J Health Care Poor Underserved. 2024;35(4S):166-185. doi: 10.1353/hpu.2024.a942875.
OBJECTIVES/BACKGROUND: To inform the development of a "food is medicine" (FIM) intervention, the present study aimed to describe how people living with HIV (PLWH) prioritize daily food choices in the context of food insecurity.
Interviews with PLWH experiencing various levels of food insecurity (n=24) were conducted using Q-Methodology. Participants ranked 57 food-choice value statements from "most like me" to "least like me" in a process called forced distribution. We then identified different viewpoints and shared perspectives through factor analysis.
Although food cost was a salient value, distinct viewpoints prioritized: 1) creative expression and sensory appeal; 2) disease management within physical limitations; 3) safety, familiarity, household practicality; 4) mainstream convenience; and 5) disease prevention and socioemotional coping.
Heterogeneous viewpoints on the relative importance of sensory appeal, functional capabilities, family food preferences, and other factors may affect whether and how future FIM participants use foods and related resources.
目的/背景：为了为“食物即药物”（FIM）干预的制定提供信息，本研究旨在描述在食物不安全的情况下，HIV 感染者（PLWH）如何优先考虑日常食物选择。
采用 Q 方法学对经历不同程度食物不安全的 PLWH 进行访谈（n=24）。参与者在一个称为强制分配的过程中，将 57 条食物选择价值陈述从“最像我”到“最不像我”进行排序。然后，我们通过因子分析确定不同的观点和共同的观点。
尽管食物成本是一个重要的价值，但不同的观点优先考虑：1）创造性表达和感官吸引力；2）身体限制内的疾病管理；3）安全、熟悉、家庭实用性；4）主流便利；5）疾病预防和社会情感应对。
对感官吸引力、功能能力、家庭食物偏好和其他因素的相对重要性的不同观点可能会影响未来 FIM 参与者是否以及如何使用食物和相关资源。
