How food support improves mental health among people living with HIV: A qualitative study

PLoS One. 2023 Mar 14;18(3):e0282857. doi: 10.1371/journal.pone.0282857. eCollection 2023.

Abstract

Background: Food insecurity is associated with poor mental health among people living with HIV (PLHIV). This qualitative study explored the mental health experiences of PLHIV participating in a medically appropriate food support program.

Methods: Semi-structured interviews were conducted post-intervention (n = 34). Interview topics included changes, or lack thereof, in mental health and reasons for changes. Interviews were audio-recorded, transcribed, and double-coded. Salient themes were identified using an inductive-deductive method.

Results: Positive changes in mental health self-reported by PLHIV included improved mood and reduced stress, worry, and anxiety. Participants attributed these changes to: 1) increased access to sufficient and nutritious foods, 2) increased social support, 3) reduced financial hardship, 4) increased sense of control and self-esteem, and 5) reduced functional barriers to eating.

Conclusions: Medically appropriate food support may improve mental health for some PLHIV. Further work is needed to understand and prevent possible adverse consequences on mental health after programs end.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Food
  • Food Supply
  • HIV Infections* / complications
  • HIV Infections* / therapy
  • Humans
  • Mental Health*
  • Qualitative Research
  • Social Support