Author:

• Luis Ortiz-Hernández - Ortiz-Hernández, Luis - Universidad Autonoma Metropolitana - Xochimilco, Atención a la Salud - <lortiz@correo.xoc.uam.mx>

Co-author(s):

• Diana Pérez-Salgado - Pérez-Salgado, Diana - Universidad Autonoma Metropolitana - Xochimilco, Atención a la Salud - <dianaps2006@gmail.com>
• Sandra Compean-Dardón - Compean-Dardón, Sandra - Universidad Autonoma Metropolitana - Xochimilco, Atención a la Salud - <sandrac_d@hotmail.com>

Thematic Area:

Ciências Sociais

Abstract:

FOOD INSECURITY AND ADHERENCE TO ANTIRETROVIRAL AMONG MEXICAN PEOPLE WITH HIV
Objectives. 1) To analyze the relationship between food insecurity (FI) and adherence to antiretroviral therapy (ART) among people with HIV. 2) To evaluate the contribution of four possible mediators (lack of time due to work and family responsibilities, lack of resources to satisfy needs, psychological distress and side effects of ART) to differences in adherence according to the FI degrees. Methods. A cross-sectional survey with a convenience sample (n= 557) of people with HIV attending two public institutions in México city was carried out. Variables were assessed by questionnaire. Logistic regression models were estimated. Results. People with moderate FI were more probable to omit a dose (RM= 2.10) and low adherence (RM= 3.35) during the last month. Poor adherence in people with FI was explained by side effects of ART (14.9%), unsatisfied needs (12.5%), lack of time (4.8%) and psychological distress (2.0%). Conclusions. FI may limit benefits of universal access policies because it is associated with lower adherence to ART. Adjustment of health services to reduce the negative effects of FI on adherence to ART is required.

Keywords:

patient satisfaction, adherence, mental health, HIV, AIDS, Mexico

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