Evidence map›Paper›PMID 26990632›Full record

ArticleAIDS (London, England)2016

Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States.

Kartika Palar, Barbara Laraia, Alexander C Tsai, Mallory O Johnson, Sheri D Weiser

Registry-linked trialAbstract read
In one paragraph

Article in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03191253 (Changing Health Through Food Support), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 3% 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.

NCT03191253 nacompletednot on this map

Changing Health Through Food Support (CHEFS): Pilot RCT to Identify Potential Health Impacts of Providing Comprehensive, Medically-appropriate Food Support to Low-income Urban Adults Living With HIV (PLHIV)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2017Enrolled191ConditionsHIV/AIDSArmsMedically-appropriate meals and groceries
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

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  17. Living With HIV During the COVID-19 Pandemic: Impacts for Older Adults in Palm Springs, California.AIDS education and prevention : official publication of the International Society for AIDS Education · 2021
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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

5 authors at 2 institutions in 2 countries.

Kartika PalaraDepartment of Medicine, Division of HIV, Infectious Disease (ID) and Global Medicine, University of California, San Francisco (UCSF), San Francisco bSchool of Public Health, University of California, Berkeley, Berkeley, California cMassachusetts General Hospital, MGH Global Health, Boston, Massachusetts dCenter for AIDS Prevention Studies, Department of Medicine, UCSF, San Francisco, USA.
Barbara Laraia
Alexander C Tsai
Mallory O Johnson
Sheri D Weiser
Apple (Israel) · ILSan Francisco General Hospital · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
UCLA/RAND HEALTH SERVICES RESEARCH TRAINING PROGRAMT32HS000046 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EISENBERG, DANIEL · 1992 to 2024
$8.7M
Pathways from Food Insecurity to Health and Treatment Outcomes in Women with HIVR01MH095683 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISER, SHERI DAWN · 2012 to 2016
$2.8M
Microenterprise to empower and improve health of HIV+ women in UgandaK23MH096620 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2012 to 2016
$922k
Identifying barriers to diabetes and HIV co-management in vulnerable populationsK01DK107335 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PALAR, KARTIKA · 2015 to 2019
$787k
AHRQ HHS T32 HS000046NIDDK NIH HHS K01 DK107335NIMH NIH HHS K23 MH096620NIMH NIH HHS P30 MH062246NIMH NIH HHS R01 MH095683
6 · The paper itself

Abstract

objectiveTo examine the population-level association between food insecurity, HIV risk factors, and HIV serostatus among men, the group representing the majority of HIV diagnoses in the United States.

designCross-sectional secondary data analysis using the National Health and Nutrition Examination Survey 1999-2012, a nationally representative survey of the civilian noninstitutionalized US population.

methodsLogistic regression with design weights and complex survey commands was used to estimate nationally representative associations between food insecurity and HIV serostatus (primary outcome), herpes simplex virus 2, self-reported sexually transmitted infections (STIs), and past-year illicit drug use among men, adjusting for potential confounders. Food security was measured using the 18-item Household Food Security Survey.

resultsWe analyzed data for 9150 men representing 61 million individuals in the United States. Unadjusted HIV prevalence was 1.5% among food insecure men, compared with 0.4% among food secure men (P < 0.001). In adjusted models, food insecure men had over two times higher odds of HIV seropositivity compared with food secure men [adjusted odds ratio (AOR) = 2.10; 95% confidence interval (CI) 1.01-4.37; P < 0.05]. Food insecurity was associated with higher odds of herpes simplex virus 2 seropositivity (AOR = 1.28; 95% CI 1.04-1.57; P < 0.05), self-reported STIs (AOR = 1.54; 95% CI 1.08-2.20; P < 0.05), and illicit drug use (AOR = 1.57; 95% CI 1.14-2.15; P < 0.01). Results were robust to sensitivity analyses restricted to lower incomes.

conclusionFood insecurity is associated with prevalent HIV, STIs, and illicit drug use among men in the United States. Further research is needed to establish whether and through what mechanisms improved food security may help prevent new HIV infections.

Indexed as

Food SupplyAdultCross-Sectional StudiesHumansMaleMiddle AgedSexually Transmitted DiseasesSubstance-Related DisordersUnited StatesYoung Adult

Identifiers

PMID26990632
PMCPMC4864057
OpenAlexW2320727575

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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.