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首页> 外文期刊>Global public health >‘When you take pills you must eat’: Food (in)security and ART adherence among older people living with HIV
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‘When you take pills you must eat’: Food (in)security and ART adherence among older people living with HIV

机译：“当您吃药时必须吃”：艾滋病毒携带者中的食物（缺乏安全性）和抗逆转录病毒疗法依从性

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摘要

South Africa has increasing numbers of persons living with HIV on antiretroviral treatment (ART). There is evidence for a relationship between food, food security and HIV. Despite increasing rates of people older than 50 living with HIV coinciding with greater levels of co-morbidity, the existing research is largely limited to those aged 15-49 years. In this paper, we therefore explore how older people living with HIV (OPLWH) in two urban communities within South Africa negotiate and ensure they have sufficient access to food and how food insecurity may affect their retention in care and ART adherence. This study used exploratory qualitative semi-structured in-depth interviews with 23 OPLWH to collect data in isiXhosa. Data were analysed using thematic content analysis. Factors at the community, household and individual levels influence (a) access to sufficient and quality food, and (b) beliefs about ART and food based on (mis)understandings of messaging from health care providers. The results demonstrate the need to explore further and clarify the nutritional guidelines that OPLWH receive from providers to ensure this does not result in reduced adherence or retention in care. They also demonstrate the role that social welfare and family or kin obligations plays in ensuring the food security of OPLWH.
机译：南非接受抗逆转录病毒治疗（ART）的艾滋病毒感染者人数不断增加。有证据表明粮食，粮食安全与艾滋病毒之间存在联系。尽管50岁以上的艾滋病毒感染者人数增加，同时发病率更高，但现有研究主要限于15-49岁的人群。因此，在本文中，我们探讨了南非两个城市社区中的艾滋病毒携带者（OPLWH）如何进行谈判并确保他们有足够的食物获取渠道，以及粮食不安全状况如何影响他们对护理和抗逆转录病毒依从性的保留。这项研究使用探索性定性半结构化深度访谈与23个OPLWH来收集isiXhosa中的数据。使用主题内容分析对数据进行分析。社区，家庭和个人各级的因素影响（a）获得充足优质的食物，以及（b）基于对医疗保健提供者的信息传递的误解而对抗逆转录病毒疗法和食物的信念。结果表明有必要进一步研究和阐明OPLWH从提供者那里获得的营养指导方针，以确保这不会导致依从性或护理保留率降低。它们还证明了社会福利和家庭或亲属义务在确保OPLWH的粮食安全中所起的作用。

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