title: Food access and diet quality are associated with quality of life outcomes among HIV-infected individuals in Uganda.
abstract: BACKGROUND
  Food insecurity is associated with poor nutritional and clinical outcomes among people living with HIV/AIDS. Few studies investigate the link between food insecurity, dietary diversity and health-related quality of life among people living with HIV/AIDS.
  
  
  OBJECTIVE
  We investigated whether household food access and individual dietary diversity are associated with health-related quality of life among people living with HIV/AIDS in Uganda.
  
  
  METHODS
  We surveyed 902 people living with HIV/AIDS and their households from two clinics in Northern Uganda. Health-related quality of life outcomes were assessed using the Medical Outcomes Study (MOS)-HIV Survey. We performed multivariate regressions to investigate the relationship between health-related quality of life, household food insecurity and individual dietary diversity.
  
  
  RESULTS
  People living with HIV/AIDS from severe food insecurity households have mean mental health status scores that are 1.7 points lower (p<.001) and physical health status scores that are 1.5 points lower (p<.01). Individuals with high dietary diversity have mean mental health status scores that were 3.6 points higher (p<.001) and physical health status scores that were 2.8 points higher (p<.05).
  
  
  CONCLUSIONS
  Food access and diet quality are associated with health-related quality of life and may be considered as part of comprehensive interventions designed to mitigate psychosocial consequences of HIV.
authors: Stony Brook University (SUNY), Program in Public Health/Department of Preventive Medicine, Stony Brook, New York, USA.
authors: Tia
authors: T
authors: Palermo
authors: Rahul
authors: R
authors: Rawat
authors: Sheri D
authors: SD
authors: Weiser
authors: Suneetha
authors: S
authors: Kadiyala
mesh_terms: D000328:Adult; D004032:Diet; D005191:Family Characteristics; D005260:Female; D005523:Food Supply; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000209:etiology; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life; D014454:Uganda
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