News / Africa

Study: HIV, Food Insecurity Closely Linked

Food Security, HIV/AIDS Treatment and Prevention Closely Linked
Food Security, HIV/AIDS Treatment and Prevention Closely Linked

Multimedia

Audio
Joe DeCapua
A new study says Africa suffers from a co-epidemic of HIV/AIDS and food insecurity. Researchers say treatment and better nutrition go hand-in-hand in controlling the epidemic.


Dr. Sheri Weiser said when people fall ill due to HIV, accessing food becomes “progressively more difficult.”

“Food insecurity and HIV are interacting like a vicious cycle to worsen the severity as well as enhancing vulnerability to the other condition,” she said.

Weiser is an assistant professor of medicine at the HIV/AIDS Division at San Francisco General Hospital and Trauma Center. She’s also the study’s principal investigator.

“We started having data from Botswana and Swaziland showing that food insecurity was increasing risky sexual practices. So you saw women who were exchanging sex in order to get food to feed their children or having difficulty insisting on condom use when they were dependent on their partner for food. And that food insecurity was also worsening vulnerability to sexual violence. And all of these were contributing to driving HIV,” she said.

A person infected by HIV is further weakened by poor nutrition. That’s an additional blow to the immune system.

“We saw that food insecurity was driving increases in opportunistic infections, worse response to treatment, making it really difficult for people to take their medications and adhere to their medications and even leading to increased mortality. And interestingly, we saw this not only in sub-Saharan Africa but also in San Francisco and elsewhere in North America,” said Weiser.

The cycle continues when people get sicker and they are unable to find a job to buy food. And stigma from HIV can make it more difficult to find support from others.

Weiser said that at the beginning of the study, 80 percent of those infected with HIV had some level of food insecurity. That began to change when they were given antiretroviral therapy or ART.

“After time on ART and after we followed participants for approximately two years we saw very steep declines in food insecurity. And at the same time we saw parallel increases in their nutritional status and their quality of life and physical health status. So what this really shows is that ART does contribute to a decline in food insecurity,” she said.

Dr. David Bangsberg, director of the Center for Global Health at Massachusetts General Hospital, is the senior author of the study.

He said, “The expansion of HIV treatment in Africa has made great progress in making people healthier and stronger, such that they can return to work and grow food or security meaningful economic employment to purchase food for themselves and their family. So HIV treatment helps improve access to food in a very significant way.”

But Bangsberg added that getting people on antiretroviral therapy does not mean they will stay on it. One reason, he says, is a possible side effect of the drugs.

“As they get better and their bodies begin to recover their appetite returns and experience severe hunger pains in their first few weeks of HIV treatment. Some patients attribute these hunger pains to a side effect to treatment and then some of those will then stop treatment in order to mitigate the hunger pains. Clearly the best response is not to stop treatment, but rather to help someone have access to food.”

Both Bangsberg and Weiser are sharing their findings with U.N. humanitarian agencies and officials from PEPFAR, the President’s Emergency Plan for AIDS Relief.

They warn though that the dual issue of HIV and food insecurity is not just an African problem. They say the same conditions exist among the urban poor in North America, including such cities as San Francisco, Atlanta, Boston and Vancouver. They say as many as 50 percent of HIV infected people in those areas, who are on treatment, are food insecure. 

The study’s findings can be found in the Journal of Acquired Immune Deficiency Syndromes.

You May Like

Photogallery Americans Celebrate Thanksgiving With Feasts, Festivities

Holiday traditions include turkey dinners, 'turkey trots,' American-style football and New York parade with giant balloons More

Video For Obama, Ferguson Violence is a Personal Issue

With two years left in term, analysts say, president has less to lose by taking conversation on race further More

Video Italian Espresso Expands Into Space

When Italian astronaut Samantha Cristoforetti headed for the ISS, her countrymen worried how she would survive six months drinking only instant coffee More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
South Africa Sees Male Circumcision as Way to Reduce HIV Infectionsi
X
November 28, 2014 3:31 PM
South Africa remains plagued by AIDS despite massive government and NGO efforts on prevention and life-sustaining Anti-Retro-Viral programs. But the country has opened up another front to reduce new HIV infections: promoting circumcision. Emilie Iob reports for VOA News from a pioneering circumcision center in Orange Farm, Johannesburg.
Video

Video South Africa Sees Male Circumcision as Way to Reduce HIV Infections

South Africa remains plagued by AIDS despite massive government and NGO efforts on prevention and life-sustaining Anti-Retro-Viral programs. But the country has opened up another front to reduce new HIV infections: promoting circumcision. Emilie Iob reports for VOA News from a pioneering circumcision center in Orange Farm, Johannesburg.
Video

Video To Make A Living, Nairobi Street Vendors Face Legal Hurdles, Physical Violence

The Nairobi City Council has been accused of brutality in dealing with hawkers in the Central Business District - in order to stop them from illegally selling their wares on the streets. Lenny Ruvaga has more for VOA News from the Kenyan capital.
Video

Video For Obama, Ferguson Violence is a Personal Issue

Throughout the crisis in Ferguson, Missouri, President Barack Obama has urged calm, restraint and respect for the rule of law. But the events in Ferguson have prompted him to call — more openly than he has before — for profound changes to end the racism and distrust that he believes still exists between whites and blacks in the United States. VOA White House correspondent Luis Ramirez reports.
Video

Video Online Magazine Gets Kids Discussing Big Questions

Teen culture in America is often criticized for being superficial. But an online magazine has been encouraging some teenagers to explore deeper issues, and rewarding their efforts. VOA religion reporter Jerome Socolovsky went to this year’s Kidspirit awards ceremony in New York.
Video

Video US Community Kicks Off Thanksgiving With Parade

Thursday is Thanksgiving in the United States, a holiday whose roots go back to the country's earliest days as a British colony. One way Americans celebrate the occasion is with parades. Anush Avetisyan takes us to one such event on the day before Thanksgiving near Washington, where a community's diversity is on display. Joy Wagner narrates
Video

Video Aung San Suu Kyi: Myanmar Opposition to Keep Pushing for Constitutional Change

Myanmar opposition leader Aung San Suu Kyi says she and her supporters will continue pushing to amend a constitutional clause that bars her from running for president next year. VOA's Than Lwin Htun reports from the capital Naypyitaw in this report narrated by Colin Lovett.
Video

Video Mali Attempts to Shut Down Ebola Transmission Chain

Senegal and Nigeria were able to stop small Ebola outbreaks by closely monitoring those who had contact with the sick person and quickly isolating anyone with symptoms. Mali is now scrambling to do the same. VOA’s Anne Look reports from Mali on what the country is doing to shut down the chain of transmission.
Video

Video Ukraine Marks Anniversary of Deadly 1930s Famine

During a commemoration for millions who died of starvation in Ukraine in the early 1930s, President Petro Poroshenko lashed out at Soviet-era totalitarianism for causing the deaths and accused today’s Russian-backed rebels in the east of using similar tactics. VOA’s Daniel Shearf reports from Kyiv.
Video

Video Hong Kong Protests at a Crossroads

New public opinion polls in Hong Kong indicate declining support for pro-democracy demonstrations after weeks of street protests. VOA’s Bill Ide in Guangzhou and Pros Laput in Hong Kong spoke with protesters and observers about whether demonstrators have been too aggressive in pushing for change.
Video

Video US Immigration Relief Imminent for Mixed-Status Families

Tens of thousands of undocumented immigrants in the Washington, D.C., area may benefit from a controversial presidential order announced this week. It's not a path to citizenship, as some activists hoped. But it will allow more immigrants who arrived as children or who have citizen children, to avoid deportation and work legally. VOA's Victoria Macchi talks with one young man who benefited from an earlier presidential order, and whose parents may now benefit after years of living in fear.
Video

Video New Skateboard Defies Gravity

A futuristic dream only a couple of decades ago, the hoverboard – a skateboard that floats above the ground - has finally been made possible. While still not ready for mass production, it promises to become a cool mode of transport... at least over some surfaces. VOA’s George Putic reports.
Video

Video Falling Gas Prices Impact US Oil Extraction

With the price of oil now less than $80 a barrel, motorists throughout the United States are benefiting from gas prices below $3 a gallon. But as VOA’s Kane Farabaugh reports, the decreasing price of petroleum has a downside for the hydraulic fracturing industry in the United States.

All About America

AppleAndroid