ArticleJournal of the International AIDS Society2015
Experiences with food insecurity and risky sex among low-income people living with HIV/AIDS in a resource-rich setting.
Article in Journal of the International AIDS Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03191253 (Changing Health Through Food Support), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Changing Health Through Food Support (CHEFS): Pilot RCT to Identify Potential Health Impacts of Providing Comprehensive, Medically-appropriate Food Support to Low-income Urban Adults Living With HIV (PLHIV)
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- A systematic review of qualitative research on HIV and food insecurity in high-income countries.AIDS (London, England) · 2026Pooled it
- Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: A systematic review.Health care for women international · 2017Pooled it
- Food Is Medicine for Human Immunodeficiency Virus: Improved Health and Hospitalizations in the Changing Health Through Food Support (CHEFS-HIV) Pragmatic Randomized Trial.The Journal of infectious diseases · 2025Trial
- Examining pathways by which socioeconomic instability in adolescence influence sexual health during emerging adulthood in an agricultural setting in California.American journal of community psychology · 2026Article
- Homelessness and HIV Treatment Among Men Who Have Sex With Men Across US Funding Contexts.JAMA network open · 2026Article
- Exploring Correlates of Resource Insecurity Among Older Black or African Americans with HIV in Ohio.Journal of racial and ethnic health disparities · 2025Article
- Association between homelessness and PrEP uptake among men who have sex with men: Results from the American Men's Internet Survey, 2017-2021.Social science & medicine (1982) · 2025Article
- Promoting Resilience among Middle-Aged and Older Men Who Have Sex with Men Living with HIV/AIDS in Southern Nevada: An Examination of Facilitators and Challenges from a Social Determinants of Health Perspective.Healthcare (Basel, Switzerland) · 2023Article
- Food insecurity and risky sexual behaviors among college students during the COVID-19 pandemic.BMC public health · 2023Article
- Food Insecurity and Transmission Risks Among People with HIV Who Use Substances.AIDS and behavior · 2023Article
- Mental health and HIV risk differs by co-occurring structural vulnerabilities among women who sell sex.AIDS care · 2023Article
- Food Insecurity and Risky Sexual Behaviors among University Students in KwaZulu-Natal, South Africa.International journal of sexual health : official journal of the World Association for Sexual Health · 2022Article
- Predicting the risk of HIV infection among internal migrant MSM in China: An optimal model based on three variable selection methods.Frontiers in public health · 2022Article
- Modeling Cash Plus Other Psychosocial and Structural Interventions to Prevent HIV Among Adolescent Girls and Young Women in South Africa (HPTN 068).AIDS and behavior · 2021Article
- Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California.Public health nutrition · 2021Article
- Food access among people who inject drugs in West Virginia.Harm reduction journal · 2021Article
- Supplemental Nutrition Assistance Program Eligibility and HIV Incidence in the United States.Open forum infectious diseases · 2021Article
- Food Insecurity, Sexual Risk, and Substance Use in Young Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- A conceptual model for understanding the rapid COVID-19-related increase in food insecurity and its impact on health and healthcare.The American journal of clinical nutrition · 2020Article
- The Relationship Between Economic Deprivation, Housing Instability and Transactional Sex Among Women in North Carolina (HPTN 064).AIDS and behavior · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundForty-nine million individuals are food insecure in the United States, where food insecurity and HIV/AIDS are prevalent among the urban poor. Food insecurity is associated with risky sexual behaviours among people living with HIV/AIDS (PLHIV). No qualitative studies, however, have investigated the mechanisms underlying this relationship either in a resource-rich setting or among populations that include men who have sex with men (MSM).
methodsSemi-structured in-depth interviews were conducted with 34 low-income PLHIV receiving food assistance in the San Francisco Bay Area. The interviews explored experiences with food insecurity and perceived associations with sexual risk behaviours. Interviews were conducted in English, audio-recorded and transcribed verbatim. Transcripts were coded and analyzed according to content analysis methods using an inductive-deductive approach.
resultsFood insecurity was reported to be a strong contributor to risky sexual practices among MSM and female participants. Individuals described engaging in transactional sex for food or money to buy food, often during times of destitution. Participants also explained how food insecurity could lead to condomless sex despite knowledge of and desire to use safe sexual practices, largely because the need to obtain food in the short term was prioritized over the desire to use barrier protection.
conclusionsOur data extend previous research by demonstrating that food insecurity contributes to transactional and unprotected sex among urban poor individuals in a resource-rich setting, including among MSM. These findings underscore the importance of public health and social intervention efforts focused on structural inequalities.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.