RESUMO
Gender inequalities shape the experience of food insecurity among women living with HIV (WLHIV). We systematically reviewed the impact of food insecurity on sexual risk behaviors and antiretroviral therapy (ART) adherence among WLHIV. We included qualitative or quantitative peer-reviewed articles, extracted data in duplicate, and assessed rigor. Seven studies, from sub-Saharan Africa, North America, and Europe, met inclusion criteria. Food insecurity was associated with increased sexual risk through transactional sex and inability to negotiate safer sex. Hunger and food insecurity were barriers to ART initiation/adherence. Multidimensional programming and policies should simultaneously address poverty, gender inequality, food insecurity, and HIV.
Assuntos
Antirretrovirais/uso terapêutico , Abastecimento de Alimentos , Infecções por HIV/tratamento farmacológico , Adesão à Medicação , Assunção de Riscos , Comportamento Sexual/psicologia , Feminino , Infecções por HIV/psicologia , Humanos , Pobreza , Fatores de Risco , Fatores SocioeconômicosRESUMO
The authors report a case of a neonate with gastroschisis, which, after repair, was further complicated by the diagnosis of Hirschsprung's disease. The authors discuss the diagnostic and management dilemmas posed by the coexistence of these two conditions for the clinician.