{"id":{"repo_id":"washington","oai_identifier":"oai:digital.lib.washington.edu:1773/49202"},"canonical_url":"https://search.dev.ndltd.org/etd/washington/oai:digital.lib.washington.edu:1773/49202","repository":{"repo_id":"washington","name":"University of Washington","base_url":"https://digital.lib.washington.edu/server/oai/request"},"display":{"title":"Food insecurity at HIV diagnosis associated with subsequent viremia amongst adults living with HIV in an urban township of South Africa","abstract":"We assessed the impact of food insecurity on antiretroviral adherence, retention in care, hospitalization, mortality, and HIV viremia in an urban township of Kwazulu-Natal, South Africa. At the time of HIV testing, food security status was assessed using the Household Food Insecurity Access Scale (HFIAS), and people living with HIV were followed for at least twelve months. Among 2,383 HIV-positive participants, 253 (10.6%) experienced food insecurity. Food insecurity was associated with higher adjusted odds of having HIV viremia (>1,000 copies/mL) at 12 months after HIV testing (aPOR 1.2, P=0.001). At HIV testing, persons with WHO Stage 2 (aPOR 1.5, P=0.016) or Stage 3 (aPOR 1.7, P=0.001) disease were more likely to have experienced food insecurity.","abstract_html":"We assessed the impact of food insecurity on antiretroviral adherence, retention in care, hospitalization, mortality, and HIV viremia in an urban township of Kwazulu-Natal, South Africa. At the time of HIV testing, food security status was assessed using the Household Food Insecurity Access Scale (HFIAS), and people living with HIV were followed for at least twelve months. Among 2,383 HIV-positive participants, 253 (10.6%) experienced food insecurity. Food insecurity was associated with higher adjusted odds of having HIV viremia (>1,000 copies/mL) at 12 months after HIV testing (aPOR 1.2, P=0.001). At HIV testing, persons with WHO Stage 2 (aPOR 1.5, P=0.016) or Stage 3 (aPOR 1.7, P=0.001) disease were more likely to have experienced food insecurity.","abstract_has_math":false,"creators":["Nkinsi, Naomi Tweyo"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Drain, Paul K"],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022-09-23","date_published":"2022-09-23","updated_at":"2026-07-24T05:58:25Z","subjects":["Health sciences"],"languages":["en_US"],"rights":["CC BY"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/1773/49202","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Drain, Paul K"]},{"key":"dc:creator","label":"Author","values":["Nkinsi, Naomi Tweyo"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2022-09-23T20:41:24Z"]},{"key":"dc:date.issued","label":"Date","values":["2022-09-23"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Health sciences"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_US"]},{"key":"dc:rights","label":"Dc Rights","values":["CC BY"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["Nkinsi_washington_0250O_24750.pdf"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1773/49202"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Thesis (Master's)--University of Washington, 2022"]},{"key":"dc:description.abstract","label":"Abstract","values":["We assessed the impact of food insecurity on antiretroviral adherence, retention in care, hospitalization, mortality, and HIV viremia in an urban township of Kwazulu-Natal, South Africa. At the time of HIV testing, food security status was assessed using the Household Food Insecurity Access Scale (HFIAS), and people living with HIV were followed for at least twelve months. Among 2,383 HIV-positive participants, 253 (10.6%) experienced food insecurity. Food insecurity was associated with higher adjusted odds of having HIV viremia (>1,000 copies/mL) at 12 months after HIV testing (aPOR 1.2, P=0.001). At HIV testing, persons with WHO Stage 2 (aPOR 1.5, P=0.016) or Stage 3 (aPOR 1.7, P=0.001) disease were more likely to have experienced food insecurity."]},{"key":"dc:format.mimetype","label":"Dc Format Mimetype","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Food insecurity at HIV diagnosis associated with subsequent viremia amongst adults living with HIV in an urban township of South Africa"]}]}],"canonical_facts":{"dc:contributor.advisor":["Drain, Paul K"],"dc:creator":["Nkinsi, Naomi Tweyo"],"dc:date.accessioned":["2022-09-23T20:41:24Z"],"dc:date.issued":["2022-09-23"],"dc:description":["Thesis (Master's)--University of Washington, 2022"],"dc:description.abstract":["We assessed the impact of food insecurity on antiretroviral adherence, retention in care, hospitalization, mortality, and HIV viremia in an urban township of Kwazulu-Natal, South Africa. At the time of HIV testing, food security status was assessed using the Household Food Insecurity Access Scale (HFIAS), and people living with HIV were followed for at least twelve months. Among 2,383 HIV-positive participants, 253 (10.6%) experienced food insecurity. Food insecurity was associated with higher adjusted odds of having HIV viremia (>1,000 copies/mL) at 12 months after HIV testing (aPOR 1.2, P=0.001). At HIV testing, persons with WHO Stage 2 (aPOR 1.5, P=0.016) or Stage 3 (aPOR 1.7, P=0.001) disease were more likely to have experienced food insecurity."],"dc:format.mimetype":["application/pdf"],"dc:identifier.other":["Nkinsi_washington_0250O_24750.pdf"],"dc:identifier.uri":["http://hdl.handle.net/1773/49202"],"dc:language.iso":["en_US"],"dc:rights":["CC BY"],"dc:subject":["Health sciences"],"dc:title":["Food insecurity at HIV diagnosis associated with subsequent viremia amongst adults living with HIV in an urban township of South Africa"],"dc:type":["Thesis"]},"updated_at":"2026-07-24T05:58:25Z"}