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首页> 外文期刊>AIDS care. >Food insufficiency, housing and health-related quality of life: results from the Positive Spaces, Healthy Places study
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Food insufficiency, housing and health-related quality of life: results from the Positive Spaces, Healthy Places study

机译：食物不足，住房和与健康有关的生活质量：积极空间，健康场所研究的结果

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Studies of people living with HIV who are homeless or unstably housed show a high prevalence of food insufficiency (>50%) and associated poor health outcomes; however, most evidence is in the form of cross-sectional studies. To better understand this issue, we conducted a longitudinal study to examine the impact of food insufficiency and housing instability on overall physical and mental health-related quality of life (HRQoL) among people living with HIV in Ontario. Six hundred and two adults living with HIV were enrolled in the Positive Spaces, Healthy Places study and followed from 2006 to 2009. Interviewer-administered questionnaires were used, and generalized linear mixed-effects models constructed to examine longitudinal associations between food insufficiency, housing instability and physical and mental HRQoL. At baseline, 57% of participants were classified as food insufficient. After adjusting for potential confounders, longitudinal analyses revealed a significant, negative association between food insufficiency and physical and mental HRQoL outcomes, respectively [effect size (ES) with 95% confidence interval (CI): (ES = -2.1, CI = -3.9,-0.3); (ES = -3.5, CI = -6.1,-1.5)]. Furthermore, difficulties meeting housing costs were shown to have additional negative impacts on mental HRQoL. Food insufficiency is highly prevalent among people living with HIV in Ontario, particularly for those with unstable housing. This vulnerable group of individuals is in urgent need of changes to current housing programmes, services and policies, as well as careful consideration of their unmet nutritional needs.
机译：对无家可归或住房不稳的艾滋病毒感染者的研究表明，食物不足的比例很高（> 50％），并伴随着不良的健康结果;但是，大多数证据是横断面研究的形式。为了更好地理解这个问题，我们进行了一项纵向研究，以检验食物不足和住房不稳定性对安大略省艾滋病毒感染者整体身心健康相关生活质量（HRQoL）的影响。从2006年至2009年，共有602名艾滋病毒成年人参加了“积极空间，健康场所”研究，随后由访谈者管理的问卷被使用，并建立了广义线性混合效应模型，以检验食物不足与住房不稳定之间的纵向联系。以及身心健康HRQoL。基线时，有57％的参与者被归类为食物不足。在对潜在的混杂因素进行调整之后，纵向分析显示，食物不足与身心健康HRQoL结果之间存在显着的负相关性[效应量（ES），置信区间（CI）为95％：（ES = -2.1，CI = -3.9 ，-0.3）; （ES = -3.5，CI = -6.1，-1.5）]。此外，支付住房费用的困难还显示出对心理HRQoL的其他负面影响。在安大略省的艾滋病毒感染者中，食物不足十分普遍，特别是对于那些住房不稳定的人。这一弱势群体迫切需要改变当前的住房计划，服务和政策，并认真考虑他们未满足的营养需求。

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