Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda
Introduction Widespread food insecurity in Africa continues to compromise an effective response to the AIDS epidemic. Health-related quality of life (HRQoL) is a comprehensive indicator of physical, mental, and social well-being that is associated with food insecurity and increasingly used to assess...
| Autores principales: | , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Public Library of Science
2015
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| Acceso en línea: | https://hdl.handle.net/10568/149592 |
| _version_ | 1855516415585419264 |
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| author | Maluccio, John A. Palermo, Tia Kadiyala, Suneetha Rawat, Rahul |
| author_browse | Kadiyala, Suneetha Maluccio, John A. Palermo, Tia Rawat, Rahul |
| author_facet | Maluccio, John A. Palermo, Tia Kadiyala, Suneetha Rawat, Rahul |
| author_sort | Maluccio, John A. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Introduction Widespread food insecurity in Africa continues to compromise an effective response to the AIDS epidemic. Health-related quality of life (HRQoL) is a comprehensive indicator of physical, mental, and social well-being that is associated with food insecurity and increasingly used to assess the well-being of people living with HIV/AIDS (PLHIV). We examined the impact of a food assistance intervention, previously shown to have reduced household food insecurity and improved nutritional status, on HRQoL of PLHIV. Methods We capitalized on an existing intervention targeting antiretroviral therapy (ART)- naïve PLHIV in Uganda, and conducted a prospective impact evaluation including a treatment and a comparison group. Data analyzed included 640 participants from two districts (318 in the intervention district) interviewed in both clinic and household settings at baseline and again approximately one year later. The main outcomes considered were physical and mental health dimensions of HRQoL, and other outcomes included self- and healthcare provider-reported symptoms. We utilized difference-in-difference propensity score matching methodologies to infer causality and examine program impacts. Results Over 12 months, food assistance significantly increased physical health scores (PHS) by 2.85 (P < .01) or approximately 0.35 SD, and reduced substantially the number of self- and healthcare provider-reported HIV-related symptoms by 3.83 and 2.68, respectively (P < .01). There was no significant impact, however, on mental health scores (MHS). Conclusions This study demonstrates the potential importance for HRQoL of including food assistance programming as part of the standard of care for PLHIV in areas of widespread food insecurity. |
| format | Journal Article |
| id | CGSpace149592 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2015 |
| publishDateRange | 2015 |
| publishDateSort | 2015 |
| publisher | Public Library of Science |
| publisherStr | Public Library of Science |
| record_format | dspace |
| spelling | CGSpace1495922025-01-24T14:12:06Z Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda Maluccio, John A. Palermo, Tia Kadiyala, Suneetha Rawat, Rahul surveys nutrition food consumption human immunodeficiency virus quality of life Introduction Widespread food insecurity in Africa continues to compromise an effective response to the AIDS epidemic. Health-related quality of life (HRQoL) is a comprehensive indicator of physical, mental, and social well-being that is associated with food insecurity and increasingly used to assess the well-being of people living with HIV/AIDS (PLHIV). We examined the impact of a food assistance intervention, previously shown to have reduced household food insecurity and improved nutritional status, on HRQoL of PLHIV. Methods We capitalized on an existing intervention targeting antiretroviral therapy (ART)- naïve PLHIV in Uganda, and conducted a prospective impact evaluation including a treatment and a comparison group. Data analyzed included 640 participants from two districts (318 in the intervention district) interviewed in both clinic and household settings at baseline and again approximately one year later. The main outcomes considered were physical and mental health dimensions of HRQoL, and other outcomes included self- and healthcare provider-reported symptoms. We utilized difference-in-difference propensity score matching methodologies to infer causality and examine program impacts. Results Over 12 months, food assistance significantly increased physical health scores (PHS) by 2.85 (P < .01) or approximately 0.35 SD, and reduced substantially the number of self- and healthcare provider-reported HIV-related symptoms by 3.83 and 2.68, respectively (P < .01). There was no significant impact, however, on mental health scores (MHS). Conclusions This study demonstrates the potential importance for HRQoL of including food assistance programming as part of the standard of care for PLHIV in areas of widespread food insecurity. 2015-12-14 2024-08-01T02:49:35Z 2024-08-01T02:49:35Z Journal Article https://hdl.handle.net/10568/149592 en Open Access Public Library of Science Maluccio, John A.; Palermo, Tia; Kadiyala, Suneetha; Rawat, Rahul. 2015. Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda. PLoS One 10(8): e0135879. https://doi.org/10.1371/journal.pone.0135879 |
| spellingShingle | surveys nutrition food consumption human immunodeficiency virus quality of life Maluccio, John A. Palermo, Tia Kadiyala, Suneetha Rawat, Rahul Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda |
| title | Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda |
| title_full | Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda |
| title_fullStr | Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda |
| title_full_unstemmed | Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda |
| title_short | Improving health-related quality of life among people living with HIV: Results from an impact evaluation of a food assistance program in Uganda |
| title_sort | improving health related quality of life among people living with hiv results from an impact evaluation of a food assistance program in uganda |
| topic | surveys nutrition food consumption human immunodeficiency virus quality of life |
| url | https://hdl.handle.net/10568/149592 |
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