Factors Associated with the Separate and Concurrent Experiences of Food and Housing Insecurity Among Women Living with HIV in Canada

被引:31
|
作者
Logie, Carmen H. [1 ,2 ]
Wang, Ying [1 ]
Marcus, Natania [3 ]
Kaida, Angela [4 ]
O'Brien, Nadia [5 ]
Nicholson, Val [4 ]
Webster, Kath [4 ]
Conway, Tracey [2 ]
de Pokomandy, Alexandra [5 ,6 ]
Loutfy, Mona [2 ,6 ,7 ,8 ]
机构
[1] Univ Toronto, Factor Inwentash Fac Social Work, 246 Bloor St West, Toronto, ON, Canada
[2] Womens Coll Hosp, Womens Coll Res Inst, Toronto, ON, Canada
[3] Univ Toronto, Dept Appl Psychol & Human Dev, Toronto, ON, Canada
[4] Simon Fraser Univ, Fac Hlth Sci, Vancouver, BC, Canada
[5] McGill Univ, Dept Family Med, Montreal, PQ, Canada
[6] McGill Univ, Chron Viral Illness Serv, Hlth Ctr, Montreal, PQ, Canada
[7] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[8] Univ Toronto, Dept Med, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
Women with HIV; Food insecurity; Housing insecurity; Health disparities; Social disparities; Antiretroviral adherence; Discrimination; COMMUNITY-BASED RESEARCH; INJECTION-DRUG USERS; RISK BEHAVIOR; ANTIRETROVIRAL THERAPY; RACIAL-DISCRIMINATION; POSITIVE INDIVIDUALS; HEALTH DISPARITIES; BRITISH-COLUMBIA; UNPROTECTED SEX; PUBLIC-HEALTH;
D O I
10.1007/s10461-018-2119-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
People living with HIV are disproportionately affected by food and housing insecurity. We assessed factors associated with experiencing food and/or housing insecurity among women living with HIV (WLHIV) in Canada. In our sample of WLHIV (N = 1403) 65% reported an income less than $20,000 per year. Most (78.69%) participants reported food and/or housing insecurity: 27.16% reported experiencing food insecurity alone, 14.26% reported housing insecurity alone, and 37.28% reported experiencing food and housing insecurity concurrently. In adjusted multivariable logistic regression analyses, experiencing concurrent food and housing insecurity was associated with: lower income, Black ethnicity versus White, province of residence, current injection drug use, lower resilience, HIV-related stigma, and racial discrimination. Findings underscore the urgent need for health professionals to assess for food and housing insecurity, to address the root causes of poverty, and for federal policy to allocate resources to ameliorate economic insecurity for WLHIV in Canada.
引用
收藏
页码:3100 / 3110
页数:11
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