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Association of Supplemental Nutrition Assistance Program (SNAP) with Health Related Quality of Life and Disease State of HIV Infected Patients

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Abstract

The literature on the potential clinical and non-clinical benefits of participation in food assistance programs for people living with HIV in developed countries is scarce. We conducted a cross-sectional study of 165 HIV infected adults to determine the impact of the Supplemental Nutrition Assistance Program (SNAP) on HIV disease status and health related quality of life (HQROL). There was no significant association between SNAP participation and disease status; CD4 cell count (β = 0.02, P = 0.837) and viral load (β = 0.02, P = 0.836). The mean scores for all the HRQOL domains were lower compared to the US population, but none were associated with SNAP participation. Higher scores on the general health domain, were marginally associated with SNAP participation (β = 0.16, P = 0.071). In this study, SNAP participation was not significantly associated with less disease progression, and only marginally associated with quality of life among this population of HIV infected individuals.

Resumen

La literatura sobre los posibles beneficios clínicos y no clínicos de la participación en programas de asistencia alimentaria para las personas infectadas con el VIH es escasa. Se ha realizado un estudio transversal de 165 adultos infectados con el VIH para determinar el impacto del Programa de Asistencia de Alimentación Suplementaria (SNAP) en el estado de la enfermedad VIH y la calidad de vida relacionada con la salud (CVRS). No hubo asociación significativa entre el estado de la enfermedad y la participación en SNAP; recuento de células CD4 (β = 0.02, P = 0 0.837) y la carga viral (β = 0.02, P = 0.836). Las puntuaciones medias para todos los dominios de CVRS eran inferiores en comparación con la población de los Estados Unidos, pero ninguno de ellos se asocia con el estado de participación en el programa. Las puntuaciones más altas en el dominio del estado de salud general fueron marginalmente asociadas con participación en SNAP (β = 0.16, P = 0.071). En este estudio, la participación en SNAP no estuvo asociada significativamente con la disminución en la progresión del VIH, y sólo marginalmente asociada con la calidad de vida en esta población de personas infectadas con el VIH.

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Acknowledgments

The authors wish to thank our study participants, as well as Shawn Williams, Shakira Barr and the HIV and Nutrition Research Clinic staff. The authors acknowledge the Florida International University Graduate School for providing the Data Evidence Acquisition Fellowship which supported data collection for this study.

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Authors and Affiliations

  1. Department of Human Sciences, The Ohio State University, 341 Campbell Hall, 1787 Neil Ave, Columbus, OH, 43210, USA

    Irene Hatsu

  2. Statistical Consulting, Florida International University, Miami, FL, USA

    Paulette Johnson

  3. Department of Dietetics and Nutrition, Florida International University, Miami, FL, USA

    Marianna Baum, Fatma Huffman & Adriana Campa

  4. School of Social Work, Florida International University, Miami, FL, USA

    Barbara Thomlison

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  1. Irene Hatsu
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  2. Paulette Johnson
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Correspondence to Irene Hatsu.

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Hatsu, I., Johnson, P., Baum, M. et al. Association of Supplemental Nutrition Assistance Program (SNAP) with Health Related Quality of Life and Disease State of HIV Infected Patients. AIDS Behav 18, 2198–2206 (2014). https://doi.org/10.1007/s10461-014-0801-4

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