Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support?
Background: Food and housing insecurity have been identified as modifiable risks for poor mental health and perceived self-rated health among people with HIV. This study examined the associations of food and housing insecurity with perceived overall health, depression and anxiety symptoms, and the p...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2025-01-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2024.0120 |
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| author | Ekpereka Sandra Nawfal Aaliyah Gray Diana M. Sheehan Sofia B. Fernandez Tan Li Robert Ladner Mary Jo Trepka |
| author_facet | Ekpereka Sandra Nawfal Aaliyah Gray Diana M. Sheehan Sofia B. Fernandez Tan Li Robert Ladner Mary Jo Trepka |
| author_sort | Ekpereka Sandra Nawfal |
| collection | DOAJ |
| description | Background: Food and housing insecurity have been identified as modifiable risks for poor mental health and perceived self-rated health among people with HIV. This study examined the associations of food and housing insecurity with perceived overall health, depression and anxiety symptoms, and the potential moderating effect of social support. Methods: We conducted a cross-sectional study of 561 low-income women with HIV (WHIV) in the Miami-Dade County Ryan White Part A Program. Data were collected from June 2021 to March 2022. Food and housing insecurity were categorized into three groups: no food/housing insecurity, any food/housing insecurity, and concurrent food/housing insecurity. Multivariable logistic regression analyses were performed for each outcome variable. Results: Compared to no food/housing insecurity, significant depressive symptoms were associated with any food/housing insecurity (aOR: 2.99, 95% confidence interval [CI]: 1.81–4.91) and concurrent food/housing insecurity (aOR: 17.11, 95% CI: 7.83–37.38). Significant anxiety symptoms were associated with any food/housing insecurity (aOR: 3.50, 95% CI: 1.68–7.30) and concurrent food/housing insecurity (aOR: 15.97, 95% CI: 6.92–36.87). Although social support was significantly related to depressive and anxiety symptoms, it did not moderate the relationship between these unmet needs and any of the health outcomes. Conclusion: Our findings revealed significant associations between unmet food and housing needs, poor social support, and significant depressive and anxiety symptoms among WHIV. Continuous, multifaceted support is essential to mitigate the negative impact of unmet food and housing needs and ensure the physical and mental well-being of WHIV. |
| format | Article |
| id | doaj-art-3607f95ed68d4661a2dc6fb43252bede |
| institution | Kabale University |
| issn | 2688-4844 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-3607f95ed68d4661a2dc6fb43252bede2025-08-20T03:49:45ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016145346310.1089/whr.2024.0120Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support?Ekpereka Sandra Nawfal0Aaliyah Gray1Diana M. Sheehan2Sofia B. Fernandez3Tan Li4Robert Ladner5Mary Jo Trepka6Department of Epidemiology, Florida International University, Miami, Florida, USA.Department of Epidemiology, Florida International University, Miami, Florida, USA.Department of Epidemiology, Florida International University, Miami, Florida, USA.School of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.Department of Biostatistics, Academic Health Center 5, Florida International University, Miami, Florida, USA.Behavioral Science Research Corporation, Coral Gables, Florida, USA.Department of Epidemiology, Florida International University, Miami, Florida, USA.Background: Food and housing insecurity have been identified as modifiable risks for poor mental health and perceived self-rated health among people with HIV. This study examined the associations of food and housing insecurity with perceived overall health, depression and anxiety symptoms, and the potential moderating effect of social support. Methods: We conducted a cross-sectional study of 561 low-income women with HIV (WHIV) in the Miami-Dade County Ryan White Part A Program. Data were collected from June 2021 to March 2022. Food and housing insecurity were categorized into three groups: no food/housing insecurity, any food/housing insecurity, and concurrent food/housing insecurity. Multivariable logistic regression analyses were performed for each outcome variable. Results: Compared to no food/housing insecurity, significant depressive symptoms were associated with any food/housing insecurity (aOR: 2.99, 95% confidence interval [CI]: 1.81–4.91) and concurrent food/housing insecurity (aOR: 17.11, 95% CI: 7.83–37.38). Significant anxiety symptoms were associated with any food/housing insecurity (aOR: 3.50, 95% CI: 1.68–7.30) and concurrent food/housing insecurity (aOR: 15.97, 95% CI: 6.92–36.87). Although social support was significantly related to depressive and anxiety symptoms, it did not moderate the relationship between these unmet needs and any of the health outcomes. Conclusion: Our findings revealed significant associations between unmet food and housing needs, poor social support, and significant depressive and anxiety symptoms among WHIV. Continuous, multifaceted support is essential to mitigate the negative impact of unmet food and housing needs and ensure the physical and mental well-being of WHIV.https://www.liebertpub.com/doi/10.1089/whr.2024.0120HIV/AIDSwomen with HIVfood insecurityhousing insecuritymental health |
| spellingShingle | Ekpereka Sandra Nawfal Aaliyah Gray Diana M. Sheehan Sofia B. Fernandez Tan Li Robert Ladner Mary Jo Trepka Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support? Women's Health Reports HIV/AIDS women with HIV food insecurity housing insecurity mental health |
| title | Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support? |
| title_full | Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support? |
| title_fullStr | Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support? |
| title_full_unstemmed | Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support? |
| title_short | Associations of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support? |
| title_sort | associations of unmet food and housing needs with mental health and overall perceived health among women with hiv is there a moderating effect of social support |
| topic | HIV/AIDS women with HIV food insecurity housing insecurity mental health |
| url | https://www.liebertpub.com/doi/10.1089/whr.2024.0120 |
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