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1.
AIDS Behav ; 21(Suppl 2): 203, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-29058162

RESUMO

The original version of this article contains an omission in the list of authors for Dr. Adam W. Carrico. The corrected authors list for the article is given in this erratum.

2.
AIDS Behav ; 21(Suppl 2): 193-202, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28840396

RESUMO

We evaluated the impact on alcohol intake and blood alcohol concentration (BAC) of a multi-level structural intervention to increase the availability of free water, coupled with messaging on pacing alcohol intake and normative feedback of blood alcohol concentration in a convenience sample of gay bars in San Francisco. Participants (n = 1,293) were recruited among exiting patrons of four gay bars (two intervention bars and two control bars). Participants were surveyed on alcohol intake and BAC was measured by breathalyzer. Prior to the intervention there were no significant differences in baseline alcohol measures between intervention and control bars. Post-intervention there were significant differences on objective and subjective measures of alcohol consumption: 30% of intervention bar participants had BAC% levels over the legal driving limit (0.08%) compared to 43% of control bar participants, p < 0.0001 and 78% of intervention bar participants were above the AUDIT-C cut-off for hazardous drinking compared to 87% in control bars, p < 0.001.


Assuntos
Consumo de Bebidas Alcoólicas/sangue , Consumo de Bebidas Alcoólicas/prevenção & controle , Etanol/sangue , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/psicologia , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Concentração Alcoólica no Sangue , Testes Respiratórios , Feminino , Humanos , Masculino , São Francisco , Minorias Sexuais e de Gênero
3.
Matern Child Health J ; 18(9): 2044-53, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24585398

RESUMO

Household food insecurity (HHFI) may be a barrier to both optimal maternal nutritional status and infant feeding practices, but few studies have tested this relationship quantitatively, and never among HIV-infected individuals. We therefore described the prevalence of HHFI and explored if it was associated with poorer maternal nutritional status, shorter duration of exclusive breastfeeding (EBF) and fewer animal-source complementary foods. We assessed these outcomes using bivariate and multivariate analyses among 178 HIV-infected pregnant and breastfeeding (BF) women receiving combination antiretroviral therapy in the PROMOTE trial (NCT00993031), a prospective, longitudinal cohort study in Tororo, Uganda. HHFI was common; the prevalence of severe, moderate, and little to no household hunger was 7.3, 39.9, and 52.8 %, respectively. Poor maternal nutritional status was common and women in households experiencing moderate to severe household hunger (MSHH) had statistically significantly lower body mass index (BMIs) at enrollment (21.3 vs. 22.5, p < 0.01) and prior to delivery (22.6 vs. 23.8, p < 0.01). BMI across time during pregnancy, but not gestational weight gain, was significantly lower for MSHH [adjusted beta (95 % CI) -0.79 (-1.56, -0.02), p = 0.04; -2.06 (-4.31, 0.19), p = 0.07], respectively. The prevalence (95 % CI) of EBF at 6 months was 67.2 % (59.7-73.5 %), and the proportion of women BF at 12 months was 80.4 % (73.3-85.7 %). MSHH was not associated with prevalence of EBF at 6 months or BF at 12 months. However, among those women still EBF at 4 months (81.4 % of population), those experiencing MSHH were significantly more likely to cease EBF between 4 and 6 months (aHR 2.38, 95 % CI 1.02-5.58). The prevalence of HHFI, maternal malnutrition, and suboptimal infant feeding practices are high and the causal relationships among these phenomena must be further explored.


Assuntos
Aleitamento Materno/estatística & dados numéricos , Abastecimento de Alimentos/estatística & dados numéricos , Infecções por HIV/complicações , Fenômenos Fisiológicos da Nutrição Materna , Estado Nutricional , Complicações Infecciosas na Gravidez , Adulto , Análise de Variância , Fármacos Anti-HIV/uso terapêutico , Índice de Massa Corporal , Distribuição de Qui-Quadrado , Depressão/etiologia , Quimioterapia Combinada , Características da Família , Feminino , Infecções por HIV/tratamento farmacológico , Infecções por HIV/psicologia , Humanos , Lactente , Recém-Nascido , Gravidez , Prevalência , Ensaios Clínicos Controlados Aleatórios como Assunto , Classe Social , Estresse Psicológico/etiologia , Fatores de Tempo , Uganda/epidemiologia , Aumento de Peso
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