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J Urban Health. 2017 Jan 17. doi: 10.1007/s11524-016-0129-7. [Epub ahead of print]

Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health.

Author information

  • 1Division of HIV, Infectious Diseases and Global Medicine, San Francisco General Hospital, Department of Medicine, University of California San Francisco (UCSF), San Francisco, CA, USA. Kartika.Palar@ucsf.edu.
  • 2Division of HIV, Infectious Diseases and Global Medicine, San Francisco General Hospital, Department of Medicine, University of California San Francisco (UCSF), San Francisco, CA, USA.
  • 3University of California Berkeley-University of California at San Francisco Joint Medical Program School of Public Health, University of California Berkeley, Berkeley, CA, USA.
  • 4Division of General Internal Medicine, San Francisco General Hospital, Department of Medicine, UCSF, San Francisco, CA, USA.
  • 5Project Open Hand, San Francisco, CA, USA.
  • 6Homebridge, Inc., San Francisco, CA, USA.
  • 7Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA.
  • 8Center for AIDS Prevention Studies, UCSF, San Francisco, CA, USA.

Abstract

Food insecurity is associated with negative chronic health outcomes, yet few studies have examined how providing medically appropriate food assistance to food-insecure individuals may improve health outcomes in resource-rich settings. We evaluated a community-based food support intervention in the San Francisco Bay Area for people living with HIV and/or type 2 diabetes mellitus (T2DM) to determine the feasibility, acceptability, and potential impact of the intervention on nutritional, mental health, disease management, healthcare utilization, and physical health outcomes. The 6-month intervention provided meals and snacks designed to comprise 100% of daily energy requirements and meet nutritional guidelines for a healthy diet. We assessed paired outcomes at baseline and 6 months using validated measures. Paired t tests and McNemar exact tests were used with continuous and dichotomous outcomes, respectively, to compare pre-post changes. Fifty-two participants (out of 72 initiators) had both baseline and follow-up assessments, including 23 with HIV, 24 with T2DM, and 7 with both HIV and T2DM. Median food pick-up adherence was 93%. Comparing baseline to follow-up, very low food security decreased from 59.6% to 11.5% (p < 0.0001). Frequency of consumption of fats (p = 0.003) decreased, while frequency increased for fruits and vegetables (p = 0.011). Among people with diabetes, frequency of sugar consumption decreased (p = 0.006). We also observed decreased depressive symptoms (p = 0.028) and binge drinking (p = 0.008). At follow-up, fewer participants sacrificed food for healthcare (p = 0.007) or prescriptions (p = 0.046), or sacrificed healthcare for food (p = 0.029). Among people with HIV, 95% adherence to antiretroviral therapy increased from 47 to 70% (p = 0.046). Among people with T2DM, diabetes distress (p < 0.001), and perceived diabetes self-management (p = 0.007) improved. Comprehensive, medically appropriate food support is feasible and may improve multiple health outcomes for food-insecure individuals living with chronic health conditions. Future studies should formally test the impact of medically appropriate food support interventions for food-insecure populations through rigorous, randomized controlled designs.

KEYWORDS:

Community-based; Diabetes; Food; Food assistance; Food security; Food support; HIV; Intervention; Medically tailored; Nutrition

PMID:
28097614
DOI:
10.1007/s11524-016-0129-7
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