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.

该研究的目的是评估尼日利亚艾滋病毒感染者和非艾滋病毒感染者在采用 COVID-19 风险预防行为和粮食不安全经历方面是否存在显着差异。这是一项横断面研究，招募了尼日利亚 4471 名（20.5% HIV 阳性）成年人的便利样本。进行二元逻辑回归分析以检验解释变量（HIV 阳性和非阳性状态）与结果变量（COVID-19 相关的行为变化（物理距离、隔离/隔离、远程工作）和粮食不安全（饥饿）之间的关联）但不吃，减少进餐/不进餐）控制年龄、出生时的性别、COVID-19 状态和受访者的医疗状况。报告 COVID-19 检测结果呈阳性的 HIV 感染者 (PLWH) 显着减少；并且实施 COVID-19 风险预防行为的几率较低。与未感染 HIV 的人相比，PLWH 将减少膳食数量作为食品安全措施的几率更高（AOR：3.18；95% CI 2.60-3.88），饥饿和不进食的几率更低（AOR：0.24；95% CI 0.20–0.30)。总之，艾滋病毒感染状况、COVID-19 预防行为和粮食安全之间的关联非常复杂，需要进一步深入了解发现的不一致之处。