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JAIDS Journal of Acquired Immune Deficiency Syndromes:
doi: 10.1097/QAI.0000000000000190
Brief Report: Clinical Science

Food Insecurity and CD4% Among HIV+ Children in Gaborone, Botswana

Mendoza, Jason A. MD, MPH*,†; Matshaba, Mogomotsi MB, BCh, BAO, BMedSci‡,§; Makhanda, Jeremiah MSc; Liu, Yan MS; Boitshwarelo, Matshwenyego MD; Anabwani, Gabriel M. MBChB, MMed, MSCE, FRCPE‡,§

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Abstract

Abstract: 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.

© 2014 by Lippincott Williams & Wilkins

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