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Journal of Community Health
Published in: Journal of Community Health 6/2014

01-12-2014 | Original Paper

Food Insecurity and Other Poverty Indicators Among People Living with HIV/AIDS: Effects on Treatment and Health Outcomes

Authors: Seth C. Kalichman, Dominica Hernandez, Chauncey Cherry, Moira O. Kalichman, Christopher Washington, Tamar Grebler

Published in: Journal of Community Health | Issue 6/2014

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Abstract

Health disparities in access to antiretroviral therapy (ART) as well as the demands of long-term medication adherence have meant the full benefits of HIV treatment are often not realized. In particular, food insecurity has emerged as a robust predictor of ART non-adherence. However, research is limited in determining whether food insecurity uniquely impedes HIV treatment or if food insecurity is merely a marker for poverty that interferes more broadly with treatment. This study examined indicators of poverty at multiple levels in a sample of 364 men and 157 women living with HIV recruited through an offering of a free holiday food basket. Results showed that 61 % (N = 321) of participants had experienced at least one indicator of food insecurity in the previous month. Multivariate analyses showed that food insecurity was closely tied to lack of transportation. In addition, food insecurity was associated with lacking access to ART and poor ART adherence after adjusting for neighbourhood poverty, living in an area without a supermarket (food desert), education, stable housing, and reliable transportation. Results therefore affirm previous research that has suggested food insecurity is uniquely associated with poor ART adherence and calls for structural interventions that address basic survival needs among people living with HIV, especially food security.
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Metadata
Title
Food Insecurity and Other Poverty Indicators Among People Living with HIV/AIDS: Effects on Treatment and Health Outcomes
Authors
Seth C. Kalichman
Dominica Hernandez
Chauncey Cherry
Moira O. Kalichman
Christopher Washington
Tamar Grebler
Publication date
01-12-2014
Publisher
Springer US
Published in
Journal of Community Health / Issue 6/2014
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-014-9868-0

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