Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.

<h4>Background</h4>Food insecurity and intimate partner violence (IPV) are associated with suboptimal HIV prevention and treatment outcomes, yet limited research has explored how food insecurity and IPV intersect to influence HIV-related behaviors. To fill this gap, we conducted a qualit...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Anna M Leddy, Jennifer M Zakaras, Jacqueline Shieh, Amy A Conroy, Ighovwerha Ofotokun, Phyllis C Tien, Sheri D Weiser
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/803f03258f6e48e6944bbf7ce4c8be15
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:803f03258f6e48e6944bbf7ce4c8be15
record_format	dspace
spelling	oai:doaj.org-article:803f03258f6e48e6944bbf7ce4c8be152021-12-02T20:05:28ZIntersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.1932-620310.1371/journal.pone.0252338https://doaj.org/article/803f03258f6e48e6944bbf7ce4c8be152021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252338https://doaj.org/toc/1932-6203<h4>Background</h4>Food insecurity and intimate partner violence (IPV) are associated with suboptimal HIV prevention and treatment outcomes, yet limited research has explored how food insecurity and IPV intersect to influence HIV-related behaviors. To fill this gap, we conducted a qualitative study with women living with or at risk for HIV in the United States.<h4>Methods</h4>We conducted 24 in-depth interviews with women enrolled in the San Francisco and Atlanta sites of the Women's Interagency HIV study (WIHS). Participants were purposively sampled so half were living with HIV and all reported food insecurity and IPV in the past year. Semi-structured interviews explored experiences with food insecurity and IPV, how these experiences might be related and influence HIV risk and treatment behaviors. Analysis was guided by an inductive-deductive approach.<h4>Results</h4>A predominant theme centered on how food insecurity and IPV co-occur with poor mental health and substance use to influence HIV-related behaviors. Women described how intersecting experiences of food insecurity and IPV negatively affected their mental health, with many indicating using substances to "feel no pain". Substance use, in turn, was described to perpetuate food insecurity, IPV, and poor mental health in a vicious cycle, ultimately facilitating HIV risk behaviors and preventing HIV treatment adherence.<h4>Conclusions</h4>Food insecurity, IPV, poor mental health and substance use intersect and negatively influence HIV prevention and treatment behaviors. Findings offer preliminary evidence of a syndemic that goes beyond the more widely studied "SAVA" (substance use, AIDS, and violence) syndemic, drawing attention to additional constructs of mental health and food insecurity. Quantitative research must further characterize the extent and size of this syndemic. Policies that address the social and structural drivers of this syndemic, including multi-level and trauma-informed approaches, should be implemented and evaluated to assess their impact on this syndemic and its negative health effects.Anna M LeddyJennifer M ZakarasJacqueline ShiehAmy A ConroyIghovwerha OfotokunPhyllis C TienSheri D WeiserPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252338 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anna M Leddy Jennifer M Zakaras Jacqueline Shieh Amy A Conroy Ighovwerha Ofotokun Phyllis C Tien Sheri D Weiser Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.
description	<h4>Background</h4>Food insecurity and intimate partner violence (IPV) are associated with suboptimal HIV prevention and treatment outcomes, yet limited research has explored how food insecurity and IPV intersect to influence HIV-related behaviors. To fill this gap, we conducted a qualitative study with women living with or at risk for HIV in the United States.<h4>Methods</h4>We conducted 24 in-depth interviews with women enrolled in the San Francisco and Atlanta sites of the Women's Interagency HIV study (WIHS). Participants were purposively sampled so half were living with HIV and all reported food insecurity and IPV in the past year. Semi-structured interviews explored experiences with food insecurity and IPV, how these experiences might be related and influence HIV risk and treatment behaviors. Analysis was guided by an inductive-deductive approach.<h4>Results</h4>A predominant theme centered on how food insecurity and IPV co-occur with poor mental health and substance use to influence HIV-related behaviors. Women described how intersecting experiences of food insecurity and IPV negatively affected their mental health, with many indicating using substances to "feel no pain". Substance use, in turn, was described to perpetuate food insecurity, IPV, and poor mental health in a vicious cycle, ultimately facilitating HIV risk behaviors and preventing HIV treatment adherence.<h4>Conclusions</h4>Food insecurity, IPV, poor mental health and substance use intersect and negatively influence HIV prevention and treatment behaviors. Findings offer preliminary evidence of a syndemic that goes beyond the more widely studied "SAVA" (substance use, AIDS, and violence) syndemic, drawing attention to additional constructs of mental health and food insecurity. Quantitative research must further characterize the extent and size of this syndemic. Policies that address the social and structural drivers of this syndemic, including multi-level and trauma-informed approaches, should be implemented and evaluated to assess their impact on this syndemic and its negative health effects.
format	article
author	Anna M Leddy Jennifer M Zakaras Jacqueline Shieh Amy A Conroy Ighovwerha Ofotokun Phyllis C Tien Sheri D Weiser
author_facet	Anna M Leddy Jennifer M Zakaras Jacqueline Shieh Amy A Conroy Ighovwerha Ofotokun Phyllis C Tien Sheri D Weiser
author_sort	Anna M Leddy
title	Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.
title_short	Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.
title_full	Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.
title_fullStr	Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.
title_full_unstemmed	Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.
title_sort	intersections of food insecurity, violence, poor mental health and substance use among us women living with and at risk for hiv: evidence of a syndemic in need of attention.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/803f03258f6e48e6944bbf7ce4c8be15
work_keys_str_mv	AT annamleddy intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention AT jennifermzakaras intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention AT jacquelineshieh intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention AT amyaconroy intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention AT ighovwerhaofotokun intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention AT phyllisctien intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention AT sheridweiser intersectionsoffoodinsecurityviolencepoormentalhealthandsubstanceuseamonguswomenlivingwithandatriskforhivevidenceofasyndemicinneedofattention
_version_	1718375491713368064

Intersections of food insecurity, violence, poor mental health and substance use among US women living with and at risk for HIV: Evidence of a syndemic in need of attention.

Ejemplares similares