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Association between Food Insecurity and Procurement Methods among People Living with HIV in a High Resource Setting.
Aranka Anema1,2,3, Sarah J Fielden4, Susan Shurgold5
1Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts, United States of America.
Plos One
|August 4, 2016
Summary
Food insecurity is prevalent among people with HIV in British Columbia, often linked to poor diet quality and unconventional food procurement. Non-traditional food sourcing significantly increases food insecurity risk in this population.
Area of Science:
- Public Health
- Nutritional Science
- HIV/AIDS Research
Background:
- High rates of food insecurity exist among people living with HIV in high-resource settings.
- Limited data available on dietary intake and specific food insecurity components (quantity, quality, safety, procurement) in this population.
Purpose of the Study:
- To determine the prevalence and characteristics of food insecurity among people living with HIV in British Columbia, Canada.
Main Methods:
- Cross-sectional analysis within a national community-based research initiative.
- Food security measured using the Health Canada Household Food Security Scale Module.
- Logistic regression used to identify predictors of food insecurity.
Main Results:
- 73% of 262 participants reported food insecurity.
- Factors associated with food insecurity included: non-traditional food procurement (AOR=11.11), younger age, unstable housing, low income, and depression symptoms.
- Poor dietary quality and non-traditional food procurement methods characterized food insecurity.
Conclusions:
- Food insecurity in people with HIV in British Columbia is marked by compromised diet quality and procurement strategies.
- Procuring food through non-traditional means was a strong predictor of food insecurity.
- Tailored interventions for food security and social support are recommended for this population.
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