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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 6/2016

01-12-2016 | Original Article

The Daily Relationship Between Aspects of Food Insecurity and Medication Adherence Among People Living with HIV with Recent Experiences of Hunger

Authors: Jennifer A. Pellowski, PhD, Seth C. Kalichman, PhD, Sabrina Cherry, MPH, Christopher Conway-Washington, BA, Chauncey Cherry, DrPH, Tamar Grebler, BA, Larissa Krug, BA

Published in: Annals of Behavioral Medicine | Issue 6/2016

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Abstract

Background

Limited access to resources can significantly impact health behaviors. Previous research on food insecurity and HIV has focused on establishing the relationship between lacking access to nutritious food and antiretroviral (ARV) medication non-adherence in a variety of social contexts.

Purpose

This study aims to determine if several aspects of food insecurity co-occur with missed doses of medication on a daily basis among a sample of people living with HIV who have recently experienced hunger.

Methods

The current study utilized a prospective, observational design to test the daily relationship between food insecurity and medication non-adherence. Participants were followed for 45 days and completed daily assessments of food insecurity and alcohol use via interactive text message surveys and electronic medication adherence monitoring using the Wisepill.

Results

Fifty-nine men and women living with HIV contributed a total of 2,655 days of data. Results showed that severe food insecurity (i.e., hunger), but not less severe food insecurity (i.e., worrying about having food), significantly predicted missed doses of medication on a daily level. Daily alcohol use moderated this relationship in an unexpected way; when individuals were hungry and drank alcohol on a given day, they were less likely to miss a dose of medication.

Conclusions

Among people living with HIV with recent experiences of hunger, this study demonstrates that there is a daily relationship between hunger and non-adherence to antiretroviral therapy. Future research is needed to test interventions designed to directly address the daily relationship between food insecurity and medication non-adherence.
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Metadata
Title
The Daily Relationship Between Aspects of Food Insecurity and Medication Adherence Among People Living with HIV with Recent Experiences of Hunger
Authors
Jennifer A. Pellowski, PhD
Seth C. Kalichman, PhD
Sabrina Cherry, MPH
Christopher Conway-Washington, BA
Chauncey Cherry, DrPH
Tamar Grebler, BA
Larissa Krug, BA
Publication date
01-12-2016
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 6/2016
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-016-9812-x

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