ArticleAddiction (Abingdon, England)2019
Longitudinal associations between food insecurity and substance use in a cohort of women with or at risk for HIV in the United States.
Article in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- A systematic review of qualitative research on HIV and food insecurity in high-income countries.AIDS (London, England) · 2026Pooled it
- Food insecurity and its impact on substance use and suicidal behaviours among school-going adolescents in Africa: evidence from the Global School-Based Student Health Survey.European child & adolescent psychiatry · 2024Pooled it
- Novel intervention to improve food insecurity among individuals with opioid use disorder: A randomized clinical trial.Drug and alcohol dependence · 2025Trial
- Drug use vs. abstinence after incarceration: associations with competing psychosocial needs and their relevance to the importance of treatment.Health & justice · 2026Article
- Cannabis Use and Food Insecurity Risk Among U.S. Adults With And Without Children.American journal of preventive medicine · 2026Article
- Exploring Correlates of Resource Insecurity Among Older Black or African Americans with HIV in Ohio.Journal of racial and ethnic health disparities · 2025Article
- A scoping review of interventions addressing social determinants of health and their influence on opioid use disorder outcomes.Drug and alcohol dependence · 2025Article
- Mechanism that links perceived racism and discrimination and youth cannabis use, a structural equation modeling approach.Addictive behaviors reports · 2025Article
- A scoping review of social determinants of health's impact on substance use disorders over the life course.Journal of substance use and addiction treatment · 2024Article
- Food insecurity and unemployment as mediators of the relationship between the COVID-19 pandemic and psychological well-being in young South Africans with HIV.BMC public health · 2024Article
- A state-level analysis of macro-level factors associated with hospital readmissions.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Article
- The COVID-19 pandemic, food insecurity, and psychosocial well-being in young South Africans newly diagnosed with HIV: a mediation analysis.Research square · 2024Article
- Gendered Racial Microaggressions, Self-silencing, Substance Use, and HIV Outcomes Among Black Women Living with HIV: A Structural Equation Modeling Approach.AIDS and behavior · 2024Article
- State Supplemental Nutrition Assistance Program Policies and Substance Use Rates.American journal of preventive medicine · 2024Article
- Accelerated aging in people living with HIV: The neuroimmune feedback model.Brain, behavior, & immunity - health · 2024Article
- 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
- Perpetuation of household food insecurity during COVID-19 in South Africa.Journal of health, population, and nutrition · 2023Article
- Understanding why racial/ethnic inequities along the HIV care continuum persist in the United States: a qualitative exploration of systemic barriers from the perspectives of African American/Black and Latino persons living with HIV.International journal for equity in health · 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
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Authors and funding
16 authors at 13 institutions in 2 countries.
Funding
Abstract
BACKGROUND AND
aimsFew longitudinal studies have examined the relationship between food insecurity and substance use. We aimed to investigate this relationship using longitudinal data among women with or at risk for HIV in the United States.
designWomen's Interagency HIV Study (WIHS), a prospective cohort study.
settingNine sites across the United States.
participantsA total of 2553 women with or at risk for HIV. MEASUREMENTS: Semi-annual structured interviews were conducted during April 2013-March 2016. Food security (FS) was the primary predictor, measured using the Household Food Security Survey Module. Outcomes were: any illicit substance use except cannabis; licit or illicit cannabis use; stimulant use (crack, cocaine, or methamphetamine); opioid use (heroin or methadone in a non-prescribed way); and prescription drug misuse (prescription narcotics, amphetamines, or tranquilizers in a non-prescribed way) since the last visit. We used multivariable logistic regression with random effects to examine longitudinal associations of current and previous FS with the outcomes simultaneously, adjusting for socio-demographic factors, HIV serostatus, physical health and health insurance.
findingsAverage number of visits was 4.6. At baseline, 71% of participants were HIV-seropositive, 44% reported marginal, low, or very low FS, and 13% were using illicit substances. In adjusted analyses, current low and very low FS were significantly associated with 1.59 [95% confidence interval (CI) = 1.02, 2.46; P = 0.039] and 2.48 (95% CI = 1.52, 4.04; P < 0.001) higher odds of any illicit substance use, compared to high FS, and also with higher odds of cannabis, stimulant and opioid use, exhibiting a consistent dose-response relationship. Marginal, low, and very low FS at the previous visit were associated with 1.66 (95% CI = 1.08, 2.54; P = 0.020), 1.77 (95% CI = 1.14, 2.74; P = 0.011), and 2.28 (95% CI = 1.43, 3.64; P < 0.001) higher odds of current illicit substance use.
conclusionsFood insecurity appears to be longitudinally associated with substance use among US women with or at risk for HIV.
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