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

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

Research output: Contribution to journalArticle

110 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)841-848
Number of pages8
JournalAIDS and Behavior
Volume13
Issue number5
DOIs
StatePublished - Oct 2009
Externally publishedYes

Fingerprint

San Francisco
Food Supply
Acquired Immunodeficiency Syndrome
HIV
Mental Health
Health Insurance
CD4 Lymphocyte Count
Logistic Models
Demography
Food
Research

Keywords

  • Food insecurity
  • HIV/AIDS
  • Homeless
  • San Francisco

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. / Weiser, Sheri D.; Bangsberg, David; Kegeles, Susan; Ragland, Kathleen; Kushel, Margot B.; Frongillo, Edward A.

In: AIDS and Behavior, Vol. 13, No. 5, 10.2009, p. 841-848.

Research output: Contribution to journalArticle

Weiser, Sheri D. ; Bangsberg, David ; Kegeles, Susan ; Ragland, Kathleen ; Kushel, Margot B. ; Frongillo, Edward A. / Food insecurity among homeless and marginally housed individuals living with HIV/AIDS in San Francisco. In: AIDS and Behavior. 2009 ; Vol. 13, No. 5. pp. 841-848.
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