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Changes in HIV Internalized and Experienced Stigmas and Social Support After an Urban Gardens and Peer Nutritional Counseling Intervention Among People With HIV and Food Insecurity in the Dominican Republic. | LitMetric

AI Article Synopsis

  • Food insecurity and HIV-related stigma can worsen health outcomes for people living with HIV, and this study aimed to explore how food security interventions impact these issues.
  • The research was conducted in two HIV clinics in the Dominican Republic, involving a pilot trial where participants received training on urban gardening and peer nutritional counseling.
  • Results showed that participants in the intervention group experienced significant reductions in internalized stigma and HIV-related discrimination, as well as some improvement in social support, suggesting that such interventions could be beneficial, although further research is needed.

Article Abstract

Background: Food insecurity and HIV-related stigma negatively affect HIV outcomes. Few studies have examined how food security interventions affect HIV-related stigma and social support.

Setting: Two HIV clinics in the Dominican Republic.

Methods: A pilot cluster randomized controlled trial of an urban gardens and peer nutritional counseling intervention was conducted to examine outcomes of HIV-related stigmas and social support. Adult patients (≥18 years of age) with moderate or severe household food insecurity and evidence of suboptimal ART adherence and/or a detectable viral load were enrolled; standard measures of internalized and experienced stigmas and social support were collected at baseline and at 6 and 12 months. Intervention clinic participants received training and materials from agronomists for a home garden, 3-4 sessions of nutritional counseling from the clinic's peer counselor, and a garden produce cooking workshop facilitated by professional nutritionists.

Results: Of 109 study participants (46 intervention and 63 control), 103 (94%) completed 12-month follow-up. Difference-in-differences multivariate longitudinal linear regressions adjusting for sociodemographic factors found that intervention participants had reduced internalized stigma by 3.04 points (scale 0-32) at 12 months (P = 0.002); reduced probability of experiencing HIV-related stigma or discrimination in the past 6 months (20 percentage points at 6 months, P = 0.05 and 25 percentage points at 12 months, P = 0.02); and modestly improved social support at 12 months (1.85 points on 30-pt scale, P = 0.093).

Conclusion: A fully powered, larger trial is needed to establish the efficacy of the intervention and assess pathways by which the intervention may improve HIV stigma and social support.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315355PMC
http://dx.doi.org/10.1097/QAI.0000000000003462DOI Listing

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