TY - JOUR
T1 - Differences in COVID-19 preventive behavior and food insecurity by HIV status in Nigeria
AU - Folayan, Morenike Oluwatoyin
AU - Ibigbami, Olanrewaju
AU - Brown, Brandon
AU - El Tantawi, Maha
AU - Uzochukwu, Benjamin
AU - Ezechi, Oliver C.
AU - Aly, Nourhan M.
AU - Abeldaño, Giuliana Florencia
AU - Ara, Eshrat
AU - Ayanore, Martin Amogre
AU - Ayoola, Oluwagbemiga O.
AU - Osamika, Bamidele Emmanuel
AU - Ellakany, Passent
AU - Gaffar, Balgis
AU - Idigbe, Ifeoma
AU - Ishabiyi, Anthonia Omotola
AU - Jafer, Mohammed
AU - Khan, Abeedha Tu-Allah
AU - Khalid, Zumama
AU - Lawal, Folake Barakat
AU - Lusher, Joanne
AU - Nzimande, Ntombifuthi P.
AU - Popoola, Bamidele Olubukola
AU - Quadri, Mir Faeq Ali
AU - Rashwan, Maher
AU - Roque, Mark
AU - Shamala, Anas
AU - Al-Tammemi, Ala'a B.
AU - Yousaf, Muhammad Abrar
AU - Zuñiga, Roberto Ariel Abeldaño
AU - Okeibunor, Joseph Chukwudi
AU - Nguyen, Annie Lu
PY - 2022/3/31
Y1 - 2022/3/31
N2 - The aim of the study was to assess if there were significant differences in the adoption of COVID-19 risk preventive behaviors and experience of food insecurity by people living with and without HIV in Nigeria. This was a cross-sectional study that recruited a convenience sample of 4471 (20.5% HIV positive) adults in Nigeria. Binary logistic regression analysis was conducted to test the associations between the explanatory variable (HIV positive and non-positive status) and the outcome variables—COVID-19 related behavior changes (physical distancing, isolation/quarantine, working remotely) and food insecurity (hungry but did not eat, cut the size of meals/skip meals) controlling for age, sex at birth, COVID-19 status, and medical status of respondents. Significantly fewer people living with HIV (PLWH) reported a positive COVID-19 test result; and had lower odds of practicing COVID-19 risk preventive behaviors. In comparison with those living without HIV, PLWH had higher odds of cutting meal sizes as a food security measure (AOR: 3.18; 95% CI 2.60–3.88) and lower odds of being hungry and not eating (AOR: 0.24; 95% CI 0.20–0.30). In conclusion, associations between HIV status, COVID-19 preventive behaviors and food security are highly complex and warrant further in-depth to unravel the incongruities identified.
AB - The aim of the study was to assess if there were significant differences in the adoption of COVID-19 risk preventive behaviors and experience of food insecurity by people living with and without HIV in Nigeria. This was a cross-sectional study that recruited a convenience sample of 4471 (20.5% HIV positive) adults in Nigeria. Binary logistic regression analysis was conducted to test the associations between the explanatory variable (HIV positive and non-positive status) and the outcome variables—COVID-19 related behavior changes (physical distancing, isolation/quarantine, working remotely) and food insecurity (hungry but did not eat, cut the size of meals/skip meals) controlling for age, sex at birth, COVID-19 status, and medical status of respondents. Significantly fewer people living with HIV (PLWH) reported a positive COVID-19 test result; and had lower odds of practicing COVID-19 risk preventive behaviors. In comparison with those living without HIV, PLWH had higher odds of cutting meal sizes as a food security measure (AOR: 3.18; 95% CI 2.60–3.88) and lower odds of being hungry and not eating (AOR: 0.24; 95% CI 0.20–0.30). In conclusion, associations between HIV status, COVID-19 preventive behaviors and food security are highly complex and warrant further in-depth to unravel the incongruities identified.
KW - COVID-19
KW - food security
KW - HIV
KW - pandemic
KW - health behavior
U2 - 10.1007/s10461-021-03433-3
DO - 10.1007/s10461-021-03433-3
M3 - Article
SN - 1090-7165
VL - 26
SP - 739
EP - 751
JO - AIDS AND BEHAVIOR
JF - AIDS AND BEHAVIOR
ER -
