Evidence map›Paper›PMID 26529509›Full record

ArticlePloS one2015

High Prevalence of Severe Food Insecurity and Malnutrition among HIV-Infected Adults in Senegal, West Africa.

Noelle A Benzekri, Jacques Sambou, Binetou Diaw, El Hadji Ibrahima Sall, Fatima Sall, Alassane Niang, Selly Ba, Ndèye Fatou Ngom Guèye, Mouhamadou Baïla Diallo, Stephen E Hawes and 2 more

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In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 6 pooled it
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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.

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3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Noelle A BenzekriDepartment of Medicine, University of Washington, Seattle, WA, United States of America.
Jacques SambouCentre de Santé de Ziguinchor, Ziguinchor, Sénégal.
Binetou DiawCentre Hospitalier Universitaire de Fann, Dakar, Sénégal.
El Hadji Ibrahima SallCentre de Santé de Ziguinchor, Ziguinchor, Sénégal.
Fatima SallCentre Hospitalier Universitaire de Fann, Dakar, Sénégal.
Alassane NiangCentre de Santé de Ziguinchor, Ziguinchor, Sénégal.
Selly BaCentre Hospitalier Universitaire de Fann, Dakar, Sénégal.
Ndèye Fatou Ngom GuèyeCentre Hospitalier Universitaire de Fann, Dakar, Sénégal.
Mouhamadou Baïla DialloCentre Hospitalier Universitaire de Fann, Dakar, Sénégal.
Stephen E HawesDepartment of Global Health, University of Washington, Seattle, WA, United States of America; Department of Epidemiology, University of Washington, Seattle, WA, United States of America.
Moussa SeydiCentre Hospitalier Universitaire de Fann, Dakar, Sénégal.
Geoffrey S GottliebDepartment of Medicine, University of Washington, Seattle, WA, United States of America; Department of Global Health, University of Washington, Seattle, WA, United States of America.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

backgroundMalnutrition and food insecurity are associated with increased mortality and poor clinical outcomes among people living with HIV/AIDS; however, the prevalence of malnutrition and food insecurity among people living with HIV/AIDS in Senegal, West Africa is unknown. The objective of this study was to determine the prevalence and severity of food insecurity and malnutrition among HIV-infected adults in Senegal, and to identify associations between food insecurity, malnutrition, and HIV outcomes.

methodsWe conducted a cross-sectional study at outpatient clinics in Dakar and Ziguinchor, Senegal. Data were collected using participant interviews, anthropometry, the Household Food Insecurity Access Scale, the Individual Dietary Diversity Scale, and chart review.

resultsOne hundred and nine HIV-1 and/or HIV-2 participants were enrolled. The prevalence of food insecurity was 84.6% in Dakar and 89.5% in Ziguinchor. The prevalence of severe food insecurity was 59.6% in Dakar and 75.4% in Ziguinchor. The prevalence of malnutrition (BMI <18.5) was 19.2% in Dakar and 26.3% in Ziguinchor. Severe food insecurity was associated with missing clinic appointments (p = 0.01) and not taking antiretroviral therapy due to hunger (p = 0.02). Malnutrition was associated with lower CD4 cell counts (p = 0.01).

conclusionsSevere food insecurity and malnutrition are highly prevalent among HIV-infected adults in both Dakar and Ziguinchor, and are associated with poor HIV outcomes. Our findings warrant further studies to determine the root causes of malnutrition and food insecurity in Senegal, and the short- and long-term impacts of malnutrition and food insecurity on HIV care. Urgent interventions are needed to address the unacceptably high rates of malnutrition and food insecurity in this population.

Indexed as

Food SupplyHIV-1HIV-2AdultAgedCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMalnutritionMiddle AgedPrevalenceSenegal

Identifiers

PMID26529509
PMCPMC4631507

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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.