Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health

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 S...

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Bibliographic Details
Published in:Journal of urban health 2017-02, Vol.94 (1), p.87-99
Main Authors: Palar, Kartika, Napoles, Tessa, Hufstedler, Lee L., Seligman, Hilary, Hecht, Fredrick M., Madsen, Kimberly, Ryle, Mark, Pitchford, Simon, Frongillo, Edward A., Weiser, Sheri D.
Format: Article
Language:English
Subjects:
Antiretroviral agents
Binge drinking
Chronic illnesses
Diabetes
Diabetes Mellitus, Type 2 - diet therapy
Epidemiology
Female
Food security
Food Supply
Health care
Health Informatics
HIV
HIV Infections - diet therapy
Human immunodeficiency virus
Humans
Lentivirus
Male
Medicine
Medicine & Public Health
Middle Aged
Natural & organic foods
Nutrition
Public Health
Retroviridae
Studies
Surveys and Questionnaires
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Summary: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 6 months 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  
ISSN:1099-3460
1468-2869
DOI:10.1007/s11524-016-0129-7