Evidence map›Paper›PMID 39333961›Full record

ArticleBMC public health2024

Food insecurity and unemployment as mediators of the relationship between the COVID-19 pandemic and psychological well-being in young South Africans with HIV.

Connor P Bondarchuk, Tiffany Lemon, Andrew Medina-Marino, Elzette Rousseau, Siyaxolisa Sindelo, Nkosiypha Sibanda, Lisa M Butler, Linda-Gail Bekker, Valerie A Earnshaw, Ingrid T Katz

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Connor P BondarchukHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. cbondarchuk@hms.harvard.edu.
Tiffany LemonCollege of Health Solutions, Arizona State University, Health North building, Suite 501, 550 N 3rd St, Phoenix, AZ, 85004, USA.
Andrew Medina-MarinoDesmond Tutu HIV Centre, University of Cape Town, PO Box 13801, 3 Woodlands Road, Cape Town, 7925, South Africa.
Elzette RousseauDesmond Tutu HIV Centre, University of Cape Town, PO Box 13801, 3 Woodlands Road, Cape Town, 7925, South Africa.
Siyaxolisa SindeloDesmond Tutu HIV Centre, University of Cape Town, PO Box 13801, 3 Woodlands Road, Cape Town, 7925, South Africa.
Nkosiypha SibandaDesmond Tutu HIV Centre, University of Cape Town, PO Box 13801, 3 Woodlands Road, Cape Town, 7925, South Africa.
Lisa M ButlerFaculty of Health Sciences, Queen's University, 62 Fifth Field Company Lane, Kingston, ON, Canada.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, PO Box 13801, 3 Woodlands Road, Cape Town, 7925, South Africa.
Valerie A EarnshawCollege of Education and Human Development, University of Delaware, 106 Alison Hall West, Newark, DE, 19716, USA.
Ingrid T KatzBrigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

Funding

Khulani Siphile Siphuhle Training Program in South Africa (KiSS-TP)D43TW012497 · FIC · DESMOND TUTU HIV FOUNDATION · PI BEKKER, LINDA-GAIL, COHEN, CRAIG R · 2023 to 2025
$1.0M
Standing Tall - A Pilot Randomized Controlled Trial of a Community-Based Intervention to Improve Health Outcomes for Newly Diagnosed HIV-Positive Young Adults in South AfricaR34MH114897 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, INGRID T. · 2018 to 2021
$925k
FIC NIH HHS D43 TW012497NIH HHS 1R34MH114897NIMH NIH HHS R34 MH114897
6 · The paper itself

Abstract

backgroundPoor psychological well-being, including depression, anxiety, and low self-esteem, is both prevalent among young South Africans living with HIV and associated with poor HIV clinical outcomes. By impacting food insecurity and employment, the COVID-19 pandemic may have influenced psychological well-being in this population. This analysis sought to examine whether food insecurity and unemployment mediated the relationship between study cohort (pre- versus during-pandemic) and psychological well-being in our sample of young South Africans living with HIV.

methodsThis was a secondary analysis comparing baseline data from two cohorts of young South Africans ages 18-24 from the Cape Town and East London metro areas who tested positive for HIV at clinics (or mobile clinics) either before or during the COVID-19 pandemic. Baseline sociodemographic, economic, and psychological outcomes were analyzed through a series of bivariate logistic regression and mediation analyses. All data were analyzed in 2023 and 2024.

resultsReported food anxiety, insufficient food quality, and insufficient food quantity were lower in the cohort recruited during the COVID-19 pandemic than those recruited before the pandemic (p < 0.001). Higher levels of food insecurity predicted higher depressive and anxiety symptoms and lower self-esteem. Food anxiety, insufficient food quality, and insufficient food quantity, but not unemployment, mediated the relationship between study cohort and depressive symptoms, anxiety symptoms, and self-esteem.

conclusionFood insecurity may have decreased amongst our sample of young people during the COVID-19 pandemic. Our findings build on our understanding of how the psychological well-being of young people living with HIV was affected by the COVID-19 pandemic and may lend support to interventions targeting food insecurity to improve psychological well-being in this population.

Indexed as

COVID-19Food InsecurityHIV InfectionsUnemploymentAdolescentAfrican PeopleAnxietyCohort StudiesDepressionFemaleHumansMaleMental HealthPandemicsPsychological Well-BeingSelf ConceptAnxietyCOVID-19DepressionFood insecurityHIV/AIDSSelf-esteemSocioeconomic factorsYoung adults

Identifiers

PMID39333961
PMCPMC11437656

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LicenceCC BY-NC-ND
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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.