title: Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV.
abstract: Food insecurity (FI) and its link with depression and quality of life (QOL) among people living with HIV (PLHIV) in India are not well-documented. We analyzed cohort data from 243 male and 129 female PLHIV from Bengaluru, and found 19 % of men and 26 % of women reported moderate or severe FI over a 6-month period. Women reported higher mean depression than men, and lower mean QOL. In multivariate analyses adjusting for HIV stigma and demographic covariates, both male and female PLHIV with moderate to severe FI showed lower mean QOL than those reporting mild to no FI. Male but not female food insecure participants also had higher depression scores in adjusted regression analyses. As ART has improved the physical health of PLHIV, more effort is being invested in improving their psychological well-being. Our results suggest such interventions could benefit from including nutritional support to reduce FI among PLHIV.
authors.affiliation: Center for AIDS Prevention Studies, University of California, 550 16th St, 3rd Floor, San Francisco, CA, 94158, USA, Elsa.Heylen@ucsf.edu.
authors.forename: Elsa
authors.initials: E
authors.lastname: Heylen
authors.forename: Siju Thomas
authors.initials: ST
authors.lastname: Panicker
authors.forename: Sara
authors.initials: S
authors.lastname: Chandy
authors.forename: Wayne T
authors.initials: WT
authors.lastname: Steward
authors.forename: Maria L
authors.initials: ML
authors.lastname: Ekstrand
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology / Q000523:psychology*; D005260:Female; D005523:Food Supply; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011203:Poverty / Q000523:psychology* / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology*; D057545:Social Stigma; D012944:Social Support