Investigating Responses to Food Insecurity Among HIV Positive People in Resource Rich Settings: A Systematic Review
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Many of the 36.7 million people living with HIV are also assumed to be food insecure. The implications of food insecurity in people living with HIV are significant, with food insecurity associated with an increased likelihood of tobacco, alcohol, and illicit drug use, experiences of depression or depressive symptoms, poor adherence and delayed uptake of HIV medication, nutritional vulnerability leading to interference of medication, and the uptake of risky behaviours as a way to gain access to food resources. This review sought to present the current intervention research around the experiences of food insecurity in PLWHA in high resource countries to determine successful models to address the issue. Only five articles were identified in a systematic search, three reported on studies that were conducted in the USA and two in Canada. Two articles were cross sectional, one was a program evaluation, one ethnography, and one took a qualitative approach. This review highlights a lack of published research in the area of HIV and food insecurity in resource rich countries. The findings of this study suggest that there are currently no standard or best practice ways to provide food aid to PLWHA to reduce food security. The lack of published results means that while there may be good programs operating in the community, this information and knowledge is not being shared, resulting in a lack of consistency in approach, possible duplication, and the potential for wasted resources. Overall, this review suggests a need for more dedicated evaluation and longitudinal research.
KeywordsHIV Food security Food insecurity Systematic review
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
This study does not require ethical approval as this is a systematic review of existing publications.
- 7.Cantrell, R. A., Sinkala, M., Megazinni, K., Lawson-Marriott, S., Washington, S., Chi, B. H., et al. (2008). A pilot study of food supplementation to improve adherence to antiretroviral therapy among food-insecure adults in Lusaka, Zambia. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 49, 190–195.PubMedGoogle Scholar
- 12.FAO (2013). The state of food insecurity in the world 2013: The multiple dimensions of food security. Rome: Food and agriculture organization.Google Scholar
- 13.FAO (2016). The State of Food Insecurity in the World 2015 [Online]. Rome. Retrieved March 2, 2017, from http://www.fao.org/hunger/key-messages/en/.
- 14.FareShare, SecondBite & Foodbank Victoria (2011). Community Food Programs in Victoria, A report on the food needed and the infrastructure required [Online]. Retrieved January 7, 2014, from http://www.secondbite.org/resources/documents/2011CollaborativeSurvey-CommunityFoodPrograms-areportonthefoodneededandinfrastructurerequire.pdf.
- 15.Foodbank Australia (2012). End Hunger Report 2013, Sydney.Google Scholar
- 17.Ivers, L. C., Chang, Y., Jerome, J. G., & Freedberg, K. A. (2010). Food assistance is associated with improved body mass index, food security and attendance at clinic in an HIV program in central Haiti: A prospective observational cohort study. AIDS Research and Therapy, 7, 33.CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Kalichman, S., Hernandez, D., Cherry, C., Kalichman, M., Washington, C., & Grebler, T. (2014). Food insecurity and other poverty indicators among people living with HIV/AIDS: Effects on treatment and health outcomes. Journal of Community Health, 39, 1133–1139.CrossRefPubMedPubMedCentralGoogle Scholar
- 20.Mamlin, J., Kimaiyo, S., Lewis, S., Tadayo, H., Jerop, F., Gichunge, C., et al. (2009). Integrating nutrition support for food-insecure patients and their dependents into an HIV care and treatment program in Western Kenya. American Journal of Public Health, 99, 215–221.CrossRefPubMedPubMedCentralGoogle Scholar
- 25.Musumari, P., Wouters, E., Kayembe, P., Mbikayi, S., Suguimoto, S., Techasrivichien, T., et al. (2016). Food insecurity is associated with increased risk of non-adherence to antiretroviral therapy among HIV-infected adults in the Democratic Republic of Congo: A cross-sectional study. PLoS ONE, 9, e85327.CrossRefGoogle Scholar
- 27.Proof (2017). Food Insecurity in Canada [Online]. Toronto. Retrieved March 2, 2017, from http://proof.utoronto.ca/food-insecurity/.
- 34.Taylor A & Loopstra R. 2016. Too Poor to Eat; Food insecurity in the UK [Online]. Retrieved March 2, 2017, from http://foodfoundation.org.uk/wp-content/uploads/2016/07/FoodInsecurityBriefing-May-2016-FINAL.pdf.
- 35.UNAIDS (2017). HIV data and estimates [Online]. http://www.unaids.org/.
- 36.USDA (2016). Food Security Status of U.S. Households in 2015 [Online]. Retrieved March 2, 2017, from https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics.aspx.
- 38.Weiser, S. D., Fernandes, K. A., Brandson, E. K., Lima, V. D., Anema, A., Bangsberg, D. R., et al. (2009). The association between food insecurity and mortality among HIV-infected individuals on HAART. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 52, 342–349.PubMedPubMedCentralGoogle Scholar
- 39.Weiser, S. D., Frongillo, E. A., Ragland, K., Hogg, R. S., Riley, E. D., & Bangsberg, D. R. (2009). Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. JGIM: Journal of General Internal Medicine, 24, 14–20.CrossRefPubMedGoogle Scholar