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dc.contributor.authorSheira, Lila A
dc.contributor.authorFrongillo, Edward A
dc.contributor.authorHahn, Judith
dc.contributor.authorPalar, Kartika
dc.contributor.authorRiley, Elise D
dc.contributor.authorWilson, Tracey E
dc.contributor.authorAdedimeji, Adebola
dc.contributor.authorMerenstein, Daniel
dc.contributor.authorCohen, Mardge
dc.contributor.authorWentz, Eryka L
dc.contributor.authorAdimora, Adaora A
dc.contributor.authorOfotokun, Ighovwerha
dc.contributor.authorMetsch, Lisa
dc.contributor.authorTuran, Janet M
dc.contributor.authorTien, Phyllis C
dc.contributor.authorWeiser, Sheri D
dc.date.accessioned2023-07-12T18:59:41Z
dc.date.available2023-07-12T18:59:41Z
dc.date.issued2021-09-06
dc.identifier.citationSheira LA, Frongillo EA, Hahn J, Palar K, Riley ED, Wilson TE, Adedimeji A, Merenstein D, Cohen M, Wentz EL, Adimora AA, Ofotokun I, Metsch L, Turan JM, Tien PC, Weiser SD. Relationship between food insecurity and smoking status among women living with and at risk for HIV in the USA: a cohort study. BMJ Open. 2021 Sep 6;11(9):e054903. doi: 10.1136/bmjopen-2021-054903. PMID: 34489299; PMCID: PMC8422493.en_US
dc.identifier.eissn2044-6055
dc.identifier.doi10.1136/bmjopen-2021-054903
dc.identifier.pmid34489299
dc.identifier.urihttp://hdl.handle.net/20.500.12648/10461
dc.description.abstractObjectives: People living with HIV (PLHIV) in the USA, particularly women, have a higher prevalence of food insecurity than the general population. Cigarette smoking among PLHIV is common (42%), and PLHIV are 6-13 times more likely to die from lung cancer than AIDS-related causes. This study sought to investigate the associations between food security status and smoking status and severity among a cohort of predominantly low-income women of colour living with and without HIV in the USA.
dc.description.abstractDesign: Women enrolled in an ongoing longitudinal cohort study from 2013 to 2015.
dc.description.abstractSetting: Nine participating sites across the USA.
dc.description.abstractParticipants: 2553 participants enrolled in the Food Insecurity Sub-Study of the Women's Interagency HIV Study, a multisite cohort study of US women living with HIV and demographically similar HIV-seronegative women.
dc.description.abstractOutcomes: Current cigarette smoking status and intensity were self-reported. We used cross-sectional and longitudinal logistic and Tobit regressions to assess associations of food security status and changes in food security status with smoking status and intensity.
dc.description.abstractResults: The median age was 48. Most respondents were African-American/black (72%) and living with HIV (71%). Over half had annual incomes ≤US$12 000 (52%). Food insecurity (44%) and cigarette smoking (42%) were prevalent. In analyses adjusting for common sociodemographic characteristics, all categories of food insecurity were associated with greater odds of current smoking compared with food-secure women. Changes in food insecurity were also associated with increased odds of smoking. Any food insecurity was associated with higher smoking intensity.
dc.description.abstractConclusions: Food insecurity over time was associated with smoking in this cohort of predominantly low-income women of colour living with or at risk of HIV. Integrating alleviation of food insecurity into smoking cessation programmes may be an effective method to reduce the smoking prevalence and disproportionate lung cancer mortality rate particularly among PLHIV.
dc.language.isoenen_US
dc.relation.urlhttps://bmjopen.bmj.com/content/11/9/e054903.longen_US
dc.rights© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectHIV & AIDSen_US
dc.subjectepidemiologyen_US
dc.subjectpublic healthen_US
dc.titleRelationship between food insecurity and smoking status among women living with and at risk for HIV in the USA: a cohort study.en_US
dc.typeArticle/Reviewen_US
dc.source.journaltitleBMJ openen_US
dc.source.volume11
dc.source.issue9
dc.source.beginpagee054903
dc.source.endpage
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryEngland
dc.description.versionVoRen_US
refterms.dateFOA2023-07-12T18:59:42Z
html.description.abstractObjectives: People living with HIV (PLHIV) in the USA, particularly women, have a higher prevalence of food insecurity than the general population. Cigarette smoking among PLHIV is common (42%), and PLHIV are 6-13 times more likely to die from lung cancer than AIDS-related causes. This study sought to investigate the associations between food security status and smoking status and severity among a cohort of predominantly low-income women of colour living with and without HIV in the USA.
html.description.abstractDesign: Women enrolled in an ongoing longitudinal cohort study from 2013 to 2015.
html.description.abstractSetting: Nine participating sites across the USA.
html.description.abstractParticipants: 2553 participants enrolled in the Food Insecurity Sub-Study of the Women's Interagency HIV Study, a multisite cohort study of US women living with HIV and demographically similar HIV-seronegative women.
html.description.abstractOutcomes: Current cigarette smoking status and intensity were self-reported. We used cross-sectional and longitudinal logistic and Tobit regressions to assess associations of food security status and changes in food security status with smoking status and intensity.
html.description.abstractResults: The median age was 48. Most respondents were African-American/black (72%) and living with HIV (71%). Over half had annual incomes ≤US$12 000 (52%). Food insecurity (44%) and cigarette smoking (42%) were prevalent. In analyses adjusting for common sociodemographic characteristics, all categories of food insecurity were associated with greater odds of current smoking compared with food-secure women. Changes in food insecurity were also associated with increased odds of smoking. Any food insecurity was associated with higher smoking intensity.
html.description.abstractConclusions: Food insecurity over time was associated with smoking in this cohort of predominantly low-income women of colour living with or at risk of HIV. Integrating alleviation of food insecurity into smoking cessation programmes may be an effective method to reduce the smoking prevalence and disproportionate lung cancer mortality rate particularly among PLHIV.
dc.description.institutionSUNY Downstateen_US
dc.description.departmentInfectious Diseasesen_US
dc.description.degreelevelN/Aen_US
dc.identifier.journalBMJ open
dc.identifier.issue9en_US


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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Except where otherwise noted, this item's license is described as © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.