ArticleBMC public health2015
Food insecurity is a barrier to prevention of mother-to-child HIV transmission services in Zimbabwe: a cross-sectional study.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Food Insecurity and Health Outcomes Other than Malnutrition in Southern Africa: A Descriptive Systematic Review.International journal of environmental research and public health · 2022Pooled 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
- Effects of an agricultural intervention on psychosocial health among pregnant and nonpregnant women with HIV in Kenya.AIDS (London, England) · 2026Trial
- Brief Report: Food Insufficiency Is Associated With Lack of Sustained Viral Suppression Among HIV-Infected Pregnant and Breastfeeding Ugandan Women.Journal of acquired immune deficiency syndromes (1999) · 2016Trial
- Associations between food insecurity and child and parental physical, nutritional, psychosocial and economic well-being globally during the first 1000 days: A scoping review.Maternal & child nutrition · 2024Article
- Article
- Food insecurity predicts loss to follow-up among people living with HIV in Senegal, West Africa.AIDS care · 2022Article
- The impact of food insecurity on HIV outcomes in Senegal, West Africa: a prospective longitudinal study.BMC public health · 2021Article
- Perinatal Food Insecurity and Postpartum Psychosocial Stress are Positively Associated Among Kenyan Women of Mixed HIV Status.AIDS and behavior · 2020Article
- "When I Eat Well, I Will Be Healthy, and the Child Will Also Be Healthy": Maternal Nutrition among HIV-Infected Women Enrolled in a Livelihood Intervention in Western Kenya.Current developments in nutrition · 2020Article
- Brief Report: Improving Early Infant Diagnosis Observations: Estimates of Timely HIV Testing and Mortality Among HIV-Exposed Infants.Journal of acquired immune deficiency syndromes (1999) · 2020Article
- Food insecurity among women of reproductive age in Nepal: prevalence and correlates.BMC public health · 2020Article
- Disparities in antenatal care service utilization among food secure and food insecure women in Gombora District, Hadiya zone, south Ethiopia.The Pan African medical journal · 2020Article
- Food Insecurity Associated with Attendance to Antenatal Care Among Pregnant Women: Findings from a Community-Based Cross-Sectional Study in Southern Ethiopia.Journal of multidisciplinary healthcare · 2020Article
- Factors associated with birth preparedness and complication readiness in Southern Ethiopia: a community based cross-sectional study.BMC pregnancy and childbirth · 2017Article
- Factors associated with retention in Option B+ in Malawi: a case control study.Journal of the International AIDS Society · 2017Article
- What influences feeding decisions for HIV-exposed infants in rural Kenya?International breastfeeding journal · 2017Article
- Addressing gender inequalities to improve the sexual and reproductive health and wellbeing of women living with HIV.Journal of the International AIDS Society · 2015Article
- Sexual and reproductive health and human rights of women living with HIV.Journal of the International AIDS Society · 2015Article
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundFood insecurity (FI) is the lack of physical, social, and economic access to sufficient food for dietary needs and food preferences. We examined the association between FI and women's uptake of services to prevent mother-to-child HIV transmission (MTCT) in Zimbabwe.
methodsWe analyzed cross-sectional data collected in 2012 from women living in five of ten provinces. Eligible women were ≥16 years old, biological mothers of infants born 9-18 months before the interview, and were randomly selected using multi-stage cluster sampling. Women and infants were tested for HIV and interviewed about health service utilization during pregnancy, delivery, and post-partum. We assessed FI in the past four weeks using a subset of questions from the Household Food Insecurity Access Scale and classified women as living in food secure, moderately food insecure, or severely food insecure households.
resultsThe weighted population included 8,790 women. Completion of all key steps in the PMTCT cascade was reported by 49%, 45%, and 38% of women in food secure, moderately food insecure, and severely food insecure households, respectively (adjusted prevalence ratio (PRa) = 0.95, 95% confidence interval (CI): 0.90, 1.00 (moderate FI vs. food secure), PRa = 0.86, 95% CI: 0.79, 0.94 (severe FI vs. food secure)). Food insecurity was not associated with maternal or infant receipt of ART/ARV prophylaxis. However, in the unadjusted analysis, among HIV-exposed infants, 13.3% of those born to women who reported severe household food insecurity were HIV-infected compared to 8.2% of infants whose mothers reported food secure households (PR = 1.62, 95% CI: 1.04, 2.52). After adjustment for covariates, this association was attenuated (PRa = 1.42, 95% CI: 0.89, 2.26). There was no association between moderate food insecurity and MTCT in unadjusted or adjusted analyses (PRa = 0.68, 95% CI: 0.43, 1.08).
conclusionsAmong women with a recent birth, food insecurity is inversely associated with service utilization in the PMTCT cascade and severe household food insecurity may be positively associated with MTCT. These preliminary findings support the assessment of FI in antenatal care and integrated food and nutrition programs for pregnant women to improve maternal and child health.
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