JOURNAL ARTICLE

Food Insecurity at Tuberculosis Treatment Initiation Is Associated With Clinical Outcomes in Rural Haiti: A Prospective Cohort Study.

  • Published In: Clinical Infectious Diseases, 2024, v. 79, n. 2. P. 534 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: Richterman, Aaron; Saintilien, Elie; St-Cyr, Medgine; Gracia, Louise Claudia; Sauer, Sara; Pierre, Inobert; Compere, Moise; Elnaiem, Ahmed; Dumerjuste, Dyemy; Ivers, Louise C 3 of 3

Abstract

This article focuses on the relationship between household food insecurity and tuberculosis treatment outcomes in rural Haiti. In a prospective cohort study of 257 adults initiating first-line treatment for drug-sensitive pulmonary tuberculosis, food insecurity—measured by the Household Hunger Scale—was independently associated with a nearly sixfold increased odds of death or treatment failure after adjusting for nutritional status, loss to follow-up, and other confounders. The findings suggest that food insecurity influences tuberculosis outcomes through nonnutritional pathways, such as mental health, behavior, and inflammation, beyond the effects of undernutrition. The study highlights the potential importance of interventions addressing food insecurity to improve tuberculosis treatment success in low-income settings.

Additional Information

  • Source:Clinical Infectious Diseases. 2024/08, Vol. 79, Issue 2, p534
  • Document Type:Article
  • Subject Area:Social Sciences and Humanities
  • Publication Date:2024
  • ISSN:1058-4838
  • DOI:10.1093/cid/ciae252
  • Accession Number:179092216
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