Evidence map›Paper›PMID 34420547›Full record

ArticlePublic health nutrition2022

Prevalence and predictors of food insecurity among people living with and without HIV in the African Cohort Study.

Cecilia C Onyenakie, Raphael U Nnakwe, Nicole Dear, Allahna Esber, Emmanuel Bahemana, Hannah Kibuuka, Jonah Maswai, John Owuoth, Trevor A Crowell, Christina S Polyak and 3 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

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  9. In this issue - Food insecurity.Public health nutrition · 2022
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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

13 authors at 4 institutions in 3 countries.

Cecilia C OnyenakieHJF Medical Research International, Abuja, Nigeria.
Raphael U NnakweHJF Medical Research International, Abuja, Nigeria.
Nicole DearU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Allahna EsberU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Emmanuel BahemanaU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Hannah KibuukaMakerere University Walter Reed Project, Kampala, Uganda.
Jonah MaswaiU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
John OwuothU.S. Army Medical Research Directorate - Africa, Kisumu, Kenya.
Trevor A CrowellU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.ORCID 0000-0001-5947-265X
Christina S PolyakU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Julie A AkeU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Michael IroezinduHJF Medical Research International, Abuja, Nigeria.
AFRICOS Study Group
Walter Reed Army Institute of Research · USHenry M. Jackson Foundation · USMakerere University Walter Reed Project · UGUnited States Army Medical Research Directorate - Africa · KE

Funding

PEPFAR
6 · The paper itself

Abstract

objectiveWe determined the prevalence and identified predictors of food insecurity in four African countries.

designCross-sectional analyses at study enrolment.

settingFrom January 2013 to March 2020, people living with HIV (PLWH) and without HIV were enrolled at twelve clinics in Kenya, Uganda, Tanzania and Nigeria.

participantsParticipants reporting not having enough food to eat over the past 12 months or receiving <3 meals/d were defined as food insecure. Robust Poisson regression models were used to estimate unadjusted and adjusted prevalence ratios (aPR) and 95 % CI for predictors of food insecurity among all participants and separately among PLWH.

results1694/3496 participants (48·5 %) reported food insecurity at enrolment, with no difference by HIV status. Food insecurity was more common among older participants (50+ v. 18-24 years aPR 1·35, 95 % CI 1·15, 1·59). Having 2-5 (aPR 1·14, 95 % CI 1·01, 1·30) or >5 dependents (aPR 1·17, 95 % CI 1·02, 1·35), and residing in Kisumu West, Kenya (aPR 1·63, 95 % CI 1·42, 1·87) or Nigeria (aPR 1·20, 95 % CI 1·01, 1·41) was associated with food insecurity. Residing in Tanzania (aPR 0·65, 95 % CI 0·53, 0·80) and increasing education (secondary/above education v. none/some primary education aPR 0·73, 95 % CI 0·66, 0·81) was protective against food insecurity. Antiretroviral therapy (ART)-experienced PLWH were more likely to be food secure irrespective of viral load.

conclusionFood insecurity was highly prevalent in our cohort though not significantly associated with HIV. Policies aimed at promoting education, elderly care, ART access in PLWH and financial independence could potentially improve food security in Africa.

Indexed as

Food SupplyHIV InfectionsAgedCohort StudiesCross-Sectional StudiesFood InsecurityHumansPrevalenceUgandaAfricaAntiretroviral therapyFood insecurityFood supplyHIVNutrition policy

Identifiers

PMID34420547
PMCPMC9991625
OpenAlexW3193578623

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.