{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:11:49Z","timestamp":1777561909903,"version":"3.51.4"},"reference-count":58,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T00:00:00Z","timestamp":1568160000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T00:00:00Z","timestamp":1568160000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980019002532_as1\" sec-type=\"other\"><jats:title>Objective:<\/jats:title><jats:p>Food insecurity, or self-reports of inadequate food access due to limited financial resources, remains prevalent among people living with HIV (PLHIV). We examined the impact of food insecurity on combination antiretroviral therapy (cART) adherence within an integrated care programme that provides services to PLHIV, including two meals per day.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002532_as2\" sec-type=\"other\"><jats:title>Design:<\/jats:title><jats:p>Adjusted OR (aOR) were estimated by generalized estimating equations, quantifying the relationship between food insecurity (exposure) and cART adherence (outcome) with multivariable logistic regression.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002532_as3\" sec-type=\"other\"><jats:title>Setting:<\/jats:title><jats:p>We drew on survey data collected between February 2014 and March 2016 from the Dr. Peter Centre Study based in Vancouver, Canada.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002532_as4\" sec-type=\"other\"><jats:title>Participants:<\/jats:title><jats:p>The study included 116 PLHIV at baseline, with ninety-nine participants completing a 12-month follow-up interview. The median (quartile 1\u2013quartile 3) age was 46 (39\u201352) years at baseline and 87 % (<jats:italic>n<\/jats:italic> 101) were biologically male at birth.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002532_as5\" sec-type=\"other\"><jats:title>Results:<\/jats:title><jats:p>At baseline, 74 % (<jats:italic>n<\/jats:italic> 86) of participants were food insecure (\u22652 affirmative responses on Health Canada\u2019s Household Food Security Survey Module) and 67 % (<jats:italic>n<\/jats:italic> 78) were adherent to cART \u226595 % of the time. In the adjusted regression analysis, food insecurity was associated with suboptimal cART adherence (aOR = 0\u00b747, 95 % CI 0\u00b724, 0\u00b793).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002532_as6\" sec-type=\"other\"><jats:title>Conclusions:<\/jats:title><jats:p>While food provision may reduce some health-related harms, there remains a relationship between this prevalent experience and suboptimal cART adherence in this integrated care programme. Future studies that elucidate strategies to mitigate food insecurity and its effects on cART adherence among PLHIV in this setting and in other similar environments are necessary.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980019002532","type":"journal-article","created":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T09:12:05Z","timestamp":1568193125000},"page":"683-690","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":15,"title":["Assessing the impact of food insecurity on HIV medication adherence in the context of an integrated care programme for people living with HIV in Vancouver, 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