HIV, Tuberculosis, and Food Insecurity in Africa—A Syndemics-Based Scoping Review
| العنوان: | HIV, Tuberculosis, and Food Insecurity in Africa—A Syndemics-Based Scoping Review |
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| المؤلفون: | Temitope Ojo, Christina Ruan, Tania Hameed, Carly Malburg, Sukruthi Thunga, Jaimie Smith, Dorice Vieira, Anya Snyder, Siphra Jane Tampubolon, Joyce Gyamfi, Nessa Ryan, Sahnah Lim, Michele Santacatterina, Emmanuel Peprah |
| المصدر: | International Journal of Environmental Research and Public Health, Vol 19, Iss 1101, p 1101 (2022) |
| بيانات النشر: | MDPI AG, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Adult, Health, Toxicology and Mutagenesis, Public Health, Environmental and Occupational Health, HIV Infections, Syndemic, Food Supply, tuberculosis, food insecurity, Africa, Humans, HIV/AIDs, syndemics, Medicine, Child |
| الوصف: | The double burden of HIV/AIDS and tuberculosis (TB), coupled with endemic and problematic food insecurity in Africa, can interact to negatively impact health outcomes, creating a syndemic. For people living with HIV/AIDS (PWH), food insecurity is a significant risk factor for acquiring TB due to the strong nutritional influences and co-occurring contextual barriers. We aim to synthesize evidence on the syndemic relationship between HIV/AIDS and TB co-infection and food insecurity in Africa. We conducted a scoping review of studies in Africa that included co-infected adults and children, with evidence of food insecurity, characterized by insufficient to lack of access to macronutrients. We sourced information from major public health databases. Qualitative, narrative analysis was used to synthesize the data. Of 1072 articles screened, 18 articles discussed the syndemic effect of HIV/AIDS and TB co-infection and food insecurity. Reporting of food insecurity was inconsistent, however, five studies estimated it using a validated scale. Food insecure co-infected adults had an average BMI of 16.5–18.5 kg/m2. Negative outcomes include death (n = 6 studies), depression (n = 1 study), treatment non-adherence, weight loss, wasting, opportunistic infections, TB-related lung diseases, lethargy. Food insecurity was a precursor to co-infection, especially with the onset/increased incidence of TB in PWH. Economic, social, and facility-level factors influenced the negative impact of food insecurity on the health of co-infected individuals. Nutritional support, economic relief, and psychosocial support minimized the harmful effects of food insecurity in HIV–TB populations. Interventions that tackle one or more components of a syndemic interaction can have beneficial effects on health outcomes and experiences of PWH with TB in Africa. |
| اللغة: | English |
| تدمد: | 1661-7827 1660-4601 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ebddef16a96eb49a69a68eaab452fceTest https://www.mdpi.com/1660-4601/19/3/1101Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....4ebddef16a96eb49a69a68eaab452fce |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16617827 16604601 |
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