Participation in the food stamp program, food insecurity and HIV‐disease among low income HIV+ adults in Miami

Abstract

ObjectiveThe objective of this pilot study is to define the relationship between participation in the food stamp program, food security and stage of disease in HIV+ adults.MethodsTwenty one HIV+ patients were consented. Demographics, dietary intake and food security status were obtained using questionnaires. Disease stage and other health parameters were obtained from laboratory reports. Anthropometrics were taken. SPSS was used for analysis.ResultsThe participants were mostly male (71%), African American (66.7%), had a high school education or lower (67%) and monthly income ≤$1,000 (66%). Although all were eligible, only about half (52%) received food stamps, and 57.1% (n=12) were food insecure. Of those receiving food stamps, 45.5% were food insecure compared to 70% of those not receiving food stamps. There was a significant positive correlation between participation in the food stamp program and feeling food secure (r=0.54, p<0.039) after controlling for age, gender, quality of life and lean body mass. Moreover, those who were food insecure had significantly lower CD4 count compared to food secure individuals (578 vs. 249 p<0.005).ConclusionFood insecurity is prevalent among HIV+ adults. Participation in the food stamp program significantly improves food security and is associated with slower HIV disease progression. A study with a larger sample size is needed to support these findings.