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Smoking Predicts Food Insecurity Severity among Persons Living with HIV

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Abstract

Food insecurity is a key social and health issue among persons living with HIV (PLHIV). Food insecurity oftentimes co-occurs with substance use, but little is known about the relationship between tobacco use and food insecurity particularly among PLHIV. In this study, we prospectively examined the association of cigarette smoking with food insecurity in a cohort of 108 individuals seeking vocational rehabilitation services. Over the 12-month study period, smokers at baseline reported consistently higher levels of food insecurity compared to non-smokers. Smoking remained an independent risk factor for greater food insecurity, controlling for sociodemographic characteristics and known confounders (e.g., substance use, depression). Food insecurity is a key structural and socioeconomic barrier that may partially explain HIV-related health disparities observed among smokers. Further research is needed to characterize the bio-behavioral mechanisms linking smoking and food insecurity as well as test whether smoking cessation can reduce food insecurity in PLHIV who smoke.

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Funding

Data collection for this study was funded by a Community Collaborative Research Award from the California HIV/AIDS Research Program (CR09-PO-450 and CR09-SF-451). Writing of the article was supported by the National Institutes of Health, T32 DA007250 and K01 DA043659. The funding agencies had no involvement in the design and conduct of the study, data analysis, interpretation of the data, or preparation and submission of the article.

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Authors and Affiliations

  1. Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, MA, USA

    Jin E. Kim-Mozeleski

  2. Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA

    Janice Y. Tsoh

  3. Positive Resource Center, San Francisco, CA, USA

    Joseph Ramirez-Forcier & Brett Andrews

  4. Division of HIV, ID and Global Medicine, University of California, San Francisco, San Francisco, CA, USA

    Sheri D. Weiser

  5. Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami, 1120 NW 14th St., Miami, FL, 33136, USA

    Adam W. Carrico

Authors
  1. Jin E. Kim-Mozeleski
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  2. Janice Y. Tsoh
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  3. Joseph Ramirez-Forcier
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  4. Brett Andrews
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  5. Sheri D. Weiser
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  6. Adam W. Carrico
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Correspondence to Adam W. Carrico.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Kim-Mozeleski, J.E., Tsoh, J.Y., Ramirez-Forcier, J. et al. Smoking Predicts Food Insecurity Severity among Persons Living with HIV. AIDS Behav 22, 2861–2867 (2018). https://doi.org/10.1007/s10461-018-2069-6

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  • DOI: https://doi.org/10.1007/s10461-018-2069-6

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