ArticleJournal of the International AIDS Society2022
Does resource insecurity drive HIV-related stigma? Associations between food and housing insecurity with HIV-related stigma in cohort of women living with HIV in Canada.
Article in Journal of the International AIDS Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- A systematic review of qualitative research on HIV and food insecurity in high-income countries.AIDS (London, England) · 2026Pooled it
- Effects of an agricultural intervention on psychosocial health among pregnant and nonpregnant women with HIV in Kenya.AIDS (London, England) · 2026Trial
- Housing and Water Insecurity as Structural Predictors of Intimate Partner Violence: A Cross-Sectional Study of People Living with HIV.AIDS and behavior · 2026Article
- Food insecurity among adolescent girls who are mothers (10-19 years) in sub-Saharan Africa: A scoping review.PloS one · 2026Article
- Exploring Correlates of Resource Insecurity Among Older Black or African Americans with HIV in Ohio.Journal of racial and ethnic health disparities · 2025Article
- Intersecting social determinants of health, multimorbidity and quality of life in people of Black ethnicities with HIV in South London.AIDS (London, England) · 2025Article
- Longitudinal associations between social determinants of health and well-being among women living with HIV in Canada: A latent class analysis.HIV medicine · 2025Article
- Climate change and extreme weather events and linkages with HIV outcomes: recent advances and ways forward.Current opinion in infectious diseases · 2025Review
- Women living with HIV face intersectional stigma from infection, domestic violence, and other marginalized identities: a qualitative study in West Bengal, India.BMC global and public health · 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
- Food Insecurity Prevalence and Risk Factors among Persons with HIV in a Southeastern US Clinical Care Setting.AIDS and behavior · 2025Article
- Social determinants of adherence to antiretroviral therapy among adolescents and young people living with HIV: a scoping review.Revista da Escola de Enfermagem da U S P · 2025Article
- Multilevel factors associated with HIV-related stigma among women living with HIV in Guangdong Province, China: a social-ecological model-informed study.Archives of public health = Archives belges de sante publique · 2024Article
- Understanding the impact of a residential housing program for people living with HIV/AIDS: results from a realist evaluation.BMJ open · 2024Article
- Antiretroviral Therapy Concealment Behaviors and their Association with Antiretroviral Therapy Adherence among People with HIV: Findings from the Florida Cohort Study.AIDS and behavior · 2024Article
- HIV disclosure without consent linked to increased violence against women living with HIV in a Canadian setting.AIDS care · 2024Article
- Brief Report: Social Factors Associated With Trajectories of HIV-Related Stigma and Everyday Discrimination Among Women Living With HIV in Vancouver, Canada: Longitudinal Cohort Findings.Journal of acquired immune deficiency syndromes (1999) · 2023Article
- Promoting Resilience among Middle-Aged and Older Men Who Have Sex with Men Living with HIV/AIDS in Southern Nevada: An Examination of Facilitators and Challenges from a Social Determinants of Health Perspective.Healthcare (Basel, Switzerland) · 2023Article
- A Focus on Aging, HIV/AIDS, and Neurocognitive Challenges: Examining Southern Nevada HIV Sector Providers' Awareness and Prospective Roles.International journal of environmental research and public health · 2023Article
- What will it take to get to the heart of stigma in the context of HIV?Journal of the International AIDS Society · 2022Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWomen living with HIV across global contexts are disproportionately impacted by food insecurity and housing insecurity. Food and housing insecurity are resource insecurities associated with poorer health outcomes among people living with HIV. Poverty, a deeply stigmatized phenomenon, is a contributing factor towards food and housing insecurity. HIV-related stigma-the devaluation, mistreatment and constrained access to power and opportunities experienced by people living with HIV-intersects with structural inequities. Few studies, however, have examined food and housing insecurity as drivers of HIV-related stigma. This study aimed to estimate the associations between food and housing insecurity with HIV-related stigma among women living with HIV in Canada.
methodsThis prospective cohort study of women living with HIV (≥16 years old) in three provinces in Canada involved three waves of surveys collected at 18-month intervals between 2013 and 2018. To understand associations between food and housing security and HIV-related stigma, we conducted linear mixed effects regression models. We adjusted for socio-demographic characteristics associated with HIV-related stigma. RESULTS AND DISCUSSION: Among participants (n = 1422), more than one-third (n = 509; 36%) reported baseline food insecurity and approximately one-tenth (n = 152, 11%) housing insecurity. Mean HIV-related stigma scores were consistent across waves 1 (mean [M] = 57.2, standard deviation [SD] = 20.0, N = 1401) and 2 (M = 57.4, SD = 19.0, N = 1227) but lower at wave 3 (M = 52.8, SD = 18.7, N = 918). On average, across time, food insecure participants reported HIV-related stigma scores that were 8.6 points higher (95% confidence interval [CI]: 6.4, 10.8) compared with food secure individuals. Similarly, participants reporting insecure housing at wave 1 tended to experience greater HIV-related stigma (6.2 points, 95% CI: 2.7, 9.6) over time compared to stably housed participants. There was an interaction between time and housing insecurity, whereby baseline housing insecurity was no longer associated with higher HIV-related stigma at the third wave.
conclusionsAmong women living with HIV in Canada, experiencing food and housing insecurity was associated with consistently higher levels of HIV-related stigma. In addition to the urgent need to tackle food and housing insecurity among people living with HIV to optimize wellbeing, getting to the heart of HIV-related stigma requires identifying and dismantling resource insecurity-related stigma drivers.
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