Assessing the nutritional health outcomes of african american women with hiv and substance abuse disorders using a socioecological approach

Meena Mahadevan, John Ruzsilla

Research output: Contribution to journalArticle


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.

Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalSAGE Open
Issue number3
StatePublished - 1 Dec 2012



  • African american
  • Hiv
  • Nutrition
  • Substance abuse
  • Women

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