Food insecurity and frailty among women with and without HIV in the United States: a cross-sectional analysis.

Aged Cross-Sectional Studies Female Food Insecurity Food Supply Frailty / epidemiology HIV Infections / epidemiology Humans United States / epidemiology
Food insecurity HIV frailty women

Journal

Journal of the International AIDS Society
ISSN: 1758-2652
Titre abrégé: J Int AIDS Soc
Pays: Switzerland
ID NLM: 101478566

Informations de publication

Date de publication:
06 2021
Historique:
revised: 28 04 2021
received: 07 12 2020
accepted: 05 05 2021
entrez: 15 6 2021
pubmed: 16 6 2021
medline: 16 10 2021
Statut: ppublish

Résumé

Frailty is frequently observed among people with HIV, and food insecurity is associated with frailty in the general population. Evidence is scarce on the associations between food insecurity and frailty among women with HIV who may be particularly vulnerable to the impacts of food insecurity. The goal of this study was to assess associations between food insecurity and frailty among women with and without HIV. There were 1265 participants from the Women's Interagency HIV Study who participated in frailty assessments in 2017. Frailty was measured using the Fried Frailty Phenotype, and women were subsequently categorized as robust, pre-frail or frail. Food insecurity was assessed using the U.S. Household Food Security Survey Module, with women categorized as having high, marginal, low or very low food security. Multinomial logistic regression models were conducted to examine cross-sectional associations between food insecurity and frailty while adjusting for socio-demographic, behavioural and HIV status covariates. Approximately one-third (31.9%) of the women had marginal, low or very low food security, and the proportions of women who met the criteria for frailty or pre-frailty were 55.6% and 12.4% respectively. In the adjusted model, the relative risk ratio (RRR) of frailty for women with very low food security versus women with high food security was 3.37 (95% CI [1.38 to 8.24], p < 0.01); the corresponding RRR of pre-frailty was 3.63 (95% CI [1.76 to 7.51], p < 0.001). Higher annual household income was associated with lower RRRs of frailty or pre-frailty (p < 0.01). Similarly, older age was associated with more frequent frailty (RRR=1.06, 95% CI [1.03 to 1.09], p < 0.001). HIV serostatus was not significantly associated with either pre-frailty (RRR=0.97, 95% CI [0.71 to 1.31]) or frailty (RRR=0.75, 95% CI [0.48 to 1.16]). Very low food security was associated with more frequent frailty and pre-frailty among women with and without for HIV. HIV serostatus was not associated with frailty.

Identifiants

DOI: 10.1002/jia2.25751 PMID: 34128343 PMC: PMC8204023
pubmed: 34128343
doi: 10.1002/jia2.25751
pmc: PMC8204023
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

e25751

Subventions

Organisme : NHLBI NIH HHS
ID : U01 HL146241
Pays : United States
Organisme : NIMH NIH HHS
ID : P30 MH062246
Pays : United States
Organisme : NIA NIH HHS
ID : R21 AG066556
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050410
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146245
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146205
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI027767
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146192
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146242
Pays : United States
Organisme : NIAID NIH HHS
ID : K24 AI134326
Pays : United States
Organisme : NIA NIH HHS
ID : R21 AG059505
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146193
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050409
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000004
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146194
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146203
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146204
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146202
Pays : United States

Informations de copyright

© 2021 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.

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Auteurs

Judy Y Tan (JY)

Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA.
ORCID: 0000-0003-4414-1035

Lila A Sheira (LA)

Division of HIV, ID and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.

Edward A Frongillo (EA)

Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.

Deborah Gustafson (D)

Department of Neurology, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA.

Anjali Sharma (A)

Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.

Daniel Merenstein (D)

Department of Family Medicine, Georgetown University Medical Center, Washington, DC, USA.

Mardge H Cohen (MH)

Department of Medicine, Stroger Hospital of Cook County Health, Chicago, IL, USA.

Elizabeth Golub (E)

WIHS Data Management Center, Bloomberg School of Public Health, Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA.

Andrew Edmonds (A)

Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Igho Ofotokun (I)

School of Medicine, Department of Medicine, Emory University, Atlanta, GA, USA.
Grady Healthcare System, Atlanta, GA, USA.

Margaret Fischl (M)

Miller School of Medicine, University of Miami, Coral Gables, FL, USA.

Deborah Konkle-Parker (D)

Department of Medicine/Division of Infectious Diseases, School of Nursing, School of Population Health Sciences, University of Mississippi Medical Center, Jackson, MS, USA.

Torsten Neilands (T)

Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA.

Phyllis Tien (P)

Department of Medicine, San Francisco and Medical Service, Department of Veteran Affairs Medical Center, University of California, San Francisco, CA, USA.

Sheri D Weiser (SD)

Center for AIDS Prevention Studies, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Division of HIV, ID and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
ORCID: 0000-0002-7807-4072

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Classifications MeSH

Recherchemedicale.com › Personnes › Tranches d'âge › Adulte › Sujet âgé › Food insecurity and frailty among women with...
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Recherchemedicale.com › Technologie, industrie et agriculture › Industrie › Industrie alimentaire › Approvisionnement en nourriture › Insécurité alimentaire › Food insecurity and frailty among women with...
Recherchemedicale.com › Technologie, industrie et agriculture › Industrie › Industrie alimentaire › Approvisionnement en nourriture › Food insecurity and frailty among women with...
Recherchemedicale.com › États, signes et symptômes pathologiques › Processus pathologiques › Fragilité › Food insecurity and frailty among women with...
Recherchemedicale.com › Maladies du système immunitaire › Déficits immunitaires › Infections à VIH › Food insecurity and frailty among women with...
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