How food insecurity contributes to poor HIV health outcomes: Qualitative evidence from the San Francisco Bay Area

Whittle, Henry J.; Palar, Kartika; Seligman, Hilary K.; Nápoles, Tessa M.; Frongillo, Edward A.; Weiser, Sheri D.

doi:10.1016/j.socscimed.2016.09.040

Cited by 65 publications

(77 citation statements)

References 38 publications

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“…Specifically, in the present study we use median household income as a 88 ZCTA-level predictor. Finally, unemployment and poverty both have documented 89 association with health outcomes, including in pandemic scenarios [20,21]. Whilst there 90 is some level of collinearity between these two variables, we include both as one relates 91 to the economically active labor force whereas the other to the total population.…”

Section: Economic Parameters 78mentioning

confidence: 99%

An ecological study of socioeconomic predictors in detection of COVID-19 cases across neighborhoods in New York City

Whittle

Diaz‐Artiles

2020

Preprint

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Section: Economic Parameters 78mentioning

confidence: 99%

An ecological study of socioeconomic predictors in detection of COVID-19 cases across neighborhoods in New York City

Whittle

Diaz‐Artiles

2020

Preprint

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“…Infection with the virus itself weakens FS and compromises the nutritional status by reducing the work capacity and productivity and jeopardizing the means of subsistence of households or families 33 . PLHA experiencing FI exacerbate their self-perception of social failure, as reported in a sub-group receiving food assistance 30 . The variables associated with moderate and severe FI that remained in the final Poisson multiple regression model were incomplete primary education, age younger than the median (43 years), income per capita lower than half the MW, being economically inactive or lacking occupation and adult-only households, particularly when the person infected with HIV is a woman.…”

Section: Discussionmentioning

confidence: 91%

“…FI in the context of PLHA may be a key risk factor for the occurrence of negative outcomes 28 . FI has been associated with a 1.3 times increased likelihood of showing a worse CD4 cell count, according to a recent meta-analysis 29 , and is associated with depression symptoms, worse treatment compliance and exacerbation of side effects 30 . PLHA experiencing FI have a 1.29 times higher likelihood of showing incomplete viral load suppression and a 1.48 times higher likelihood of failing to comply with the treatment 31 .…”

Section: Discussionmentioning

confidence: 99%

Insegurança alimentar moderada e grave em famílias integradas por pessoas vivendo com HIV/Aids: validação da escala e fatores associados

Medeiros

Lima

Medeiros

et al. 2017

Ciênc. saúde coletiva

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“…However the experience of food insecurity as a health care issue and its impacts on patients' health condition management endeavours, has received relatively little attention in the UK to date, which is in contrast to other high income countries where poverty and food insecurity, and long term condition prevalence are similarly high (13,14,19,21,(36)(37)(38)(39)(40). A recent study of Scottish-based health care professionals, by the lead author, found that most believed that some of their patients were affected by food insecurity and that it was impacting their ability to manage their health condition(s)(41).…”

Section: Introductionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. However, while international evidence outside of the UK indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this high-income country context. Methods :A qualitative investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Interview audio recordings were fully transcribed and thematically analysed.Results : Twenty individuals living with a wide range of self-reported health conditions, and being supported by a local poverty alleviation social enterprise took part. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions :This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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How food insecurity contributes to poor HIV health outcomes: Qualitative evidence from the San Francisco Bay Area

Cited by 65 publications

References 38 publications

An ecological study of socioeconomic predictors in detection of COVID-19 cases across neighborhoods in New York City

An ecological study of socioeconomic predictors in detection of COVID-19 cases across neighborhoods in New York City

Insegurança alimentar moderada e grave em famílias integradas por pessoas vivendo com HIV/Aids: validação da escala e fatores associados

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

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