Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco

Sheri D. Weiser; David R. Bangsberg; Susan Kegeles; Kathleen Ragland; Margot B. Kushel; Edward A. Frongillo

doi:10.1007/s10461-009-9597-z

Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco

Sheri D. Weiser, David R. Bangsberg, Susan Kegeles, Kathleen Ragland, Margot B. Kushel, Edward A. Frongillo

Research output: Contribution to journal › Article › peer-review

145 Scopus citations

Abstract

Food insecurity is a risk factor for both HIV transmission and worse HIV clinical outcomes. We examined the prevalence of and factors associated with food insecurity among homeless and marginally housed HIV-infected individuals in San Francisco recruited from the Research on Access to Care in the Homeless Cohort. We used multiple logistic regression to determine socio-demographic and behavioral factors associated with food insecurity, which was measured using the Household Food Insecurity Access Scale. Among 250 participants, over half (53.6%) were food insecure. Higher odds of food insecurity was associated with being white, low CD4 counts, recent crack use, lack of health insurance, and worse physical and mental health. Food insecurity is highly prevalent among HIV-infected marginally housed individuals in San Francisco, and is associated with poor physical and mental health and poor social functioning. Screening for and addressing food insecurity should be a critical component of HIV prevention and treatment programs.

Original language	English (US)
Pages (from-to)	841-848
Number of pages	8
Journal	AIDS and Behavior
Volume	13
Issue number	5
DOIs	https://doi.org/10.1007/s10461-009-9597-z
State	Published - Oct 2009
Externally published	Yes

Keywords

Food insecurity
HIV/AIDS
Homeless
San Francisco

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-009-9597-z

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title = "Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco",

abstract = "Food insecurity is a risk factor for both HIV transmission and worse HIV clinical outcomes. We examined the prevalence of and factors associated with food insecurity among homeless and marginally housed HIV-infected individuals in San Francisco recruited from the Research on Access to Care in the Homeless Cohort. We used multiple logistic regression to determine socio-demographic and behavioral factors associated with food insecurity, which was measured using the Household Food Insecurity Access Scale. Among 250 participants, over half (53.6%) were food insecure. Higher odds of food insecurity was associated with being white, low CD4 counts, recent crack use, lack of health insurance, and worse physical and mental health. Food insecurity is highly prevalent among HIV-infected marginally housed individuals in San Francisco, and is associated with poor physical and mental health and poor social functioning. Screening for and addressing food insecurity should be a critical component of HIV prevention and treatment programs.",

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author = "Weiser, {Sheri D.} and Bangsberg, {David R.} and Susan Kegeles and Kathleen Ragland and Kushel, {Margot B.} and Frongillo, {Edward A.}",

note = "Funding Information: Acknowledgments The authors wish to thank Brenda Goldhammer, Richard Clark, Matthew Reynolds, Joyce Powell, Becky Packard, John Weeks, as well as the REACH participants who shared the experiences that made this study possible. This publication was funded by NIH/NCRR UCSF-CTSI grant #UL1 RR024131, NIMH R01 #54907, The California HIV/AIDS Research Program grant #ID08-SF-054, and the Meyer Family Foundation. Dr. Weiser received additional funding from NIMH K23 MH079713-01. Dr. Bangsberg received additional support from K024 AA015287. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. HIV RNA kits were donated by Roche.",

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doi = "10.1007/s10461-009-9597-z",

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AU - Kushel, Margot B.

AU - Frongillo, Edward A.

N1 - Funding Information: Acknowledgments The authors wish to thank Brenda Goldhammer, Richard Clark, Matthew Reynolds, Joyce Powell, Becky Packard, John Weeks, as well as the REACH participants who shared the experiences that made this study possible. This publication was funded by NIH/NCRR UCSF-CTSI grant #UL1 RR024131, NIMH R01 #54907, The California HIV/AIDS Research Program grant #ID08-SF-054, and the Meyer Family Foundation. Dr. Weiser received additional funding from NIMH K23 MH079713-01. Dr. Bangsberg received additional support from K024 AA015287. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. HIV RNA kits were donated by Roche.

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N2 - Food insecurity is a risk factor for both HIV transmission and worse HIV clinical outcomes. We examined the prevalence of and factors associated with food insecurity among homeless and marginally housed HIV-infected individuals in San Francisco recruited from the Research on Access to Care in the Homeless Cohort. We used multiple logistic regression to determine socio-demographic and behavioral factors associated with food insecurity, which was measured using the Household Food Insecurity Access Scale. Among 250 participants, over half (53.6%) were food insecure. Higher odds of food insecurity was associated with being white, low CD4 counts, recent crack use, lack of health insurance, and worse physical and mental health. Food insecurity is highly prevalent among HIV-infected marginally housed individuals in San Francisco, and is associated with poor physical and mental health and poor social functioning. Screening for and addressing food insecurity should be a critical component of HIV prevention and treatment programs.

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Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco

Abstract

Keywords

ASJC Scopus subject areas

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