Assessing the Nutritional Health Outcomes of African American Women with HIV and Substance Abuse Disorders Using a Socioecological Approach:

SAGE Open

Meena Mahadevan¹ 

关键词: nutrition;    African American;    women;    substance abuse;    HIV;   

DOI  :  10.1177/2158244012461261

学科分类：社会科学、人文和艺术（综合）

来源: Sage Journals

【 摘 要 】

It is well established that poor nutritional status leaves HIV-positive substance abusers especially vulnerable to an increased risk of opportunistic infections and other illnesses. Socioecological frameworks have been useful for identifying multiple influences on health risks, leading to the development and evaluation of promising community-based interventions for diseases such as cancer and diabetes. This article presents a conceptual model, based on the socioecological approach, to examine the mechanisms and pathways by which the various contextual factors unique to HIV-positive African American women with substance abuse disorders intersect to impact their nutritional health outcomes. The mediating effects of the interpersonal, environmental, and psychological factors on the direct links between disease symptomology, demographic and socioeconomic variables, and nutritional health are emphasized. The long-term goal is to provide the empirical foundation necessary to design targeted interventions that meet the unique personal, social, and familial needs of this population with multiple vulnerabilities.

【 授权许可】

CC BY