The aim of the study was to assess if there were significant differences in the adoption of COVID-19 risk preventive behaviors and experience of food insecurity by people living with and without HIV in Nigeria. This was a cross-sectional study that recruited a convenience sample of 4471 (20.5% HIV positive) adults in Nigeria. Binary logistic regression analysis was conducted to test the associations between the explanatory variable (HIV positive and non-positive status) and the outcome variables—COVID-19 related behavior changes (physical distancing, isolation/quarantine, working remotely) and food insecurity (hungry but did not eat, cut the size of meals/skip meals) controlling for age, sex at birth, COVID-19 status, and medical status of respondents. Significantly fewer people living with HIV (PLWH) reported a positive COVID-19 test result; and had lower odds of practicing COVID-19 risk preventive behaviors. In comparison with those living without HIV, PLWH had higher odds of cutting meal sizes as a food security measure (AOR: 3.18; 95% CI 2.60–3.88) and lower odds of being hungry and not eating (AOR: 0.24; 95% CI 0.20–0.30). In conclusion, associations between HIV status, COVID-19 preventive behaviors and food security are highly complex and warrant further in-depth to unravel the incongruities identified.


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Folayan, M., Ibigbami, O., Brown, B., El Tantawi, M., Uzochukwu, B., Ezechi, O., Aly, N., Abeldaño, G., Ara, E., Ayanore, M., Ayoola, O., Osamika, B., Ellakany, P., Gaffar, B., Idigbe, I., Ishabiyi, A., Jafer, M., Khan, A., Khalid, Z., Lawal, F., Lusher, J., Nzimande, N., Popoola, B., Quadri, M., Rashwan, M., Roque, M., Shamala, A., Al-Tammemi, A., Yousaf, M., Zuñiga, R., Okeibunor, J. & Nguyen, A. 2022, 'Differences in COVID-19 preventive behavior and food insecurity by HIV status in Nigeria', AIDS and Behavior, 26, pp. 739-751. https://doi.org/10.1007/s10461-021-03433-3

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Last updated: 16 June 2022
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