AIDS and Behavior

, Volume 17, Issue 5, pp 1683–1687 | Cite as

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

  • Jason A. Mendoza
  • Mary E. Paul
  • Heidi Schwarzwald
  • Yan Liu
  • Richard Martinez
  • Theresa A. Nicklas
  • Tom Baranowski
Brief Report


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.


Pediatric HIV Food security CD4 count Viral load 



Analysis of variance




Cluster of differentiation


Human immunodeficiency virus


Polymerase chain reaction


Texas Children’s Hospital


United States (of America)


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Jason A. Mendoza
    • 1
    • 2
    • 3
  • Mary E. Paul
    • 2
    • 4
  • Heidi Schwarzwald
    • 5
  • Yan Liu
    • 1
  • Richard Martinez
    • 1
  • Theresa A. Nicklas
    • 1
  • Tom Baranowski
    • 1
    • 3
  1. 1.Department of Pediatrics, Children’s Nutrition Research CenterBaylor College of MedicineHoustonUSA
  2. 2.Baylor-UTHouston Center for AIDS ResearchBaylor College of MedicineHoustonUSA
  3. 3.Dan L Duncan Cancer CenterBaylor College of MedicineHoustonUSA
  4. 4.Department of Pediatrics, Section of Retrovirology and Global HealthBaylor College of MedicineHoustonUSA
  5. 5.Department of Pediatrics, Section of Community PediatricsBaylor College of MedicineHoustonUSA

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