ArticleThe journal of primary prevention2014
Exploring the relationships among food insecurity, alcohol use, and sexual risk taking among men and women living in South African townships.
Article in The journal of primary prevention, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Household food insecurity in South Africa from 1999 to 2021: a metrics perspective.Public health nutrition · 2023Pooled it
- Mental health interventions for persons living with HIV in low- and middle-income countries: a systematic review.Journal of the International AIDS Society · 2021Pooled it
- Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review.Health care for women international · 2017Pooled it
- A systematic review of sub-national food insecurity research in South Africa: Missed opportunities for policy insights.PloS one · 2017Pooled it
- Food Is Medicine for Human Immunodeficiency Virus: Improved Health and Hospitalizations in the Changing Health Through Food Support (CHEFS-HIV) Pragmatic Randomized Trial.The Journal of infectious diseases · 2025Trial
- Evaluation of economic strengthening in South Africa and its impact on HIV, sexually transmitted infections, and teenage births: A modelling study.PLoS medicine · 2025Article
- Article
- Exploring ecosocial contexts of alcohol use and misuse during the COVID-19 pandemic among urban refugee youth in Kampala, Uganda: Multi-method findings.Journal of migration and health · 2024Article
- Lay counsellors' experiences of administering the AUDIT-C as a brief screening tool in a South African township.BMC health services research · 2023Article
- Food insecurity and risky sexual behaviors among college students during the COVID-19 pandemic.BMC public health · 2023Article
- Food Insecurity and Transmission Risks Among People with HIV Who Use Substances.AIDS and behavior · 2023Article
- Social Determinants of Alcohol and Other Drug Misuse Among Women Living with HIV in Economically Underserved Communities in Cape Town, South Africa: A Cross-Sectional Study.AIDS and behavior · 2023Article
- Association Between the Use of Tobacco Products and Food Insecurity Among South Korean Adults.International journal of public health · 2022Article
- Diet quality, food insecurity and risk of cardiovascular diseases among adults living with HIV/AIDS: a scoping review protocol.BMJ open · 2021Article
- Supplemental Nutrition Assistance Program Eligibility and HIV Incidence in the United States.Open forum infectious diseases · 2021Article
- Food Insecurity, Sexual Risk, and Substance Use in Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Personal and Lifestyle Determinants of HIV Transmission Risk in Spanish University Students.International journal of environmental research and public health · 2020Article
- Food Security Status of Native Hawaiians and Pacific Islanders in the US: Analysis of a National Survey.Journal of nutrition education and behavior · 2020Article
- Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women.International journal of environmental research and public health · 2020Article
- Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults.Preventive medicine reports · 2019Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
Abstract
South African townships have among the highest rates of HIV infection in the world. Considerable research on understanding the high rates of HIV transmission in this country has identified alcohol use as a critical factor in driving the HIV epidemic. Although the relationship between alcohol use and sexual risk-taking is well documented, less is known about how other factors, such as food insecurity, might be important in understanding alcohol's role in sexual risk-taking. Furthermore, prior research has highlighted how patterns of alcohol use and sexual risk-taking tend to vary by gender. We examined how food insecurity is related to both alcohol use and sexual risk-taking. We administered anonymous community surveys to men (n = 1,137) and women (n = 458) residing within four contiguous Black African townships outside of Cape Town, South Africa. In multivariate linear regression, we found that food insecurity was related to having higher numbers of male sex partners and condom-protected sex acts among women only. These relationships, however, were fully mediated by women's alcohol use. Among men, we found that food insecurity was negatively related to unprotected sex; that is, men with greater food security reported more unprotected sex acts. Unlike the results found among women, this relationship was not mediated by alcohol use. Food insecurity appears to be an important factor in understanding patterns of sexual risk-taking in regards to gender and alcohol use, and may serve as an important point of intervention for reducing HIV transmission rates.
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Registered trials
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.