Food Insecurity and Aging Outcomes in Older Adults Living with HIV

Little is known about food insecurity and its association with geriatric outcomes in older people living with HIV (PLWH). This was a cross-sectional study of 230 HIV-infected patients aged 50 and older recruited in December 2012 through June 2016. Poisson logistic regression models estimated the pre...

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Bibliographic Details
Published in:AIDS and behavior 2017-12, Vol.21 (12), p.3506-3514
Main Authors: Hessol, Nancy A., Zepf, Roland, Zobell, Elizabeth, Weiser, Sheri D., John, Malcolm D.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Activities of Daily Living
Adult
Adults
Aged
Aging
AIDS
Alcohols
Cognition
Confidence intervals
Cross-Sectional Studies
Depression - epidemiology
Depression - psychology
Drug abuse
Female
Food
Food security
Food supply
Food Supply - statistics & numerical data
Frailty
Geriatrics
Health problems
Health Psychology
HIV
HIV Infections - complications
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Hunger
Infectious Diseases
Logistic Models
Male
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health
Middle Aged
Older people
Original Paper
Patients
Prevalence
Public Health
Regression analysis
Regression models
Social function
Social interactions
Social Support
Statistical analysis
Symptoms
United States - epidemiology
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Summary:Little is known about food insecurity and its association with geriatric outcomes in older people living with HIV (PLWH). This was a cross-sectional study of 230 HIV-infected patients aged 50 and older recruited in December 2012 through June 2016. Poisson logistic regression models estimated the prevalence ratio (PR) and 95% confidence intervals (CI) for the association between food insecurity and the following geriatric outcomes: frailty, physical health and function, social support, mental health and cognition, and behavioral health. 157 (68%) participants were food secure, 35 (15%) had low food security, and 38 (17%) had very low food security. After adjusting the analyses for other significant covariates, at risk alcohol or drug use (PR = 3.14; 95% CI 1.75–5.64), being sedentary (PR = 3.30; 95% CI 1.09–10.00) depressive symptoms (PR = 1.77; 95% CI 1.13–2.76), and dependent instrumental activities of daily living (PR = 2.46; 95% CI 1.13–5.36) were significantly associated with very low food security. These results highlight a need for structural HIV interventions that incorporate targeted food assistance strategies for older PLWH.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-017-1838-y