艾滋病毒感染者的粮食不安全和COVID-19相关经验:混合方法分析和概念框架
Dini Harsono1,2, Kelsey Sklar3, Michael Silver4
1Center for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, Connecticut, United States of America.
PloS one
|February 12, 2026
概括
在COVID-19大流行期间,粮食不安全影响了30.7%的HIV感染者 (PWH). 失业和与流行病相关的日常变化与粮食不安全有关,突出强调需要在艾滋病毒治疗中提供综合支持.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 粮食不安全是健康差距的一个重要驱动因素,COVID-19大流行加剧了这一现象.
- 疫情不成比例地影响了低收入家庭和种族/少数民族,增加了粮食不安全.
- 了解粮食不安全对艾滋病毒感染者 (PWH) 的影响对于解决健康不平等至关重要.
研究的目的:
- 探索社会人口学因素,艾滋病毒护理参与和PWH在早期COVID-19大流行期间的粮食不安全经历之间的关系.
- 确定个人,社区和结构因素,这些因素有助于PWH的粮食不安全.
- 开发一个社会生态框架,详细说明粮食不安全和COVID-19在PWH的相互作用.
主要方法:
- 一种混合方法的方法,将一次性电话调查 (n=283) 与PWH和焦点小组 (n=23) 与临床工作人员相结合.
- 调查数据分析了社会人口统计因素,流行病相关变化和粮食不安全之间的关联.
- 从自由文本回复和重点小组分析的定性数据,以确定导致粮食不安全的因素.
主要成果:
- 在疫情初期,30.7%的受访PWH报告粮食不安全.
- 与粮食不安全相关的因素包括在纽约布鲁克林接受护理,大流行前的失业率,以及日常生活的重大变化.
- 定性调查结果揭示了粮食不安全的多方面的个人,人内,社区和结构性贡献者.
结论:
- 在最初的COVID-19浪潮期间,普惠人民群体中普遍存在粮食不安全感,这与特定的社会人口统计学和流行病相关因素有关.
- 社会生态框架可以说明影响该人口粮食安全的复杂相互作用.
- 将粮食不安全查和资源导航整合到艾滋病毒护理环境中,对于改善健康结果至关重要.
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