and adherence to ART among HIV-infected adults in the Democratic Republic of Congo (DRC). Methods and Findings: This is a cross-sectional quantitative study of patients receiving ART at three private and one public health facilities in Kinshasa, DRC. Participants were consecutively recruited into the study between April and November 2012. Adherence was measured using a combined method coupling pharmacy refill and self-reported adherence. Food insecurity was the primary predictor, and was assessed using the Household Food Insecurity Access Scale (HFIAS). Of the 898 participants recruited into the study, 512 (57%) were food insecure, and 188 (20.9%) were not adherent to ART. Food insecurity was significantly associated with non-adherence to ART (AOR, 2.06; CI, 1.38-3.09). We also found that perceived harmfulness of ART and psychological distress were associated respectively with increased (AOR, 1.95; CI, 1.15-3.32) and decreased (AOR, 0.31; CI, 0.11-0.83) odds of non-adherence to ART. Conclusion: Food insecurity is prevalent and a significant risk factor for non-adherence to ART among HIV-infected individuals in the DRC. Our findings highlight the urgent need for strategies to improve food access among HIV-infected on ART in order to ensure patient adherence to ART and ultimately the long-term success of HIV treatment in Sub-Saharan Africa. Copyright: © 2014 Musumari et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3893174/bin/pone.0085327.s001.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3893174/bin/pone.0085327.s002.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3893174/bin/pone.0085327.s003.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3893174/bin/pone.0085327.s004.doc
Authors & Co-Authors
Musumari, Patou Masika
Unknown Affiliation
Wouters, Edwin
Unknown Affiliation
Kayembé, Patrick Kalambayi
Unknown Affiliation
Nzita, Modeste Kiumbu
Unknown Affiliation
Mbikayi, Samclide Mutindu
Unknown Affiliation
Suguimoto, S. Pilar
Unknown Affiliation
Techasrivichien, Teeranee
Unknown Affiliation
Lukhele, Bhekumusa Wellington
Unknown Affiliation
El-Saaidi, Chrestina
Unknown Affiliation
Piot, Peter K.
Unknown Affiliation
Ono-Kihara, Masako
Unknown Affiliation
Kihara, Masahiro
Unknown Affiliation
Statistics
Citations: 90
Authors: 12
Affiliations: 6
Identifiers
Doi:
10.1371/journal.pone.0085327
e-ISSN:
19326203
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Congo