Evidence map›Paper›PMID 42301371›Full record

ArticleMaternal and child health journal2026

Association of Food Insecurity with Mental Health and Clinical Outcomes Among Women Living with HIV/AIDS: A Cross-Sectional Study of Southwestern Iran.

Hassan Joulaei, Zohre Foroozanfar, Maryam Riasatian, Mohammadali Mohsenpour

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Article in Maternal and child health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Hassan JoulaeiHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Zohre ForoozanfarDiabetes Research Center, Non-Communicable Diseases Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. foroozanfar.zohre@gmail.com.ORCID http://orcid.org/0000-0002-0901-0972
Maryam RiasatianDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammadali MohsenpourHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

Shiraz University of Medical Sciences 23825
6 · The paper itself

Abstract

objectivesWe aimed to investigate the prevalence of food insecurity and its association with health outcomes among Women Living with HIV/AIDS (WLHIV).

methodsThis was a cross-sectional study in 452 WLHIV between 2021 and 2022 in Shiraz, Iran. Data were collected via face-to-face interviews and the patients' files. Participants were assessed for food insecurity based on the Household Food Insecurity Access Scale (HFIAS), quality of life, mental health, resilience, social support, and socioeconomic status. A logistic regression model was used to analyze the data.

resultsOf 452 WLHIV, 297 (66.0%) were food secure, 50 (11.0%) mildly, 53(12.0%) moderately, and 52 (11.0%) severely food insecure. Food insecurity were significantly associated with CD4 < 500 (OR = 1.03; 95% CI 1.01-1.06), detectable HIV Viral load (OR = 1.03; 95% CI 1.01-1.07), and clinical symptoms (OR = 1.04; 95% CI 1.01-1.08). Food-insecure WLHIV had significantly higher depression, stress, and anxiety scores and lower QOL and resilience scores(P = 0.001).

conclusionsresults indicated that food insecurity is associated with various adverse outcomes including poorer clinical indicators and worse mental health status. These findings highlight the importance of addressing food insecurity within HIV care to enhance both clinical and psychosocial health status.

Indexed as

Food InsecurityHIV InfectionsHIV Long-Term SurvivorsMental HealthAdultCross-Sectional StudiesFemaleHumansInterviews as TopicIranMiddle AgedPrevalenceQuality of LifeViral LoadFood insecurityHIV/AIDSMental healthQuality of lifeWomen living with HIV/AIDS (WLHIV)

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