Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam

Introduction Smoking causes disparate health outcomes among people living with HIV, who also experience higher rates of food insecurity compared to HIV-negative adults. Objective Aiming to characterize household food insecurity among HIV + smokers in Vietnam, we surveyed 182 smokers undergoing HIV-c...

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Main Authors: Gloria Guevara Alvarez, Reet Kapur, Trang Nguyen, Nam Nguyen, Mari Armstrong-Hough, Niyati Parekh, Donna Shelley
Format: Article
Language:English
Published: SAGE Publishing 2024-10-01
Series:Tobacco Use Insights
Online Access:https://doi.org/10.1177/1179173X241297804
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author Gloria Guevara Alvarez
Reet Kapur
Trang Nguyen
Nam Nguyen
Mari Armstrong-Hough
Niyati Parekh
Donna Shelley
author_facet Gloria Guevara Alvarez
Reet Kapur
Trang Nguyen
Nam Nguyen
Mari Armstrong-Hough
Niyati Parekh
Donna Shelley
author_sort Gloria Guevara Alvarez
collection DOAJ
description Introduction Smoking causes disparate health outcomes among people living with HIV, who also experience higher rates of food insecurity compared to HIV-negative adults. Objective Aiming to characterize household food insecurity among HIV + smokers in Vietnam, we surveyed 182 smokers undergoing HIV-care at 5 clinics in Hanoi, Vietnam. Methods We estimated the proportion of food insecurity among our sample using the Household Food Insecurity Access Scale and analyzed covariates associated with food insecurity, like income, and moderators of smoking, like drug use. Results Food insecurity was reported by 13.3% of our sample. The mean (SD) of years living with HIV was 12.8 (6.45). Moderate-to-severe food insecurity was associated with tobacco dependence [RR = 1.68 (1.27, 2.22); P = .05] and readiness-to-quit smoking [RR = .45 (.24, .86); P = .002]. Conclusions Our findings suggest people living with HIV who smoke are vulnerable to food insecurity and face very high or high tobacco addiction. We also find evidence that food insecurity is linked to several other conditions that alone or together are barriers to quitting. Considering these findings and the increasing interest in HIV and co-existing chronic conditions like smoking and food insecurity, further research is needed to understand how food insecurity and tobacco use intersect and impact people living with HIV who experience these concomitant conditions.
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spelling doaj-art-9dbb95d928b041219e5498a1fb9dfae22025-08-20T02:31:27ZengSAGE PublishingTobacco Use Insights1179-173X2024-10-011710.1177/1179173X241297804Prevalence of Food Insecurity Among HIV-Positive Smokers in VietnamGloria Guevara AlvarezReet KapurTrang NguyenNam NguyenMari Armstrong-HoughNiyati ParekhDonna ShelleyIntroduction Smoking causes disparate health outcomes among people living with HIV, who also experience higher rates of food insecurity compared to HIV-negative adults. Objective Aiming to characterize household food insecurity among HIV + smokers in Vietnam, we surveyed 182 smokers undergoing HIV-care at 5 clinics in Hanoi, Vietnam. Methods We estimated the proportion of food insecurity among our sample using the Household Food Insecurity Access Scale and analyzed covariates associated with food insecurity, like income, and moderators of smoking, like drug use. Results Food insecurity was reported by 13.3% of our sample. The mean (SD) of years living with HIV was 12.8 (6.45). Moderate-to-severe food insecurity was associated with tobacco dependence [RR = 1.68 (1.27, 2.22); P = .05] and readiness-to-quit smoking [RR = .45 (.24, .86); P = .002]. Conclusions Our findings suggest people living with HIV who smoke are vulnerable to food insecurity and face very high or high tobacco addiction. We also find evidence that food insecurity is linked to several other conditions that alone or together are barriers to quitting. Considering these findings and the increasing interest in HIV and co-existing chronic conditions like smoking and food insecurity, further research is needed to understand how food insecurity and tobacco use intersect and impact people living with HIV who experience these concomitant conditions.https://doi.org/10.1177/1179173X241297804
spellingShingle Gloria Guevara Alvarez
Reet Kapur
Trang Nguyen
Nam Nguyen
Mari Armstrong-Hough
Niyati Parekh
Donna Shelley
Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam
Tobacco Use Insights
title Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam
title_full Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam
title_fullStr Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam
title_full_unstemmed Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam
title_short Prevalence of Food Insecurity Among HIV-Positive Smokers in Vietnam
title_sort prevalence of food insecurity among hiv positive smokers in vietnam
url https://doi.org/10.1177/1179173X241297804
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