Factors contributing to food insecurity among women living with HIV in the Dominican Republic: A qualitative study
| Autor: | Hugo Farias, Ramon Acevedo, Kathryn Pitkin Derose, Denise Diaz Payan, Maria Altagracia Fulcar, Sergio Terrero, Kartika Palar |
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| Přispěvatelé: | Renzaho, Andre MN |
| Rok vydání: | 2017 |
| Předmět: |
RNA viruses
Domestic Violence Economics Social Stigma Psychological intervention Social Sciences HIV Infections Pathology and Laboratory Medicine Food Supply Families 0302 clinical medicine Immunodeficiency Viruses Sociology 5. Gender equality Dismissal Environmental protection Medicine and Health Sciences Global health 030212 general & internal medicine Human Families 10. No inequality Socioeconomics Qualitative Research Multidisciplinary 1. No poverty Middle Aged 16. Peace & justice Mental Health Social Networks Medical Microbiology Viral Pathogens Viruses HIV/AIDS Medicine Zero Hunger Female Pathogens 0305 other medical science Psychology Network Analysis Research Article Employment Adult Computer and Information Sciences Adolescent General Science & Technology Science Mothers Stigma (botany) Jobs Microbiology Young Adult 03 medical and health sciences Social support Health Economics Clinical Research Behavioral and Social Science Retroviruses Humans Microbial Pathogens 030505 public health Poverty Prevention Lentivirus Dominican Republic Organisms Biology and Life Sciences HIV Social Support Health Care Socioeconomic Factors Sexual abuse Labor Economics People and Places Population Groupings Reduced Inequalities Qualitative research |
| Zdroj: | PloS one, vol 12, iss 7 PLoS ONE, Vol 12, Iss 7, p e0181568 (2017) PLoS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0181568 |
| Popis: | Author(s): Derose, Kathryn P; Payan, Denise D; Fulcar, Maria Altagracia; Terrero, Sergio; Acevedo, Ramon; Farias, Hugo; Palar, Kartika | Abstract: BackgroundFood insecurity contributes to poor health outcomes among people living with HIV. In Latin America and the Caribbean, structural factors such as poverty, stigma, and inequality disproportionately affect women and may fuel both the HIV epidemic and food insecurity.MethodsWe examined factors contributing to food insecurity among women living with HIV (WLHIV) in the Dominican Republic (DR). Data collection included in-depth, semi-structured interviews in 2013 with 30 WLHIV with indications of food insecurity who resided in urban or peri-urban areas and were recruited from local HIV clinics. In-person interviews were conducted in Spanish. Transcripts were coded using content analysis methods and an inductive approach to identify principal and emergent themes.ResultsRespondents identified economic instability as the primary driver of food insecurity, precipitated by enacted stigma in the labor and social domains. Women described experiences of HIV-related labor discrimination in formal and informal sectors. Women commonly reported illegal HIV testing by employers, and subsequent dismissal if HIV-positive, especially in tourism and free trade zones. Enacted stigma in the social domain manifested as gossip and rejection by family, friends, and neighbors and physical, verbal, and sexual abuse by intimate partners, distancing women from sources of economic and food support. These experiences with discrimination and abuse contributed to internalized stigma among respondents who, as a result, were fearful and hesitant to disclose their HIV status; some participants reported leaving spouses and/or families, resulting in further isolation from economic resources, food and other support. A minority of participants described social support by friends, spouses, families and support groups, which helped to ameliorate food insecurity and emotional distress.ConclusionsAddressing food insecurity among WLHIV requires policy and programmatic interventions to enforce existing laws designed to protect the rights of people living with HIV, reduce HIV-related stigma, and improve gender equality. |
| Databáze: | OpenAIRE |
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