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An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
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Parks as a tool for HIV management.

Enbal Shacham1, J Aaron Hipp2, Mary Scheuermann2

  • 1Department of Behavioral Sciences and Health Education, College for Public Health and Social Justice, Saint Louis University, St Louis, MO, USA eshacham@slu.edu.

Journal of the International Association of Providers of AIDS Care
|September 3, 2013
PubMed
Summary

Access to parks may benefit people with HIV by promoting physical activity and managing chronic conditions. However, this study found no direct link between park proximity and health outcomes in this population.

Keywords:
HIV/AIDSneighborhood conditionspark proximitypsychological distress

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Area of Science:

  • Public Health
  • Environmental Health
  • HIV Medicine

Background:

  • Park access is linked to improved health in the general population.
  • HIV is a manageable chronic condition, often with comorbidities.
  • Parks can offer opportunities for physical activity to manage these conditions.

Purpose of the Study:

  • To examine the relationship between park proximity and health characteristics in individuals with HIV.
  • To assess sociodemographic and biomedical factors associated with park availability.

Main Methods:

  • Cross-sectional study of 635 individuals receiving outpatient HIV care.
  • Assessed total park acreage within a quarter-mile radius of participants' homes.
  • Collected data on HIV biomarkers, depression, and chronic disease diagnoses.

Main Results:

  • Unemployment was negatively associated with park availability.
  • Park proximity showed no association with depression or HIV biomarkers.
  • The cohort was diverse: 67% male, 73% Black, 21% White, mean age 42.

Conclusions:

  • Current efforts to promote park usage for managing comorbidities in people with HIV are limited.
  • Further research is needed to understand how to leverage park access for this population.
  • Parks represent a potentially low-cost, sustainable resource for health promotion in individuals with HIV.