Food insecurity and CD4% Among HIV+ children in Gaborone, Botswana.

J Acquir Immune Defic Syndr 2014 Aug;66(4):414-8

*General Pediatrics, Department of Pediatrics, University of Washington, Seattle, WA; †Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA; ‡Botswana-Baylor Children's Clinical Center of Excellence, Gaborone, Botswana; and §Retrovirology and ‖Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX.

We investigated the association between household food insecurity (HFI) and CD4% among 2-6-year old HIV+ outpatients (n = 78) at the Botswana-Baylor Children's Clinical Center of Excellence in Gaborone, Botswana. HFI was assessed by a validated survey. CD4% data were abstracted from the medical record. We used multiple linear regression with CD4% (dependent variable), HFI (independent variable), and controlled for sociodemographic and clinical covariates. Multiple linear regression showed a significant main effect for HFI [beta = -0.6, 95% confidence interval (CI): -1.0 to -0.1] and child gender (beta = 5.6, 95% CI: 1.3 to 9.8). Alleviating food insecurity may improve pediatric HIV outcomes in Botswana and similar Sub-Saharan settings.

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http://dx.doi.org/10.1097/QAI.0000000000000190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4205044PMC
August 2014
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