title: Food insecurity and CD4% Among HIV+ children in Gaborone, Botswana.
abstract: We investigated the association between household food insecurity (HFI) and CD4% among 2-6-year old HIV+ outpatients (n = 78) at the Botswana-Baylor Children's Clinical Center of Excellence in Gaborone, Botswana. HFI was assessed by a validated survey. CD4% data were abstracted from the medical record. We used multiple linear regression with CD4% (dependent variable), HFI (independent variable), and controlled for sociodemographic and clinical covariates. Multiple linear regression showed a significant main effect for HFI [beta = -0.6, 95% confidence interval (CI): -1.0 to -0.1] and child gender (beta = 5.6, 95% CI: 1.3 to 9.8). Alleviating food insecurity may improve pediatric HIV outcomes in Botswana and similar Sub-Saharan settings.
authors.affiliation: *General Pediatrics, Department of Pediatrics, University of Washington, Seattle, WA; †Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA; ‡Botswana-Baylor Children's Clinical Center of Excellence, Gaborone, Botswana; and §Retrovirology and ‖Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
authors.forename: Jason A
authors.initials: JA
authors.lastname: Mendoza
authors.forename: Mogomotsi
authors.initials: M
authors.lastname: Matshaba
authors.forename: Jeremiah
authors.initials: J
authors.lastname: Makhanda
authors.forename: Yan
authors.initials: Y
authors.lastname: Liu
authors.forename: Matshwenyego
authors.initials: M
authors.lastname: Boitshwarelo
authors.forename: Gabriel M
authors.initials: GM
authors.lastname: Anabwani
mesh_terms: D001902:Botswana / Q000453:epidemiology; D018791:CD4 Lymphocyte Count; D002648:Child; D002675:Child, Preschool; D005260:Female; D005523:Food Supply; D015658:HIV Infections / Q000453:epidemiology / Q000276:immunology*; D006801:Humans; D008297:Male