Brief Report

AIDS and Behavior

, Volume 17, Issue 5, pp 1683-1687

Food Insecurity, CD4 Counts, and Incomplete Viral Suppression Among HIV+ Patients from Texas Children’s Hospital: A Pilot Study

  • Jason A. MendozaAffiliated withDepartment of Pediatrics, Children’s Nutrition Research Center, Baylor College of MedicineBaylor-UTHouston Center for AIDS Research, Baylor College of MedicineDan L Duncan Cancer Center, Baylor College of Medicine Email author 
  • , Mary E. PaulAffiliated withBaylor-UTHouston Center for AIDS Research, Baylor College of MedicineDepartment of Pediatrics, Section of Retrovirology and Global Health, Baylor College of Medicine
  • , Heidi SchwarzwaldAffiliated withDepartment of Pediatrics, Section of Community Pediatrics, Baylor College of Medicine
  • , Yan LiuAffiliated withDepartment of Pediatrics, Children’s Nutrition Research Center, Baylor College of Medicine
  • , Richard MartinezAffiliated withDepartment of Pediatrics, Children’s Nutrition Research Center, Baylor College of Medicine
  • , Theresa A. NicklasAffiliated withDepartment of Pediatrics, Children’s Nutrition Research Center, Baylor College of Medicine
  • , Tom BaranowskiAffiliated withDepartment of Pediatrics, Children’s Nutrition Research Center, Baylor College of MedicineDan L Duncan Cancer Center, Baylor College of Medicine

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Abstract

Determine the relationship between food insecurity and CD4 counts and viral suppression among pediatric HIV-positive patients. Food insecurity was assessed by validated survey. CD4 counts and viral load were abstracted from patients’ charts. We used linear regression for the dependent variable of the natural log of CD4 counts and logistic regression for viral suppression, with backward deletion of covariates with p > 0.1. Food insecurity (β = −0.23, 95 % CI [−0.40, −0.01]) was associated with lower CD4 counts and higher odds of incomplete viral suppression (OR = 4.07, 95 % CI [1.02, 13.92]). Food insecurity may adversely impact pediatric HIV outcomes.

Keywords

Pediatric HIV Food security CD4 count Viral load