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dc.contributor.author Weiser, S.D.
dc.contributor.author Leiter, K.
dc.contributor.author Bangsberg, D.R.
dc.contributor.author Butler, L.M.
dc.contributor.author Percy-de Korte, F.
dc.contributor.author Hlanze, Z.
dc.contributor.author Phaladze, N.
dc.contributor.author Iacopino, V.
dc.contributor.author Heisler, M.
dc.date.accessioned 2010-07-23T10:07:58Z
dc.date.available 2010-07-23T10:07:58Z
dc.date.issued 2007
dc.identifier.citation Weiser, S.D. et al (2007) Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland, Plos Medicine, Vol. 4, no. 10, pp. 1589-1598 en_US
dc.identifier.issn 1549-1277 (print)
dc.identifier.issn 1549-1676 (online)
dc.identifier.uri http://hdl.handle.net/10311/556
dc.description.abstract Background: Both food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission behavior. Methods and Findings: We studied the association between food insufficiency (not having enough food to eat over the previous 12 months) and inconsistent condom use, sex exchange, and other measures of risky sex in a cross-sectional population-based study of 1,255 adults in Botswana and 796 adults in Swaziland using a stratified two-stage probability design. Associations were examined using multivariable logistic regression analyses, clustered by country and stratified by gender. Food insufficiency was reported by 32% of women and 22% of men over the previous 12 months. Among 1,050 women in both countries, after controlling for respondent characteristics including income and education, HIV knowledge, and alcohol use, food insufficiency was associated with inconsistent condom use with a nonprimary partner (adjusted odds ratio [AOR] 1.73, 95% confidence interval [CI] 1.27–2.36), sex exchange (AOR 1.84, 95% CI 1.74–1.93), intergenerational sexual relationships (AOR 1.46, 95% CI 1.03–2.08), and lack of control in sexual relationships (AOR 1.68, 95% CI 1.24–2.28). Associations between food insufficiency and risky sex were much attenuated among men. Conclusions: Food insufficiency is an important risk factor for increased sexual risk-taking among women in Botswana and Swaziland. Targeted food assistance and income generation programs in conjunction with efforts to enhance women’s leg en_US
dc.language.iso en en_US
dc.publisher Plos Medicine. www.plosmedicine.org en_US
dc.subject Food insufficiency en_US
dc.subject High-risk sexual behavior en_US
dc.subject Women en_US
dc.subject Botswana en_US
dc.subject Swaziland en_US
dc.title Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland en_US
dc.type Published Article en_US


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