An Examination of Social Determinants of Health among Women Living with HIV in Chiapas, Mexico Open Access

Abstract

An Examination of Social Determinants of Health among Women Living with HIV in Chiapas, Mexico

By: Kelly Reyna

 

Objective: To examine associations between social determinants of health, such as food insecurity, gender-based violence, and socioeconomic conditions, and virologic failure, among HIV-positive women between the ages of 18-44 living in Chiapas, Mexico.    

 

Methods: Data were derived from the Proyecto Mujeres study in Chiapas, Mexico. Participants in the study were 215 cis-gender women living with HIV, who completed staff-assisted interviews and STI laboratory testing. Food insecurity was measured using the Latin American and Caribbean Food Security Scale. Gender-based violence was assessed by a survey influenced by the 2016 National Survey of Relationship Dynamics in Households. We employed logistic regression to explore the relationships between food insecurity, gender-based violence, and history of virologic failure.

 

Results: Food insecurity was associated with increased odds of virologic failure, when controlling for days worked per week, the number of children, time spent to get to appointments, transportation method used to get to appointments, and money spent on appointments (OR=1.073, 95%CI = 1.007-1.145).

 

Conclusions: Findings suggest that food insecurity may play a role in medication nonadherence as evidenced by higher risk for virologic failure. Future interventions could consider food assistance as a strategy for improving HIV care engagement.

Table of Contents

TABLE OF CONTENTS

ACKNOWLEDGMENTS

CHAPTER I: INTRODUCTION

CHAPTER II: LITERATURE REVIEW

CHAPTER III: METHODS

CHAPTER IV: RESULTS

CHAPTER V: DISCUSSION

REFERENCES

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, General Health Sciences, Epidemiology
Keyword	Food insecurity Virologic failure Social determinants of health Gender-based violence SDOH HIV/AIDS Sexual health Intimate partner violence
Committee Chair / Thesis Advisor	Sophia Hussen, Emory University

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