ArticleThe Journal of nutrition2019
Food insecurity is associated with anxiety, stress, and symptoms of posttraumatic stress disorder in a cohort of women with or at risk of HIV in the United States.
Article in The Journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Food insecurity and gender-based violence against women during the COVID-19 pandemic: a systematic review.BMC public health · 2026Pooled it
- Global Systematic Review of Common Mental Health Disorders in Adults Living with HIV.Current HIV/AIDS reports · 2021Pooled it
- Food Is Medicine for Human Immunodeficiency Virus: Improved Health and Hospitalizations in the Changing Health Through Food Support (CHEFS-HIV) Pragmatic Randomized Trial.The Journal of infectious diseases · 2025Trial
- Cross-Lagged Dyadic Associations of Food Insecurity and Depressive Symptoms among Couples Living with HIV and Cardiometabolic Disorders in Malawi.Current developments in nutrition · 2026Article
- Post-traumatic stress disorder.Nature reviews. Disease primers · 2026Review
- Food insecurity is associated with abdominal obesity, body roundness index, mental health, mood, and sleep-related outcomes among Iranian older adults.BMC public health · 2025Article
- Mental health disorders among people living with HIV in sub-Saharan Africa: a scoping review protocol.BMJ open · 2025Article
- The Association of Levels of Food Insecurity and Disordered Eating Behaviors Among Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study.The International journal of eating disorders · 2025Article
- Are we gatekeeping trauma? A conceptual model to expand criterion A for invisible, identity-based, and systemic traumas.Social science & medicine (1982) · 2025Review
- Is the Impact of Food Insecurity on Food-Related Behavior Moderated by Generation in South Korea?International journal of environmental research and public health · 2025Article
- Sexual Response Problems and Their Correlates Among Older Adults From the Sexual Well-Being (SWELL) Study in China: Multicenter Cross-Sectional Study.JMIR aging · 2025Article
- Prevalence and predictors of food insecurity in conflict zones among displaced families in Lebanon during the war: a cross-sectional study.Frontiers in public health · 2025Article
- Prevalence and associated factors of post-traumatic stress disorder among women with an experience of intimate partner violence (IPV): Insights from urban slums of Bangladesh.Global mental health (Cambridge, England) · 2025Article
- Low food security is associated with frailty status and frailty components among people with HIV.AIDS (London, England) · 2025Article
- Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support?Women's health reports (New Rochelle, N.Y.) · 2025Article
- Anxiety and sleep mediate the effect of food insecurity on depression in single parents in Ghana.BMC public health · 2024Article
- Exploring Food Insecurity and Perceived Stress on Daytime Sleepiness among Older Adults in New York City.Foods (Basel, Switzerland) · 2024Article
- Pandemic stressors and mental health indicators in eight countries.Social psychiatry and psychiatric epidemiology · 2024Article
- "I'm Doing the Best that I Can": Mothers Lived Experience with Food Insecurity, Coping Strategies, and Mental Health Implications.Current developments in nutrition · 2024Article
- The association of the quality of life with Afghan households' food insecurity before and after the recent political change in Afghanistan: a comparative analysis.BMC public health · 2023Article
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Authors and funding
16 authors.
Funding
Abstract
backgroundFood insecurity, which disproportionately affects marginalized women in the United States, is associated with depressive symptoms. Few studies have examined relations of food insecurity with other mental health outcomes.
objectiveThe aim of this study was to investigate the associations of food insecurity with symptoms of generalized anxiety disorder (GAD), stress, and posttraumatic stress disorder (PTSD) in the Women's Interagency HIV Study (WIHS), a prospective cohort study of women with or at risk of HIV in the United States.
methodsParticipants were 2553 women with or at risk of HIV, predominantly African American/black (71.6%). Structured questionnaires were conducted during April 2013-March 2016 every 6 mo. Food security (FS) was the primary predictor, measured using the Household Food Security Survey Module. We measured longitudinal outcomes for GAD (GAD-7 score and a binary GAD-7 screener for moderate-to-severe GAD). Only cross-sectional data were available for outcomes measuring perceived stress (PSS-10 score) and PTSD (PCL-C score and a binary PCL-C screener for PTSD). We examined associations of FS with the outcomes through use of multivariable linear and logistic regression, including lagged associations with GAD outcomes.
resultsAfter adjusting for sociodemographic and health-related factors including HIV serostatus, current marginal, low, and very low FS were associated with increasingly higher GAD-7 scores, and with 1.41 (95% CI: 1.10, 1.80; P < 0.01), 2.03 (95% CI: 1.59, 2.61; P < 0.001), and 3.23 (95% CI: 2.43, 4.29; P < 0.001) times higher odds of screening positive for moderate-to-severe GAD, respectively. Low and very low FS at the previous visit (6 mo earlier) were independently associated with GAD outcomes at current visit. Associations of FS with PSS-10 and PCL-C scores exhibited similar dose-response relations. Very low FS was associated with 1.93 (95% CI: 1.15, 3.24; P < 0.05) times higher odds of screening positive for PTSD.
conclusionsFood insecurity may be associated with a range of poor mental health outcomes among women in the United States with or at risk of HIV.
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