Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health
| Autor: | Palar, Kartika, Napoles, Tessa, Hufstedler, Lee L, Seligman, Hilary, Hecht, Fredrick M, Madsen, Kimberly, Ryle, Mark, Pitchford, Simon, Frongillo, Edward A, Weiser, Sheri D |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Food-assistance HIV Infections Intervention Food support Food Supply Clinical Research Surveys and Questionnaires Behavioral and Social Science Diabetes Mellitus Community-based Humans Metabolic and endocrine Nutrition Pediatric Depression Prevention Diabetes Food assistance HIV Food security Human Movement and Sports Sciences Middle Aged Medically tailored Stroke Mental Health Good Health and Well Being Food Public Health and Health Services HIV/AIDS Female Zero Hunger Public Health Type 2 |
| Zdroj: | Journal of urban health : bulletin of the New York Academy of Medicine, vol 94, iss 1 |
| Popis: | Food insecurity is associated with negative chronic health outcomes, yet few studies have examined how providing medically appropriate food assistance to food-insecure individuals may improve health outcomes in resource-rich settings. We evaluated a community-based food support intervention in the San Francisco Bay Area for people living with HIV and/or type 2 diabetes mellitus (T2DM) to determine the feasibility, acceptability, and potential impact of the intervention on nutritional, mental health, disease management, healthcare utilization, and physical health outcomes. The 6-month intervention provided meals and snacks designed to comprise 100% of daily energy requirements and meet nutritional guidelines for a healthy diet. We assessed paired outcomes at baseline and 6months using validated measures. Paired t tests and McNemar exact tests were used with continuous and dichotomous outcomes, respectively, to compare pre-post changes. Fifty-two participants (out of 72 initiators) had both baseline and follow-up assessments, including 23 with HIV, 24 with T2DM, and 7 with both HIV and T2DM. Median food pick-up adherence was 93%. Comparing baseline to follow-up, very low food security decreased from 59.6% to 11.5% (p |
| Databáze: | OpenAIRE |
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