Prevalence and Predictors of Food Insecurity among People Living with HIV Enrolled in Antiretroviral Therapy and Livelihood Programs in Two Rural Zambian Hospitals

Ecol Food Nutr. May-Jun 2017;56(3):256-276. doi: 10.1080/03670244.2017.1311256. Epub 2017 Apr 18.


The objective of this study was to examine the prevalence and predictors of food insecurity among people living with HIV (PLHIV) in two rural communities in Zambia. A cross-sectional sample of 101 PLHIV was surveyed using the Household Food Insecurity Access Scale. In multivariable linear regression models, income, household possessions, and perceived coping strategies were significantly associated with decreased food insecurity. Debt and perceived mental distress were significantly associated with increased food insecurity. Programs that tackle economic disadvantage and its adverse effect on stress may be an appropriate strategy to improve food security of PLHIV in low-resource communities.

Keywords: Food security; HIV; Zambia; socioeconomic factors; stress (psychological).

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Family Characteristics
  • Female
  • Food Supply*
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology*
  • Hospitals
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Rural Population*
  • Socioeconomic Factors
  • Young Adult
  • Zambia