Food insecurity in families of children vertically exposed to HIV
DOI:
https://doi.org/10.18554/refacs.v9i3.4713Keywords:
HIV, Infectious disease transmission, Vertical, Food and nutrition security, Infant nutrition, Family.Abstract
This is a quantitative analytical cross-sectional study, with non-probabilistic sampling for convenience carried out in the municipality of Santa Maria, RS, Brazil, from February 2016 to June 2018. It aimed to analyze the occurrence of food insecurity in the homes of families with children exposed to HIV and associated factors. The short version of the Escala Brasileira de Insegurança Alimentar (Brazilian Food Insecurity Scale), characterization of family members and children's anthropometric data were used. 88 family members were interviewed: 52.2% of these families suffered from food insecurity. A family income equivalent to less than one minimum wage (p <0.001), to consider it moderately difficult to maintain the monitoring of the child’s health (p = 0.009), to take the child to less than eight medical appointments in the last year (p = 0.011), and to be absent in consultations (p = 0.030) were factors significantly associated with food insecurity. There was no association with the children's nutritional status. Expansion of access and longitudinality in services is suggested to favor health care for exposed children.
References
Silva DI, Larocca LM, Chaves MMN, Mazza VA. Vulnerabilidade no desenvolvimento da criança: influência das iniquidades sociais. Rev Bras Promoç Saúd. [Internet]. 2015 [citado em 26 ago 2019]; 28(1):58-66. Disponível em: https://periodicos.unifor.br/RBPS/article/view/3141/pdf DOI: https://doi.org/10.5020/18061230.2015.p58
Shawar YR, Shiffman J. Generation of global political priority for early childhood development: the challenges of framing and governance. Lancet [Internet]. 2017 [citado em 26 ago 2019]; 389(10064):119-24. DOI: https://doi.org/10.1016/S0140-6736(16)31574-4
Food and Agriculture Organization of the United Nations. The state of food security and nutrition in the world 2019: safeguarding against economic slowdowns and downturns. Geneva: WHO; 2019. 239p. Disponível em: https://docs.wfp.org/api/documents/WFP-0000106760/download/?_ga=2.146261364.11207383.1612289862-1744217715.1612289862
Black MM, Walker SP, Fernald LCH, Andersen CT, DiGirolamo AM, Lu C, et al. Early childhood development coming of age: science through the life course. Lancet [Internet]. 2017 [citado em 26 ago 2019]; 389(10064):77-90. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884058/pdf/nihms952170.pdf DOI: https://doi.org/10.1016/S0140-6736(16)31389-7
Richter LM, Daelmans B, Lombardi J, Heymann J, Boo FL, Behrman JR, et al. Investing in the foundation of sustainable development: pathways to scale up for early childhood development. Lancet [internet]. 2017 [citado em 26 ago 2019]; 389(10064):103-18. Disponível em: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)31698-1/fulltext DOI: https://doi.org/10.1016/S0140-6736(16)31698-1
United Nations. Transforming our world: the 2030 Agenda for Sustainable Development. New York: United Nations; 2015. 41p. Disponível em: https://sdgs.un.org/2030agenda
Bick MA, Paula CC. Vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV: revisão integrativa. REFACS [internet]. 2020 [citado em 26 mar 2020] 8(1):100-13. Disponível em: http://seer.uftm.edu.br/revistaeletronica/index.php/refacs/article/view/4404/pdf DOI: https://doi.org/10.18554/refacs.v8i1.4404
Muehlhoff E, Wijesinha-Bettoni R, Westaway E, Jeremias T, Nordin S, Garz J. Linking agriculture and nutrition education to improve infant and young child feeding: lessons for future programmes. Matern Child Nutr. [Internet]. 2017 [citado em 26 ago 2019]; 13(Suppl 2):1-12. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6865961/pdf/MCN-13-e12411.pdf DOI: https://doi.org/10.1111/mcn.12411
Santos LP, Lindemann IL, Motta JVS, Mintem G, Bender E, Gigante DP. Proposta de versão curta da Escala Brasileira de Insegurança. Rev Saúde Pública [Internet]. 2014 [citado em 26 ago 2019]; 48(5):783-9. Disponível em: https://www.scielo.br/pdf/rsp/v48n5/pt_0034-8910-rsp-48-5-0783.pdf. DOI: https://doi.org/10.1590/S0034-8910.2014048005195
Ministério da Saúde (Br), Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Saúde da criança: aleitamento materno e alimentação complementar. Brasília, DF: Ministério da Saúde; 2015. 186p. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_aleitamento_materno_cab23.pdf
World Health Organization Multicentre Growth Reference Study Group. WHO Child Growth Standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: WHO; 2006. 336p. Disponível em: https://www.who.int/publications/i/item/924154693X
Medeiros ARC, Lima RLFC, Medeiros LB, Trajano FMP, Salerno AAP, Moraes RM, et al. Insegurança alimentar moderada e grave em famílias integradas por pessoas vivendo com HIV/Aids: validação da escala e fatores associados. Ciênc Saúde Colet. [Internet]. 2017 [citado em 26 ago 2019]; 22(10):3353-64. Disponível em: https://www.scielo.br/pdf/csc/v22n10/1413-8123-csc-22-10-3353.pdf. DOI: https://doi.org/10.1590/1413-812320172210.02462017
Costa LNF, Braga MM, Rocha M, Campêlo WF, Vasconcelos CMCS. Fatores associados à insegurança alimentar em pessoas que vivem com HIV/AIDS. Rev Bras Promoç Saúde [Internet]. 2018 [citado em 26 ago 2019]; 31(1):1-8. Disponível em: https://periodicos.unifor.br/RBPS/article/view/6884/pdf DOI: https://doi.org/10.5020/18061230.2018.6884
Tantu AT, Gamebo TD, Sheno BK, Kabalo MY. Household food insecurity and associated factors among households in Wolaita Sodo town, 2015. Agric Food Secur. [Internet]. 2017 [citado em 26 ago 2019]; 6(19):1-8. Disponível em: https://agricultureandfoodsecurity.biomedcentral.com/articles/10.1186/s40066-017-0098-4. DOI: https://doi.org/10.1186/s40066-017-0098-4
Sekhampu J. Association of Food Security and Household Demographics in a South African Township. Int J Soc. [Internet]. 2017 [citado em 26 ago 2019]; 9(2):157-70. Disponível em: http://static.dergipark.org.tr/article-download/a9ea/e3f3/35d8/imp-JA85UT42RF-0.pdf?
Alvarenga WA, Galvão MTG, Nascimento LC, Beretta MIR, Dupas G. Rede social fragilizada: a experiência do cuidador da criança nascida exposta ao HIV. Texto & Contexto Enferm. [Internet]. 2015 [citado em 26 ago 2019]; 24(3):775-83. Disponível em: https://www.scielo.br/pdf/tce/v24n3/pt_0104-0707-tce-24-03-00775.pdf DOI: https://doi.org/10.1590/0104-07072015011160014
Young S, Wheeler AC, McCoy SI, Weiser SD. A review of the role of food insecurity in adherence to care and treatment among adult and pediatric populations living with HIV and AIDS. AIDS Behav. [Internet]. 2014 [citado em 26 ago 2019]; 18(5):505-15. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888651/pdf/nihms504711.pdf. DOI: https://doi.org/10.1007/s10461-013-0547-4
Fielden SJ, Anema A, Fergusson P, Muldoon K, Grede N, Pee S. Measuring food and nutrition security: tools and considerations for use among people living with HIV. AIDS Behav. [Internet]. 2014 [citado em 26 ago 2019]; 18(Suppl 5):S490–S504. Disponível em: https://link.springer.com/article/10.1007/s10461-013-0669-8 DOI: https://doi.org/10.1007/s10461-013-0669-8
Ramokolo V, Goga AE, Slogrove AL, Powis KM. Unmasking the vulnerabilities of uninfected children exposed to HIV. BMJ [Internet]. 2019 [citado em 26 ago 2019]; 366(14479):1-4. Disponível em: https://www.bmj.com/content/bmj/366/bmj.l4479.full.pdf DOI: https://doi.org/10.1136/bmj.l4479
Freitas JG, Cunha GH, Lemos LA, Barroso LMM, Galvão MTG. Alimentação de crianças nascidas expostas ao vírus da imunodeficiência humana. Texto & Contexto Enferm. [Internet]. 2014 [citado em 26 ago 2019]; 23(3):617-25. Disponível em: https://www.scielo.br/pdf/tce/v23n3/pt_0104-0707-tce-23-03-00617.pdf. DOI: https://doi.org/10.1590/0104-07072014000600013
Rossouw ME, Cornell M, Cotton MF, Esser MM. Feeding practices and nutritional status of HIV-exposed and HIV-unexposed infants in the Western Cape. S Afr J HIV Med. [Internet]. 2016 [citado em 26 ago 2019]; 17(1):1-9. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843154/pdf/HIVMED-17-398.pdf. DOI: https://doi.org/10.4102/sajhivmed.v17i1.398
Souza MA, Gratão LHA, Pereira RJ. Perfil antropométrico e dietético de crianças expostas ao HIV. Rev Cereus [Internet]. 2018 [citado em 26 ago 2019]; 10(1):65-77. Disponível em: http://ojs.unirg.edu.br/index.php/1/article/view/1593/612 DOI: https://doi.org/10.18605/2175-7275/cereus.v10n1p65-77
Roux SM, Abrams EJ, Donald KA, Brittain K, Phillips TK, Nguyen KK, et al. Growth trajectories of breastfed HIV-exposed uninfected and HIV-unexposed children under conditions of universal maternal antiretroviral therapy: a prospective study. Lancet Child Adolesc Health [Internet]. 2019 [citado em 26 ago 2019]; 3(4):234-44. DOI: https://doi.org/10.1016/S2352-4642(19)30007-0
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