Abstract
Objective: To measure the occurrence and correlates of food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami, USA. Design: Non-probability cross-sectional sample.Setting Inner-city hospitals in Atlanta and Miami.Subjects Two hundred and eighty-seven HIV-infected crack users. Results: One-third (34 %) of respondents experienced food insufficiency within 30 d of interview. Increased odds of food insufficiency was associated with current homelessness (adjusted OR = 3.78, 95 % CI 1.70, 8.41), living alone (adjusted OR = 2.85, 95 % CI 1.36, 5.98), religious service attendance (adjusted OR = 2.34, 95 % CI 1.02, 5.38) and presence of health insurance (adjusted OR = 2.41, 95 % CI 1.06, 5.54). Monthly income greater than $US 600 (adjusted OR = 0.19, 95 % CI 0.06, 0.58) was associated with decreased odds of food insufficiency, and less than weekly crack use was marginally associated with decreased odds of food insufficiency (adjusted OR = 0.39, 95 % CI 0.13, 1.08). Conclusions: Food insufficiency is very prevalent among HIV-infected urban crack-cocaine users in Atlanta and Miami. Correlates of food insufficiency confirm the social vulnerability of these individuals. Routine assessment for food insecurity should become a routine component of treatment and prevention programmes in at-risk populations.
| Original language | English |
|---|---|
| Pages (from-to) | 1478-1484 |
| Number of pages | 7 |
| Journal | Public Health Nutrition |
| Volume | 13 |
| Issue number | 9 |
| DOIs | |
| State | Published - Jan 18 2010 |
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Keywords
- Drug use
- Food insufficiency
- HIV
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Nutrition and Dietetics
- Public Health, Environmental and Occupational Health
Cite this
Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami. / Vogenthaler, Nicholas S.; Hadley, Craig; Lewis, Sarah J.; Rodriguez, Allan E; Metsch, Lisa R.; Del Rio, Carlos.
In: Public Health Nutrition, Vol. 13, No. 9, 18.01.2010, p. 1478-1484.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami
AU - Vogenthaler, Nicholas S.
AU - Hadley, Craig
AU - Lewis, Sarah J.
AU - Rodriguez, Allan E
AU - Metsch, Lisa R.
AU - Del Rio, Carlos
PY - 2010/1/18
Y1 - 2010/1/18
N2 - Objective: To measure the occurrence and correlates of food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami, USA. Design: Non-probability cross-sectional sample.Setting Inner-city hospitals in Atlanta and Miami.Subjects Two hundred and eighty-seven HIV-infected crack users. Results: One-third (34 %) of respondents experienced food insufficiency within 30 d of interview. Increased odds of food insufficiency was associated with current homelessness (adjusted OR = 3.78, 95 % CI 1.70, 8.41), living alone (adjusted OR = 2.85, 95 % CI 1.36, 5.98), religious service attendance (adjusted OR = 2.34, 95 % CI 1.02, 5.38) and presence of health insurance (adjusted OR = 2.41, 95 % CI 1.06, 5.54). Monthly income greater than $US 600 (adjusted OR = 0.19, 95 % CI 0.06, 0.58) was associated with decreased odds of food insufficiency, and less than weekly crack use was marginally associated with decreased odds of food insufficiency (adjusted OR = 0.39, 95 % CI 0.13, 1.08). Conclusions: Food insufficiency is very prevalent among HIV-infected urban crack-cocaine users in Atlanta and Miami. Correlates of food insufficiency confirm the social vulnerability of these individuals. Routine assessment for food insecurity should become a routine component of treatment and prevention programmes in at-risk populations.
AB - Objective: To measure the occurrence and correlates of food insufficiency among HIV-infected crack-cocaine users in Atlanta and Miami, USA. Design: Non-probability cross-sectional sample.Setting Inner-city hospitals in Atlanta and Miami.Subjects Two hundred and eighty-seven HIV-infected crack users. Results: One-third (34 %) of respondents experienced food insufficiency within 30 d of interview. Increased odds of food insufficiency was associated with current homelessness (adjusted OR = 3.78, 95 % CI 1.70, 8.41), living alone (adjusted OR = 2.85, 95 % CI 1.36, 5.98), religious service attendance (adjusted OR = 2.34, 95 % CI 1.02, 5.38) and presence of health insurance (adjusted OR = 2.41, 95 % CI 1.06, 5.54). Monthly income greater than $US 600 (adjusted OR = 0.19, 95 % CI 0.06, 0.58) was associated with decreased odds of food insufficiency, and less than weekly crack use was marginally associated with decreased odds of food insufficiency (adjusted OR = 0.39, 95 % CI 0.13, 1.08). Conclusions: Food insufficiency is very prevalent among HIV-infected urban crack-cocaine users in Atlanta and Miami. Correlates of food insufficiency confirm the social vulnerability of these individuals. Routine assessment for food insecurity should become a routine component of treatment and prevention programmes in at-risk populations.
KW - Drug use
KW - Food insufficiency
KW - HIV
UR - http://www.scopus.com/inward/record.url?scp=77957235798&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957235798&partnerID=8YFLogxK
U2 - 10.1017/S1368980009993181
DO - 10.1017/S1368980009993181
M3 - Article
C2 - 20074395
AN - SCOPUS:77957235798
VL - 13
SP - 1478
EP - 1484
JO - Public Health Nutrition
JF - Public Health Nutrition
SN - 1368-9800
IS - 9
ER -