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Food insecurity is a structural barrier to HIV care in peri-urban areas in South Africa (SA), where approximately 80% of households are moderately or severely food insecure.(1) For people with HIV (PWH), food insecurity is associated with poor ART adherence and survival rates. Yet, measurement of food insecurity among PWH remains a challenge. This study examines the factor structure of the 9-item Household Food Insecurity Access Scale (HFIAS, isiXhosa-translated) among PWH in SA using a restrictive bifactor model. Primary care clinics
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