Exploring Correlates of Resource Insecurity Among Older Black or African Americans with HIV in Ohio

Dados Bibliográficos

ID2073472
AutoresYanil V Ramirez (Wright State University, autor correspondente), Gisella M Drouet Saltos (Wright State University), Timothy N Crawford (0000-0001-8005-4495, Wright State University)
Ano2024
Volume12
Fascículo6
Páginas3576-3586
Data de publicação2024-09-04
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Racial and Ethnic Health Disparities (JOURNAL)
Identificadores do periódicoISSN: 2196-8837 • E-ISSN: 2197-3792
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s40615-024-02158-y
PMID39230652
OpenAlexW4402221689
IdiomaEN
Citações recebidas1
Referências citadas42

Objectives Resource insecurity is a social determinant of health that can impact people with HIV (PWH), in particular older African Americans (AA) or blacks with HIV. The purpose of this study was to identify resource insecurities among older Blacks or AA PWH specifically related to food and housing. Secondary focus was to find associations between resource insecurity and substance use history, stigma, and various forms of discrimination. Methods Eligible participants (N = 52) of this cross-sectional study were 50 years old or older, identified as Black or AA, diagnosed with HIV, and living in Ohio. Food insecurity was assessed using the Household Food Insecurity Access Scale and housing insecurity was defined as not having stable housing. Resource insecurity was categorized into food and housing secure, food or housing insecure, and food and housing insecure. Results Almost half (48.1%) of participants reported housing insecurity, with approximately 58.0% experiencing food insecurity, and 38.5% facing both. Current substance use, particularly opiates, showed significant association with resource insecurity (OR = 5.54; 95% CI = 1.91-17.30). Moreover, experiences of everyday (OR = 1.19; 95% CI = 1.10-1.30) or major forms (OR = 1.75; 95% CI = 1.33-2.39) of discrimination, as well as HIV stigma (OR = 1.24; 95% CI = 1.01-1.55), were also linked to increased odds of resource insecurity among participants. Conclusions Findings highlight how social factors contribute to resource insecurity among older AA PWH. Understanding the factors offers insight for targeted intervention in the fight against HIV transmission

Environmental health · Food insecurity · Food security · Geography · Human immunodeficiency virus (HIV · Intervention (counseling · Psychiatry · Psychological intervention · Social stigma · Stigma (botany · Food Security and Health in Diverse Populations · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Psychology · Gerontology