Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco

Nicholas S. Vogenthaler, Margot B. Kushel, Craig Hadley, Ed A. Frongillo, Elise D. Riley, David Bangsberg, Sheri D. Weiser

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Food insecurity is common among HIV-infected populations in resource-rich and resource-poor countries. We hypothesized that food insecurity would be associated with risky sexual behaviors. We examined this hypothesis among all sexually active participants (n = 154) in the Research on Access to Care in the Homeless (REACH) cohort in San Francisco. The outcomes were unprotected vaginal or anal sex and multiple sexual partners during the prior 90 days. Associations were examined using repeated measures multivariable logistic regression analyses. Food insecurity was independently associated with unprotected sexual activity (AOR = 2.01 for each five point increase in HFIAS scale, 95 % CI 1.31-3.10) and multiple sexual partners (AOR = 1.54 for each five-point increase in HFIAS scale, 95 % CI 1.05-2.29). Food insecurity is a risk factor for unprotected sexual activity and multiple sexual partners among homeless and marginally housed HIV-infected individuals in San Francisco. Measures to alleviate food insecurity may play a role in decreasing secondary HIV transmission.

Original languageEnglish (US)
Pages (from-to)1688-1693
Number of pages6
JournalAIDS and Behavior
Volume17
Issue number5
DOIs
StatePublished - Jun 2013
Externally publishedYes

Fingerprint

San Francisco
Food Supply
Sexual Partners
Sexual Behavior
HIV
Unsafe Sex
Logistic Models
Regression Analysis
Research
Population

Keywords

  • Food insecurity
  • HIV/AIDS
  • Sexual risk

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco. / Vogenthaler, Nicholas S.; Kushel, Margot B.; Hadley, Craig; Frongillo, Ed A.; Riley, Elise D.; Bangsberg, David; Weiser, Sheri D.

In: AIDS and Behavior, Vol. 17, No. 5, 06.2013, p. 1688-1693.

Research output: Contribution to journalArticle

Vogenthaler, Nicholas S. ; Kushel, Margot B. ; Hadley, Craig ; Frongillo, Ed A. ; Riley, Elise D. ; Bangsberg, David ; Weiser, Sheri D. / Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco. In: AIDS and Behavior. 2013 ; Vol. 17, No. 5. pp. 1688-1693.
@article{f4f3dc232d454817bcfbe72bd9a03bcc,
title = "Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco",
abstract = "Food insecurity is common among HIV-infected populations in resource-rich and resource-poor countries. We hypothesized that food insecurity would be associated with risky sexual behaviors. We examined this hypothesis among all sexually active participants (n = 154) in the Research on Access to Care in the Homeless (REACH) cohort in San Francisco. The outcomes were unprotected vaginal or anal sex and multiple sexual partners during the prior 90 days. Associations were examined using repeated measures multivariable logistic regression analyses. Food insecurity was independently associated with unprotected sexual activity (AOR = 2.01 for each five point increase in HFIAS scale, 95 {\%} CI 1.31-3.10) and multiple sexual partners (AOR = 1.54 for each five-point increase in HFIAS scale, 95 {\%} CI 1.05-2.29). Food insecurity is a risk factor for unprotected sexual activity and multiple sexual partners among homeless and marginally housed HIV-infected individuals in San Francisco. Measures to alleviate food insecurity may play a role in decreasing secondary HIV transmission.",
keywords = "Food insecurity, HIV/AIDS, Sexual risk",
author = "Vogenthaler, {Nicholas S.} and Kushel, {Margot B.} and Craig Hadley and Frongillo, {Ed A.} and Riley, {Elise D.} and David Bangsberg and Weiser, {Sheri D.}",
year = "2013",
month = "6",
doi = "10.1007/s10461-012-0355-2",
language = "English (US)",
volume = "17",
pages = "1688--1693",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Food insecurity and risky sexual behaviors among homeless and marginally housed HIV-infected individuals in San Francisco

AU - Vogenthaler, Nicholas S.

AU - Kushel, Margot B.

AU - Hadley, Craig

AU - Frongillo, Ed A.

AU - Riley, Elise D.

AU - Bangsberg, David

AU - Weiser, Sheri D.

PY - 2013/6

Y1 - 2013/6

N2 - Food insecurity is common among HIV-infected populations in resource-rich and resource-poor countries. We hypothesized that food insecurity would be associated with risky sexual behaviors. We examined this hypothesis among all sexually active participants (n = 154) in the Research on Access to Care in the Homeless (REACH) cohort in San Francisco. The outcomes were unprotected vaginal or anal sex and multiple sexual partners during the prior 90 days. Associations were examined using repeated measures multivariable logistic regression analyses. Food insecurity was independently associated with unprotected sexual activity (AOR = 2.01 for each five point increase in HFIAS scale, 95 % CI 1.31-3.10) and multiple sexual partners (AOR = 1.54 for each five-point increase in HFIAS scale, 95 % CI 1.05-2.29). Food insecurity is a risk factor for unprotected sexual activity and multiple sexual partners among homeless and marginally housed HIV-infected individuals in San Francisco. Measures to alleviate food insecurity may play a role in decreasing secondary HIV transmission.

AB - Food insecurity is common among HIV-infected populations in resource-rich and resource-poor countries. We hypothesized that food insecurity would be associated with risky sexual behaviors. We examined this hypothesis among all sexually active participants (n = 154) in the Research on Access to Care in the Homeless (REACH) cohort in San Francisco. The outcomes were unprotected vaginal or anal sex and multiple sexual partners during the prior 90 days. Associations were examined using repeated measures multivariable logistic regression analyses. Food insecurity was independently associated with unprotected sexual activity (AOR = 2.01 for each five point increase in HFIAS scale, 95 % CI 1.31-3.10) and multiple sexual partners (AOR = 1.54 for each five-point increase in HFIAS scale, 95 % CI 1.05-2.29). Food insecurity is a risk factor for unprotected sexual activity and multiple sexual partners among homeless and marginally housed HIV-infected individuals in San Francisco. Measures to alleviate food insecurity may play a role in decreasing secondary HIV transmission.

KW - Food insecurity

KW - HIV/AIDS

KW - Sexual risk

UR - http://www.scopus.com/inward/record.url?scp=84878577988&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878577988&partnerID=8YFLogxK

U2 - 10.1007/s10461-012-0355-2

DO - 10.1007/s10461-012-0355-2

M3 - Article

VL - 17

SP - 1688

EP - 1693

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 5

ER -