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dc.contributor.authorWhittle, Henry J
dc.contributor.authorSheira, Lila A
dc.contributor.authorWolfe, William R
dc.contributor.authorFrongillo, Edward A
dc.contributor.authorPalar, Kartika
dc.contributor.authorMerenstein, Daniel
dc.contributor.authorWilson, Tracey E
dc.contributor.authorAdedimeji, Adebola
dc.contributor.authorWeber, Kathleen M
dc.contributor.authorAdimora, Adaora A
dc.contributor.authorOfotokun, Ighovwerha
dc.contributor.authorMetsch, Lisa
dc.contributor.authorTuran, Janet M
dc.contributor.authorWentz, Eryka L
dc.contributor.authorTien, Phyllis C
dc.contributor.authorWeiser, Sheri D
dc.date.accessioned2023-07-14T16:29:03Z
dc.date.available2023-07-14T16:29:03Z
dc.date.issued2019-08
dc.identifier.citationWhittle HJ, Sheira LA, Wolfe WR, Frongillo EA, Palar K, Merenstein D, Wilson TE, Adedimeji A, Weber KM, Adimora AA, Ofotokun I, Metsch L, Turan JM, Wentz EL, Tien PC, Weiser SD. Food insecurity is associated with anxiety, stress, and symptoms of posttraumatic stress disorder in a cohort of women with or at risk of HIV in the United States. J Nutr. 2019 Aug 1;149(8):1393-1403. doi: 10.1093/jn/nxz093. PMID: 31127819; PMCID: PMC6675617.en_US
dc.identifier.eissn1541-6100
dc.identifier.doi10.1093/jn/nxz093
dc.identifier.pmid31127819
dc.identifier.urihttp://hdl.handle.net/20.500.12648/10492
dc.description.abstractBackground: Food insecurity, which disproportionately affects marginalized women in the United States, is associated with depressive symptoms. Few studies have examined relations of food insecurity with other mental health outcomes.
dc.description.abstractObjective: The aim of this study was to investigate the associations of food insecurity with symptoms of generalized anxiety disorder (GAD), stress, and posttraumatic stress disorder (PTSD) in the Women's Interagency HIV Study (WIHS), a prospective cohort study of women with or at risk of HIV in the United States.
dc.description.abstractMethods: Participants were 2553 women with or at risk of HIV, predominantly African American/black (71.6%). Structured questionnaires were conducted during April 2013-March 2016 every 6 mo. Food security (FS) was the primary predictor, measured using the Household Food Security Survey Module. We measured longitudinal outcomes for GAD (GAD-7 score and a binary GAD-7 screener for moderate-to-severe GAD). Only cross-sectional data were available for outcomes measuring perceived stress (PSS-10 score) and PTSD (PCL-C score and a binary PCL-C screener for PTSD). We examined associations of FS with the outcomes through use of multivariable linear and logistic regression, including lagged associations with GAD outcomes.
dc.description.abstractResults: After adjusting for sociodemographic and health-related factors including HIV serostatus, current marginal, low, and very low FS were associated with increasingly higher GAD-7 scores, and with 1.41 (95% CI: 1.10, 1.80; P < 0.01), 2.03 (95% CI: 1.59, 2.61; P < 0.001), and 3.23 (95% CI: 2.43, 4.29; P < 0.001) times higher odds of screening positive for moderate-to-severe GAD, respectively. Low and very low FS at the previous visit (6 mo earlier) were independently associated with GAD outcomes at current visit. Associations of FS with PSS-10 and PCL-C scores exhibited similar dose-response relations. Very low FS was associated with 1.93 (95% CI: 1.15, 3.24; P < 0.05) times higher odds of screening positive for PTSD.
dc.description.abstractConclusions: Food insecurity may be associated with a range of poor mental health outcomes among women in the United States with or at risk of HIV.
dc.language.isoenen_US
dc.relation.urlhttps://www.sciencedirect.com/science/article/pii/S0022316622167039en_US
dc.rightsCopyright © American Society for Nutrition 2019.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectHIVen_US
dc.subjectPTSDen_US
dc.subjectanxietyen_US
dc.subjectfood insecurityen_US
dc.subjectstressen_US
dc.titleFood insecurity is associated with anxiety, stress, and symptoms of posttraumatic stress disorder in a cohort of women with or at risk of HIV in the United States.en_US
dc.typeArticle/Reviewen_US
dc.source.journaltitleThe Journal of nutritionen_US
dc.source.volume149
dc.source.issue8
dc.source.beginpage1393
dc.source.endpage1403
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.description.versionVoRen_US
refterms.dateFOA2023-07-14T16:29:03Z
html.description.abstractBackground: Food insecurity, which disproportionately affects marginalized women in the United States, is associated with depressive symptoms. Few studies have examined relations of food insecurity with other mental health outcomes.
html.description.abstractObjective: The aim of this study was to investigate the associations of food insecurity with symptoms of generalized anxiety disorder (GAD), stress, and posttraumatic stress disorder (PTSD) in the Women's Interagency HIV Study (WIHS), a prospective cohort study of women with or at risk of HIV in the United States.
html.description.abstractMethods: Participants were 2553 women with or at risk of HIV, predominantly African American/black (71.6%). Structured questionnaires were conducted during April 2013-March 2016 every 6 mo. Food security (FS) was the primary predictor, measured using the Household Food Security Survey Module. We measured longitudinal outcomes for GAD (GAD-7 score and a binary GAD-7 screener for moderate-to-severe GAD). Only cross-sectional data were available for outcomes measuring perceived stress (PSS-10 score) and PTSD (PCL-C score and a binary PCL-C screener for PTSD). We examined associations of FS with the outcomes through use of multivariable linear and logistic regression, including lagged associations with GAD outcomes.
html.description.abstractResults: After adjusting for sociodemographic and health-related factors including HIV serostatus, current marginal, low, and very low FS were associated with increasingly higher GAD-7 scores, and with 1.41 (95% CI: 1.10, 1.80; P < 0.01), 2.03 (95% CI: 1.59, 2.61; P < 0.001), and 3.23 (95% CI: 2.43, 4.29; P < 0.001) times higher odds of screening positive for moderate-to-severe GAD, respectively. Low and very low FS at the previous visit (6 mo earlier) were independently associated with GAD outcomes at current visit. Associations of FS with PSS-10 and PCL-C scores exhibited similar dose-response relations. Very low FS was associated with 1.93 (95% CI: 1.15, 3.24; P < 0.05) times higher odds of screening positive for PTSD.
html.description.abstractConclusions: Food insecurity may be associated with a range of poor mental health outcomes among women in the United States with or at risk of HIV.
dc.description.institutionSUNY Downstateen_US
dc.description.departmentInfectious Diseasesen_US
dc.description.degreelevelN/Aen_US
dc.identifier.journalThe Journal of nutrition
dc.identifier.issue8en_US


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