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Factors Influencing the Nutritional Health and Food Choices of African American HIV-Positive Marginally Housed and Homeless Female Substance Abusers

Dados Bibliográficos

ID15029329
AutoresMeena Mahadevan (0000-0003-3129-2811, Montclair State University, autor correspondente), Celia B Fisher (0000-0002-3849-7281, Fordham University)
Ano2010
Volume14
Fascículo2
Páginas72-88
Data de publicação2010-04-29
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoApplied Developmental Science (JOURNAL)
Identificadores do periódicoISSN: 1088-8691 • E-ISSN: 1532-480X
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10888691003697945
OpenAlexW2076496231
IdiomaEN
Citações recebidas3
Referências citadas60

The toll of HIV/AIDS and drug abuse on economically disadvantaged women of color in the United States is a public health problem of epidemic proportions. Malnutrition, believed to be pervasive in this population, exacerbates the devastating health effects of addiction and HIV. This study documented dietary deficiencies in this population and examined factors influencing the food choices and eating patterns of marginally housed and homeless African American HIV-positive substance abusing women. Data were collected from 28 women ages 19–55 using two 24-hour dietary recalls and a semi-structured interview guide. Data revealed multiple nutritional intake hazards including skipped meals, substitution of carbohydrate-laden foods for dairy foods rich in animal fat and proteins, and an absence of raw fruits and vegetables indicative of deficiencies in key macro- and micronutrients. Food risks were increased for homeless women who were more likely to lack public assistance, have difficulty accessing free food service, and frequently eating food from dumpsters. Qualitative data analysis of interviews generated three major themes describing the context in which nutritional deficiencies emerged: (1) diet-disease and food-safety misconceptions; (2) socio-cultural and lifestyle barriers; and (3) lack of personal resources and neighborhood food availability and affordability. The relevance of these findings to nutrition intervention programs for this population is discussed. The authors thank Housing Works, Inc., Bronx AIDS Services, and the Lower East Side Harm Reduction Center for allowing access to their sites and clients. The authors are also grateful to the participants for their time and willingness to share their thoughts and experiences with them. Notes ∗p < .05. ∗∗p < .01. ∗∗∗p < .001 based on the results of Chi Square tests on proportions. ∗p < .05. ∗∗p < .01. ∗∗∗p < .001 based on the results of Chi Square tests on proportions

Context (archaeology · Disadvantaged · Environmental health · Geography · Harm reduction · Political science · Population · Psychiatry · Public health · Substance abuse · Food Security and Health in Diverse Populations · HIV-related health complications and treatments · Homelessness and Social Issues · Medicine · Nursing · Gerontology

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Obras citantes distintas3
Citações por ano0,2
Intervalo de citações2011 - 2016 (6)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 3
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