title: Food Security Status is Related to Mental Health Quality of Life Among Persons Living with HIV.
abstract: This study evaluated the association between health related quality of life and food security among persons living with HIV (PLHIV). We studied 167 PLHIV who completed questionnaires assessing food security, disease symptomatology, and several domains of the SF-36 health related quality of life survey. HIV disease state was assessed from medical records. Associations between independent and outcome variables were determined through linear regression models. Compared to food security, very low food security was significantly associated with lower mental component summary scores, [average difference -4.98 (95 % CI -9.85, -0.10)]; mental health, [average difference -5.44 (95 % CI -10.08, -0.81)]; and general health, [average difference -5.13 (95 % CI -9.65, -0.65)] after adjusting for covariates. About a fourth of participants experienced severe food insecurity, which negatively influenced their mental health and general wellbeing. The inclusion of resources for food assistance in HIV treatment programs may help ameliorate mental health challenges faced by PLHIV.
authors.affiliation: Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, 341 Campbell Hall, 1787 Neil Ave, Columbus, OH, 43210, USA. hatsu.1@osu.edu.
authors.forename: Irene
authors.identifier: http://orcid.org/0000-0003-0501-9088
authors.initials: I
authors.lastname: Hatsu
authors.affiliation: Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH, USA.
authors.forename: Erinn
authors.initials: E
authors.lastname: Hade
authors.affiliation: Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA.
authors.forename: Adriana
authors.initials: A
authors.lastname: Campa
mesh_terms: D000328:Adult; D000368:Aged; D018791:CD4 Lymphocyte Count; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D005260:Female; D063105:Food Assistance; D005523:Food Supply / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Food security; HIV infection; Health related quality of life; Persons living with HIV