Evidence map›Paper›PMID 30453759›Full record

ArticleFood and nutrition bulletin2018

Developing Pilot Interventions to Address Food Insecurity and Nutritional Needs of People Living With HIV in Latin America and the Caribbean: An Interinstitutional Approach Using Formative Research.

Kathryn P Derose, Kartika Palar, Hugo Farías, Jayne Adams, Homero Martínez

Open access · bronzeAbstract read
In one paragraph

Article in Food and nutrition bulletin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. County-Level Food Insecurity and Hepatocellular Carcinoma Risk: A Cross-Sectional Analysis.International journal of environmental research and public health · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Interventions and policies aimed at improving nutrition in Small Island Developing States: a rapid review.Revista panamericana de salud publica = Pan American journal of public health · 2022
    Review
  8. An Integrated Urban Gardens and Peer Nutritional Counseling Intervention to Address Food Insecurity Among People With HIV in the Dominican Republic.AIDS education and prevention : official publication of the International Society for AIDS Education · 2021
    Article
  9. Article
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 3 institutions in 4 countries.

Kathryn P Derose1 RAND Corporation, Santa Monica, CA, USA.ORCID 0000-0001-7742-6024
Kartika Palar2 Division of HIV, Infectious Diseases and Global Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Hugo Farías3 United Nations World Food Programme, Regional Bureau for Latin America and the Caribbean, Panama City, Panama.
Jayne Adams3 United Nations World Food Programme, Regional Bureau for Latin America and the Caribbean, Panama City, Panama.
Homero Martínez1 RAND Corporation, Santa Monica, CA, USA.ORCID 0000-0002-1435-0306
RAND Corporation · USWorld Food Programme · ITUniversity of California, San Francisco · US

Funding

Improving Food Security and Nutrition to Promote ART Adherence in Latin AmericaR34MH084675 · NIMH · RAND CORPORATION · PI MARTINEZ, HOMERO · 2008 to 2010
$1.1M
Identifying barriers to diabetes and HIV co-management in vulnerable populationsK01DK107335 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PALAR, KARTIKA · 2015 to 2019
$787k
Improving ART Adherence Through Urban Gardening and Peer Nutritional Counseling in the Dominican RepublicR34MH110325 · NIMH · RAND CORPORATION · PI DEROSE, KATHRYN PITKIN · 2016 to 2018
$775k
NIDDK NIH HHS K01 DK107335NIMH NIH HHS R34 MH084675NIMH NIH HHS R34 MH110325
6 · The paper itself

Abstract

backgroundFood insecurity and malnutrition present challenges to HIV management, but little research has been done in Latin America and the Caribbean (LAC).

objectiveTo assess levels of food insecurity and malnutrition among people living with HIV (PLHIV) across multiple countries in LAC to inform pilot projects and policy.

methodsThrough interinstitutional collaboration, we collected data on sociodemographics, household food security, anthropometry, and commonly consumed foods among adults seeking care at HIV clinics in Bolivia, Honduras, and the Dominican Republic (DR; N = 400) and used the results for pilot projects.

resultsMost PLHIV had moderate or severe household food insecurity (61% in Bolivia, 71% in Honduras, and 68% in DR). Overweight and obesity were also highly prevalent, particularly among women (41%-53% had body mass index ≥25). High body fat was also prevalent, ranging from 36% to 59%. Among salient foods, fruits and vegetables were lacking. Country-specific pilot projects incorporated locally tailored nutrition counseling with a monthly household food ration, linkage to income-generating projects, or urban gardens. Nutritional counseling was conducted initially by professionals and later modified for peer counselors given the lack of nutritionists.

conclusionHigh levels of food insecurity and overweight among PLHIV in LAC have important implications, since prior interventions to address food insecurity among PLHIV have focused on underweight and wasting. Formative research and intersectoral collaboration facilitated locally appropriate nutritional materials and interventions, enhanced local capacities, and helped incorporate nutritional guidelines into policies and practice. Addressing human capital constraints in resource-poor settings and developing complementary strategies were key recommendations.

Indexed as

Food AssistanceNeeds AssessmentAdolescentAdultAgedAmbulatory Care FacilitiesBody WeightCaribbean RegionDietFemaleFood SupplyHIV InfectionsHumansLatin AmericaMaleMiddle AgedCaribbeanfood insecurityHIVLatin Americanutritionobesityoverweight

Identifiers

PMID30453759
PMCPMC7294459
OpenAlexW2901975009

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

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.