Exploring Food and Nutrition Programming for People Living With HIV/AIDS: Interviews With Service Providers in Nova Scotia, Canada.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Practice Pub Date : 2024-07-01 Epub Date: 2023-03-17 DOI:10.1177/15248399231160758

Abigail Clarke, Winta Tesfatsion, Jessica Mannette, Barbara-Ann Hamilton-Hinch, Patricia Williams, Shannan Grant, Phillip Joy

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Abstract

There is a lack of nutritional programming and resources available for people living with HIV/AIDS (PLWHA) in Nova Scotia, Canada. This is problematic for several reasons, including that adequate food and nutrition knowledge is integrated to effective medical therapy and wellness for PLWHA. The aim of this research was to explore and describe the beliefs, values, and experiences of HIV-service providers involved programming for PLWHA in Nova Scotia. Using a post-structuralist lens, semi-structured interviews were conducted with nine service providers. Thematic analysis of interview transcripts identified four main themes: (1) recognizing the social determinants of health, (2) acknowledging and disrupting layered stigma, (3) understanding the commensality, and (4) navigating and utilizing networks of care. These findings suggest that those developing, delivering, and evaluating food and nutrition-related programming must engage in community-inclusive approaches that recognize the varied social determinants of health that shape the lived of PLWHA, leverage existing networks and resources, and actively disrupt layered stigma. Also, in agreement with existing evidence, participants stressed the value of communicating and supporting the practice of eating together (commensality) and cultivating networks of care.

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探索针对艾滋病毒/艾滋病感染者的食品和营养计划：与加拿大新斯科舍省服务提供者的访谈。

加拿大新斯科舍省缺乏针对艾滋病毒/艾滋病感染者（PLWHA）的营养计划和资源。造成这一问题的原因有很多，其中包括充足的食物和营养知识与有效的医疗治疗和艾滋病毒/艾滋病感染者的健康息息相关。本研究旨在探索和描述参与新斯科舍省 PLWHA 计划的 HIV 服务提供者的信念、价值观和经验。采用后结构主义视角，对九名服务提供者进行了半结构化访谈。通过对访谈记录进行主题分析，确定了四个主要主题：（1）认识健康的社会决定因素；（2）承认并消除多层污名；（3）理解共生关系；（4）引导并利用护理网络。这些研究结果表明，在制定、实施和评估与食品和营养相关的计划时，必须采取社区包容的方法，承认影响 PLWHA 生活的各种健康社会决定因素，充分利用现有网络和资源，并积极消除分层污名。此外，与现有证据一致，与会者强调了沟通和支持共同进餐（共食）的做法以及培养关爱网络的价值。

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来源期刊

Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.80

自引率

5.30%

发文量

126

期刊介绍： Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.