In the midst of plenty: Experiences of food insecurity amongst women living with HIV in Vancouver, Canada.
HIV/AIDS
food security
gender
urban health
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
revised:
18
02
2021
received:
13
03
2020
accepted:
08
04
2021
pubmed:
13
5
2021
medline:
31
12
2021
entrez:
12
5
2021
Statut:
ppublish
Résumé
Globally, people living with HIV (PLWH) are disproportionately affected by food insecurity. Yet there is limited understanding of the impacts of food insecurity among cisgender and transgender women living with HIV (WLWH) in high-income countries. Thus, it is critical to examine the lived experiences of WLWH and food insecurity to inform policy and service provision. As part of the community-based SHAWNA (Sexual Health and HIV/AIDS: Women's Longitudinal Needs Assessment) study, we conducted 64 semistructured qualitative interviews with WLWH in Vancouver, Canada (2015-2017). Drawing on a socio-ecological framework, this analysis explores the lived experiences of navigating food security and health among WLWH in Metro Vancouver. Our findings indicate that WLWH relied heavily on food banks and other food-related supportive services. Despite the abundance of programs, access to nutritious foods remained difficult, and women often relied on processed foods that were more affordable and readily available. For many, food insecurity was exacerbated by unresponsive food services regulations that did not reflect the actual needs of food service users in terms of opening hours and locations, and a lack of nutritious food. Additionally, the absence of trauma-aware, women-centred and culturally responsive services, as well as, spatial and material barriers related to the recent loss of funding for HIV-specific support services, impeded food security among WLWH. Our findings emphasise that recognizing and addressing the social and structural disparities that exist for WLWH in high-income setting are essential for addressing food insecurity and ultimately optimal health among this population.
Identifiants
pubmed: 33978282
doi: 10.1111/hsc.13420
pmc: PMC8586035
mid: NIHMS1746779
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e138-e147Subventions
Organisme : NIMH NIH HHS
ID : R01 MH123349
Pays : United States
Organisme : CIHR
ID : FDN-143349
Pays : Canada
Organisme : CIHR
ID : 384667
Pays : Canada
Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
AIDS Behav. 2009 Oct;13(5):841-8
pubmed: 19644748
Subst Abuse Treat Prev Policy. 2015 May 07;10:17
pubmed: 25948286
AIDS Behav. 2017 Mar;21(3):734-744
pubmed: 27752869
Physiol Behav. 2020 Jun 1;220:112871
pubmed: 32179054
PLoS One. 2019 Mar 6;14(3):e0213365
pubmed: 30840700
J Acquir Immune Defic Syndr. 2017 Aug 1;75(4):408-416
pubmed: 28653970
AIDS. 1997 Jul;11(8):F59-65
pubmed: 9223727
J Community Health. 2014 Dec;39(6):1133-9
pubmed: 24705680
Can J Diet Pract Res. 2015 Jun;76(2):97-9
pubmed: 26067420
AIDS Care. 2011 Feb;23(2):221-30
pubmed: 21259135
Am J Clin Nutr. 2021 Mar 11;113(3):593-601
pubmed: 33515016
PLoS Med. 2012;9(4):e1001203
pubmed: 22505852
Gen Hosp Psychiatry. 2009 May-Jun;31(3):274-8
pubmed: 19410107
BMJ Open. 2012 Apr 13;2(2):e000714
pubmed: 22505309
Public Health Nutr. 2009 Aug;12(8):1150-6
pubmed: 19105863
PLoS One. 2014 Aug 27;9(8):e105957
pubmed: 25162598
Curr HIV/AIDS Rep. 2009 Nov;6(4):224-31
pubmed: 19849966
PLoS One. 2016 Aug 03;11(8):e0157630
pubmed: 27487041
Lancet. 2004 May 1;363(9419):1415-21
pubmed: 15121402
Med Anthropol. 2014;33(4):263-9
pubmed: 24661122
J Urban Health. 2017 Feb;94(1):87-99
pubmed: 28097614
J Acquir Immune Defic Syndr. 2009 Nov 1;52(3):342-9
pubmed: 19675463
J Interpers Violence. 2021 Jan 6;:886260520983257
pubmed: 33403922
Public Health Rep. 2001 Sep-Oct;116(5):419-23
pubmed: 12042606
Proc Nutr Soc. 2008 May;67(OCE):E88
pubmed: 18768095
Health Policy. 2011 Jun;101(1):44-58
pubmed: 20888059
Int J Health Geogr. 2008 Apr 18;7:16
pubmed: 18423005
BMC Public Health. 2014 Nov 28;14:1234
pubmed: 25432209
J Behav Med. 2014 Oct;37(5):1009-18
pubmed: 24022091
BMC Public Health. 2013 May 17;13:482
pubmed: 23679953
Am J Clin Nutr. 2011 Dec;94(6):1729S-1739S
pubmed: 22089434
PLoS One. 2018 Aug 24;13(8):e0202776
pubmed: 30142220
J Int AIDS Soc. 2013 Jan 11;16:17433
pubmed: 23336725
J Acquir Immune Defic Syndr. 2014 May 1;66(1):e15-22
pubmed: 24326603
J Int AIDS Soc. 2014 Feb 13;17:18845
pubmed: 24560342
HIV Med. 2018 Feb;19(2):123-131
pubmed: 29094807
Epidemiol Rev. 2004;26:22-35
pubmed: 15234945
Can Commun Dis Rep. 2017 Dec 07;43(12):248-256
pubmed: 29770056
J Nutr. 1990 Nov;120 Suppl 11:1559-600
pubmed: 2243305
Lancet. 2008 Nov 8;372(9650):1661-9
pubmed: 18994664
J Nutr. 2005 Apr;135(4):820-5
pubmed: 15795441
J Nutr Educ Behav. 2017 Apr;49(4):296-303.e1
pubmed: 28073623
Health Serv Res. 2007 Aug;42(4):1758-72
pubmed: 17286625
Arch Pediatr Adolesc Med. 2008 Nov;162(11):1056-62
pubmed: 18981354
J Infect Dis. 2019 Jan 9;219(3):429-436
pubmed: 30165648
Am J Clin Nutr. 2011 Dec;94(6):1740S-1744S
pubmed: 22089447
J Urban Health. 2010 Jul;87(4):631-41
pubmed: 20419478