food insecurity as a barrier to sustained antiretroviral therapy adherence in uganda粮食安全作为一个障碍在乌干达持续抗逆转录病毒治疗依从性.pdfVIP

Food Insecurity as a Barrier to Sustained Antiretroviral Therapy Adherence in Uganda 1,2 . 3. 4 5 5 Sheri D. Weiser * , David M. Tuller , Edward A. Frongillo , Jude Senkungu , Nozmu Mukiibi , David R. Bangsberg5,6,7,8 1 Division of HIV/AIDS, San Francisco General Hospital, San Francisco, California, United States of America, 2 Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, California, United States of America, 3 School of Public Health, University of California, Berkeley, California, United States of America, 4 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America, 5 Mbarara University of Science and Technology, Mbarara, Uganda, 6 Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Boston, Massachusetts, United States of America, 7 Massachusetts General Hospital Center for Global Health, Harvard Medical School, Cambridge, Massachusetts, United States of America, 8 Harvard Initiative for Global Health, Boston, Massachusetts, United States of America Abstract Background: Food insecurity is emerging as an important barrier to antiretroviral (ARV) adherence in sub-Saharan Africa and elsewhere, but little is known about the mechanisms through which food insecurity leads to ARV non-adherence and treatment interruptions. Methodology: We conducted in-depth, open-ended interviews with 47 individuals (30 women, 17 men) living with HIV/ AIDS recruited from AIDS treatment programs in Mbarara and Kampala, Uganda to understand how food insecurity interferes with ARV therapy regimens. Interviews were transcribed, code