title: Alcohol Use and Food Insecurity Among People Living with HIV in Mbarara, Uganda and St. Petersburg, Russia.
abstract: Food insecurity (FI) is a documented problem associated with adverse health outcomes among HIV-infected populations. Little is known about the relationship between alcohol use and FI. We assessed whether heavy alcohol use was associated with FI among HIV-infected, antiretroviral therapy (ART)-naïve cohorts in Uganda and Russia. Inverse probability of treatment weighted logistic regression models were used to evaluate the association using cross-sectional baseline data. FI was experienced by half of the Russia cohort (52 %) and by a large majority of the Uganda cohort (84 %). We did not detect an association between heavy alcohol use and FI in either cohort (Russia: AOR = 0.80, 95 % CI 0.46, 1.40; Uganda: AOR = 1.00, 95 % CI 0.57, 1.74) or based on the overall combined estimate (AOR = 0.89, 95 % CI 0.60, 1.33). Future studies should explore the determinants of FI in HIV-infected populations to inform strategies for its mitigation.
authors.affiliation: Data Coordinating Center, Boston University School of Public Health, 85 East Newton St., M921, Boston, MA, 02118, USA. gpatts@bu.edu.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Patts
authors.affiliation: Department of Biostatistics, Boston University School of Public Health, Boston, USA.
authors.forename: Debbie M
authors.initials: DM
authors.lastname: Cheng
authors.affiliation: Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, UCSF, San Francisco, USA.
authors.forename: Nneka
authors.initials: N
authors.lastname: Emenyonu
authors.affiliation: Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston Medical Center, Boston, USA.
authors.forename: Carly
authors.initials: C
authors.lastname: Bridden
authors.affiliation: Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston Medical Center, Boston, USA.
authors.forename: Natalia
authors.initials: N
authors.lastname: Gnatienko
authors.affiliation: Data Coordinating Center, Boston University School of Public Health, 85 East Newton St., M921, Boston, MA, 02118, USA.
authors.forename: Christine A
authors.initials: CA
authors.lastname: Lloyd-Travaglini
authors.affiliation: Department of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
authors.forename: Christine
authors.initials: C
authors.lastname: Ngabirano
authors.affiliation: Laboratory of Clinical Pharmacology of Addictions, First St. Petersburg Pavlov State Medical University, St. Petersburg, Russia.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Yaroslavtseva
authors.affiliation: Department of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
authors.forename: Winnie R
authors.initials: WR
authors.lastname: Muyindike
authors.affiliation: Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, UCSF, San Francisco, USA.
authors.forename: Sheri D
authors.initials: SD
authors.lastname: Weiser
authors.affiliation: Laboratory of Clinical Pharmacology of Addictions, First St. Petersburg Pavlov State Medical University, St. Petersburg, Russia.|Department of Addictions, Bekhterev Research Psychoneurological Institute, St. Petersburg, Russia.
authors.forename: Evgeny M
authors.initials: EM
authors.lastname: Krupitsky
authors.affiliation: Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, UCSF, San Francisco, USA.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Hahn
authors.affiliation: Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston Medical Center, Boston, USA.|Department of Medicine, Boston University School of Medicine, Boston, USA.|Community Health Sciences, Boston University School of Public Health, Boston, USA.
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Samet
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology*; D015331:Cohort Studies; D015897:Comorbidity; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D008875:Middle Aged; D057216:Propensity Score; D012426:Russia; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D014454:Uganda; D055815:Young Adult
chemical_list: D013287:Illicit Drugs
keywords: Alcohol; Food insecurity; HIV