Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.

<h4>Background</h4>Food insecurity is increasingly reported as an important barrier of patient adherence to antiretroviral therapy (ART) in both resource-poor and rich settings. However, unlike in resource rich-settings, very few quantitative studies to date have investigated the associa...

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Autores principales:	Patou Masika Musumari, Edwin Wouters, Patrick Kalambayi Kayembe, Modeste Kiumbu Nzita, Samclide Mutindu Mbikayi, S Pilar Suguimoto, Teeranee Techasrivichien, Bhekumusa Wellington Lukhele, Christina El-Saaidi, Peter Piot, Masako Ono-Kihara, Masahiro Kihara
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1aa97dcc962a495fbbeb241beadec6d1
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spelling	oai:doaj.org-article:1aa97dcc962a495fbbeb241beadec6d12021-11-18T08:37:42ZFood insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.1932-620310.1371/journal.pone.0085327https://doaj.org/article/1aa97dcc962a495fbbeb241beadec6d12014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24454841/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Food insecurity is increasingly reported as an important barrier of patient adherence to antiretroviral therapy (ART) in both resource-poor and rich settings. However, unlike in resource rich-settings, very few quantitative studies to date have investigated the association of food insecurity with patient adherence to ART in Sub-Saharan Africa. The current study examines the association between food insecurity and adherence to ART among HIV-infected adults in the Democratic Republic of Congo (DRC).<h4>Methods and findings</h4>This is a cross-sectional quantitative study of patients receiving ART at three private and one public health facilities in Kinshasa, DRC. Participants were consecutively recruited into the study between April and November 2012. Adherence was measured using a combined method coupling pharmacy refill and self-reported adherence. Food insecurity was the primary predictor, and was assessed using the Household Food Insecurity Access Scale (HFIAS). Of the 898 participants recruited into the study, 512 (57%) were food insecure, and 188 (20.9%) were not adherent to ART. Food insecurity was significantly associated with non-adherence to ART (AOR, 2.06; CI, 1.38-3.09). We also found that perceived harmfulness of ART and psychological distress were associated respectively with increased (AOR, 1.95; CI, 1.15-3.32) and decreased (AOR, 0.31; CI, 0.11-0.83) odds of non-adherence to ART.<h4>Conclusion</h4>Food insecurity is prevalent and a significant risk factor for non-adherence to ART among HIV-infected individuals in the DRC. Our findings highlight the urgent need for strategies to improve food access among HIV-infected on ART in order to ensure patient adherence to ART and ultimately the long-term success of HIV treatment in Sub-Saharan Africa.Patou Masika MusumariEdwin WoutersPatrick Kalambayi KayembeModeste Kiumbu NzitaSamclide Mutindu MbikayiS Pilar SuguimotoTeeranee TechasrivichienBhekumusa Wellington LukheleChristina El-SaaidiPeter PiotMasako Ono-KiharaMasahiro KiharaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e85327 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Patou Masika Musumari Edwin Wouters Patrick Kalambayi Kayembe Modeste Kiumbu Nzita Samclide Mutindu Mbikayi S Pilar Suguimoto Teeranee Techasrivichien Bhekumusa Wellington Lukhele Christina El-Saaidi Peter Piot Masako Ono-Kihara Masahiro Kihara Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.
description	<h4>Background</h4>Food insecurity is increasingly reported as an important barrier of patient adherence to antiretroviral therapy (ART) in both resource-poor and rich settings. However, unlike in resource rich-settings, very few quantitative studies to date have investigated the association of food insecurity with patient adherence to ART in Sub-Saharan Africa. The current study examines the association between food insecurity and adherence to ART among HIV-infected adults in the Democratic Republic of Congo (DRC).<h4>Methods and findings</h4>This is a cross-sectional quantitative study of patients receiving ART at three private and one public health facilities in Kinshasa, DRC. Participants were consecutively recruited into the study between April and November 2012. Adherence was measured using a combined method coupling pharmacy refill and self-reported adherence. Food insecurity was the primary predictor, and was assessed using the Household Food Insecurity Access Scale (HFIAS). Of the 898 participants recruited into the study, 512 (57%) were food insecure, and 188 (20.9%) were not adherent to ART. Food insecurity was significantly associated with non-adherence to ART (AOR, 2.06; CI, 1.38-3.09). We also found that perceived harmfulness of ART and psychological distress were associated respectively with increased (AOR, 1.95; CI, 1.15-3.32) and decreased (AOR, 0.31; CI, 0.11-0.83) odds of non-adherence to ART.<h4>Conclusion</h4>Food insecurity is prevalent and a significant risk factor for non-adherence to ART among HIV-infected individuals in the DRC. Our findings highlight the urgent need for strategies to improve food access among HIV-infected on ART in order to ensure patient adherence to ART and ultimately the long-term success of HIV treatment in Sub-Saharan Africa.
format	article
author	Patou Masika Musumari Edwin Wouters Patrick Kalambayi Kayembe Modeste Kiumbu Nzita Samclide Mutindu Mbikayi S Pilar Suguimoto Teeranee Techasrivichien Bhekumusa Wellington Lukhele Christina El-Saaidi Peter Piot Masako Ono-Kihara Masahiro Kihara
author_facet	Patou Masika Musumari Edwin Wouters Patrick Kalambayi Kayembe Modeste Kiumbu Nzita Samclide Mutindu Mbikayi S Pilar Suguimoto Teeranee Techasrivichien Bhekumusa Wellington Lukhele Christina El-Saaidi Peter Piot Masako Ono-Kihara Masahiro Kihara
author_sort	Patou Masika Musumari
title	Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.
title_short	Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.
title_full	Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.
title_fullStr	Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.
title_full_unstemmed	Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.
title_sort	food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among hiv-infected adults in the democratic republic of congo: a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/1aa97dcc962a495fbbeb241beadec6d1
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Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: a cross-sectional study.

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