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“Food engages people, as we know”

Health care and service providers’ experiences of using food as an incentive in HIV care and support in British Columbia, Canada

Bibliographic Data

ID19443687
AuthorsMarilou Gagnon (0000-0003-4214-3088, Canadian Institute for Substance Use Research, University of Victoria, Victoria, Canada, corresponding author), Alayna Payne (0009-0004-0991-7867, Canadian Institute for Substance Use Research, University of Victoria, Victoria, Canada), Adrian Guta (0000-0002-1380-2016, University of Windsor), Vicky Bungay (0000-0001-6440-7182, University of British Columbia)
Year2023
Volume35
Issue1
Pages148-152
Publication date2023-01-02
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2021.2014780
PMID34903119
OpenAlexW4200029696
LanguageEN
Citations received1
References cited10

Food insecurity is widely documented among people living with HIV (PLWH) worldwide, and it presents significant challenges across the spectrum of HIV care and support. In North America, the prevalence of food insecurity among PLWH exceeds 50%. In the province of British Columbia (BC), it exceeds 65%. It comes as no surprise that food has become an essential tool in supporting and engaging with PLWH. Over the past decade, however, a shift has taken place, and food has become an incentive to boost uptake and outcomes of prevention, testing, treatment, and support. To explore this practice, we drew on a qualitative case study of incentives in the care and support of PLWH. This paper presents the findings of a targeted analysis of interviews (N = 25) that discuss food incentives and explores two main themes that shed light on this practice: (1) Using food to engage versus to incentivize and (2) Food is more beneficial and more ethical. Providers perceived food more positively than other incentives, despite the goal remaining somewhat the same. Incentives, such as cash or gift cards, were considered ethically problematic and less helpful (and potentially harmful), whereas food addressed a basic need and felt more ethical

Agriculture · Business · Cash · Economics · Family medicine · Food insecurity · Food security · Geography · Incentive · Political science · Public relations · Qualitative research · Service provider · Sociology · Food Security and Health in Diverse Populations · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Marketing

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Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo

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