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The Effects of Covid-19 on Food Insecurity, Financial Vulnerability and Housing Insecurity Among Women and Girls Living With or at Risk of Hiv in Nigeria Publisher Pubmed



Lamontagne E1, 2 ; Folayan MO3, 4, 5, 6 ; Arije O7 ; Enemo A8 ; Sunday A9 ; Muhammad A10 ; Nyako HY11 ; Abdullah RM12 ; Okiwu H13 ; Undelikwo VA14 ; Ogbozor PA15 ; Amusan O7 ; Alaba OA7
Authors
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Authors Affiliations
  1. 1. Joint United Nations Programme on HIV/AIDS, Strategic Information, Geneva, Switzerland
  2. 2. School of Economics, Aix-Marseille University, Marseille, France
  3. 3. Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
  4. 4. Nigeria Institute of Medical Research, Yaba, Nigeria
  5. 5. Community Oral Health Department, Tehran University of Medical Sciences, Iran
  6. 6. Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
  7. 7. Institute of Public Health, College of Health Sciences, Obafemi Awolowo University, Nigeria
  8. 8. Nigeria Sex Workers Association, Kubwa, Nigeria
  9. 9. African Network of Adolescent and Young Persons Development, Barnawa, Nigeria
  10. 10. Northern Nigerian Transgender Initiative, Abuja, Nigeria
  11. 11. Jami Al Hakeem Foundation, Jimeta-Yola, Nigeria
  12. 12. National Association of Persons with Physical Disability, Abuja, Nigeria
  13. 13. YouthRise, Abuja, Nigeria
  14. 14. Department of Sociology, University of Calabar, Nigeria
  15. 15. Department of Psychology, Enugu State University of Science and Technology, Enugu, Nigeria

Source: African Journal of AIDS Research Published:2022


Abstract

Aim: Women and girls living with or at high risk of acquiring HIV (WGL&RHIV) in Africa are economically vulnerable. This study aims to advance understanding of the economic impact of COVID-19 on WGL&RHIV and to identify the factors associated with this insecurity. Methods: Data were collected from a cross-sectional survey conducted among a convenience sample of WGL&RHIV in Nigeria between May and September 2021. Logistic regressions enabled the study of the role of HIV status, mental health and macrosocial characteristics (people with disability, transgender women, sex workers, persons engaged in transactional sex, substance users, and people on the move) on economic vulnerability, measured by food, financial and housing insecurity, since the COVID-19 pandemic began. The model accounted for the possible interactions between the macrosocial characteristics and controlled for confounders. Results: There were 3 313 (76.1%) of 4 355 respondents facing food insecurity, 3 664 (83.6%) of 4 385 with financial vulnerability and 1 282 (36.2%) of 3 544 with housing insecurity. Being a member of the key and vulnerable groups was strongly associated with food insecurity, financial vulnerability and housing insecurity, regardless of HIV serostatus. For example, WGL&RHIV engaging in transactional sex were more than four times more likely (aOR 4.42; 95% CI 2.57–7.59) to face housing insecurity and more than twice more likely to face food insecurity (aOR 2.47, 95% CI 1.35–4.52) and financial vulnerability (aOR 2.87, 95% CI 1.39–5.93). This economic vulnerability may reduce their negotiating power for safer sex or the use of HIV prevention methods, exposing them to increased risks of HIV infection. Poor mental health was also associated with the three forms of economic vulnerability. Conclusions: As the long-term impact of the COVID-19 crisis on African economies unfolds, HIV programmes at the country level must include economic vulnerability and mental unwellness mitigation activities for WGL&RHIV. © 2022 The Author(s). Co-published by NISC Pty (Ltd) and Informa UK Limited, trading as Taylor & Francis Group.
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1. Associations Between Covid-19 Vaccine Hesitancy and the Experience of Violence Among Women and Girls Living With and at Risk of Hiv in Nigeria, African Journal of AIDS Research (2022)