Food Insecurity—A Risk Factor for HIV Infection 英文参考文献.docVIP

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Food Insecurity—A Risk Factor for HIV Infection 英文参考文献.doc

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Food Insecurity—A Risk Factor for HIV Infection 英文参考文献

Perspectives Food Insecurity—A Risk Factor for HIV Infection Nigel Rollins Linked Research Article behaviour such as having multiple partners. (For women, sex exchange was de?ned as exchanging sex for money, food, or other resources over the previous 12 months and for men this was de?ned as paying for or providing resources for sex over the previous 12 months.) Gender equity was explored through questions assessing aspects of sexual relationships. The results were striking. Of all the study participants, 32% of women and 22% of men had experienced food insuf?ciency in the preceding 12 months. Food insuf?ciency was associated with increased HIV risk behaviour, and this association was much more marked in women than men. Risk behaviour included inconsistent condom use, sex exchange, increased intergenerational sex, and lack of control over sexual relationships. This is an important study, with major implications for policy makers, although there are some methodological weaknesses that limit how the data can be analysed and interpreted. One year is a long period for accurate recall of food suf?ciency and the details of sexual relationships. Categorising household income below and above national averages is a crude indicator of income and does not re?ect access to money and This Perspective discusses the following new study published inPLoS Medicine: Weiser SD, Leiter K, Bangsberg DR, Butler LM, Percy-de Korte F, et al. (2007) Food Insuf?ciency Is Associated with High-Risk Sexual Behavior among Women in Botswana and Swaziland. PLoS Med 4(10): e260. doi:10.1371/journal. pmed.0040260 In a cross-sectional study, Sheri Weiser and colleagues found that food insuf?ciency was an important risk factor for increased sexual risk-taking in women Nutrition, Food, and HIV in Botswana and Swaziland. HIV and nutrition are linked in at least two important ways. First, the nutritional consequences of HIV have been obvious from the earliest reports of the epidemic in Africa. Patients s