Perceptions and determinants of healthy eating for people with HIV in the Dominican Republic who experience food insecurity.
Perceptions and determinants of healthy eating for people with HIV in the Dominican Republic who experience food insecurity.
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DOI：
10.1017/s1368980020002694
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发表时间：
2021-07
影响因子：
3.2
通讯作者：
Derose KP
中科院分区：
文献类型：
--
作者：
Wallace DD;Payán DD;Then-Paulino A;Armenta G;Fulcar MA;Acevedo R;Derose KP
目前的研究旨在了解多米尼加共和国中度和严重粮食不安全的艾滋病毒感染者（PLHIV）如何看待健康饮食，并探索促进因素和障碍，以参与健康饮食行为作为艾滋病毒自我管理的手段。我们对艾滋病毒感染者进行了半结构化访谈。我们生成了关于艾滋病毒感染者之间粮食不安全的代码，并使用内容分析来组织代码，以便在参与者之间和参与者内部进行不断的比较。多米尼加共和国的两个城市艾滋病毒诊所。32名艾滋病毒感染者参加了访谈。影响饮食行为的因素包括个人因素，例如营养知识、对健康饮食行为的看法和态度、对艾滋病毒感染者饮食需求的信念和饮食功能性。人际因素，包括家人和同伴在提供食物或资金方面的帮助，被认为是至关重要的沿着社区和组织因素，如艾滋病毒诊所的食物援助，各种食品商店的可及性以及食品商店的各种食品选择。影响饮食行为的政策因素取决于答卷人是否参与劳动力市场（即是否就业）以及能否持续获得政府援助。粮食无保障通过不可预测性和缺乏控制对这些因素产生影响。经历粮食不安全的艾滋病毒感染者在从事健康饮食行为方面面临各种障碍。他们的饮食受到从个人到结构的多层次影响，需要多层次的干预措施，同时解决这些因素。
The current study aimed to understand how moderate and severe food-insecure people living with HIV (PLHIV) in the Dominican Republic perceive a healthy diet and explore facilitators and barriers to engaging in healthy dietary behaviours as a means of HIV self-management. We conducted semi-structured interviews with PLHIV. We generated codes on food insecurity among PLHIV and used content analysis to organise codes for constant comparison between and within participants. Two urban HIV clinics in the Dominican Republic. Thirty-two PLHIV participated in the interviews. Factors that contributed to dietary behaviours include individual factors, such as knowledge of nutrition, views and attitudes on healthy dietary behaviours, beliefs about dietary needs for PLHIV and diet functionality. Interpersonal factors, including assistance from family and peers in providing food or funds, were deemed critical along with community and organisational factors, such as food assistance from HIV clinics, accessibility to a variety of food store types and the availability of diverse food options at food stores. Policy-level factors that influenced dietary behaviours were contingent on respondents’ participation in the labour market (i.e. whether they were employed) and consistent access to government assistance. Food insecurity influenced these factors through unpredictability and a lack of control. PLHIV who experience food insecurity face various barriers to engaging in healthy dietary behaviours. Their diets are influenced at multiple levels of influence ranging from individual to structural, requiring multi-level interventions that can address these factors concurrently.