Mount Saint Vincent University, Halifax, Nova Scotia, Canada.
School of Health and Human Performance, Halifax, Nova Scotia, Canada.
Health Promot Pract. 2024 Jul;25(4):657-665. doi: 10.1177/15248399231160758. Epub 2023 Mar 17.
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.
加拿大新斯科舍省的艾滋病毒/艾滋病患者（PLWHA）缺乏营养规划和资源。这有几个问题，包括充足的食物和营养知识是整合到有效的医疗治疗和 PLWHA 的健康。本研究的目的是探讨和描述参与新斯科舍省 PLWHA 编程的艾滋病毒服务提供者的信仰、价值观和经验。使用后结构主义视角，对 9 名服务提供者进行了半结构化访谈。对访谈记录的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）承认和打破分层污名，（3）了解共餐，以及（4）驾驭和利用关怀网络。这些发现表明，那些制定、提供和评估与食物和营养相关的规划的人必须参与社区包容性的方法，承认影响 PLWHA 生活的各种健康的社会决定因素，利用现有的网络和资源，并积极打破分层污名。此外，与会者还同意现有证据，强调了沟通和支持一起进食（commensality）的做法以及培养关怀网络的价值。
