Evidence map›Paper›PMID 17958460›Full record

ArticlePLoS medicine2007

Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland.

Sheri D Weiser, Karen Leiter, David R Bangsberg, Lisa M Butler, Fiona Percy-de Korte, Zakhe Hlanze, Nthabiseng Phaladze, Vincent Iacopino, Michele Heisler

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PLoS medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 169 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 7 pooled it
45.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

169 citing papers in PubMed, 7 syntheses or guidelines pooled it, 373 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Article
  20. Article

109 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 3 countries.

Sheri D WeiserPhysicians for Human Rights, Cambridge, Massachusetts, USA. Sheri.Weiser@ucsf.edu
Karen Leiter
David R Bangsberg
Lisa M Butler
Fiona Percy-de Korte
Zakhe Hlanze
Nthabiseng Phaladze
Vincent Iacopino
Michele Heisler
Physicians for Human Rights · USUniversity of California, San Francisco · USMichigan United · USSan Francisco General Hospital · USSwaziland National Trust Commission · SZUniversity of Botswana · BWUniversity of Minnesota · US

Funding

The Impact of Food Insecurity on HIV Outcomes and Sexual Risk Behavior in UgandaK23MH079713 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISER, SHERI DAWN · 2007 to 2011
$921k
HIV Outcomes Research and Training in UgandaK24AA015287 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 2004 to 2008
$680k
NIAAA NIH HHS K24 AA015287NIMH NIH HHS K23 MH079713NIMH NIH HHS K23 MH079713-01
6 · The paper itself

Abstract

backgroundBoth food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission behavior. METHODS AND

findingsWe studied the association between food insufficiency (not having enough food to eat over the previous 12 months) and inconsistent condom use, sex exchange, and other measures of risky sex in a cross-sectional population-based study of 1,255 adults in Botswana and 796 adults in Swaziland using a stratified two-stage probability design. Associations were examined using multivariable logistic regression analyses, clustered by country and stratified by gender. Food insufficiency was reported by 32% of women and 22% of men over the previous 12 months. Among 1,050 women in both countries, after controlling for respondent characteristics including income and education, HIV knowledge, and alcohol use, food insufficiency was associated with inconsistent condom use with a nonprimary partner (adjusted odds ratio [AOR] 1.73, 95% confidence interval [CI] 1.27-2.36), sex exchange (AOR 1.84, 95% CI 1.74-1.93), intergenerational sexual relationships (AOR 1.46, 95% CI 1.03-2.08), and lack of control in sexual relationships (AOR 1.68, 95% CI 1.24-2.28). Associations between food insufficiency and risky sex were much attenuated among men.

conclusionsFood insufficiency is an important risk factor for increased sexual risk-taking among women in Botswana and Swaziland. Targeted food assistance and income generation programs in conjunction with efforts to enhance women's legal and social rights may play an important role in decreasing HIV transmission risk for women.

Indexed as

Food SupplyRisk-TakingSex WorkWomen's HealthAdultBotswanaCondomsCross-Sectional StudiesEswatiniFemaleHIV InfectionsHumansHungerInterpersonal RelationsMaleMalnutrition

Identifiers

PMID17958460
PMCPMC2039764
OpenAlexW1998096807

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.