Exploring diet, physical activity, and body image among older men who have sex with men (MSM) who have experienced the long-term impact of HIV/AIDS

Abstract An increasing proportion of people living with HIV/AIDS (PLWHA) in the United States are at least 50 years of age and older, more likely to be gay, bisexual, and men who have sex with men (MSM) and are also at an increased risk of comorbid physical health conditions. This mixed methods study explored diet, physical activity, and body image among aging MSM who were diagnosed with HIV/AIDS prior to 1996, the year considered by many as the turning point in the epidemic. Participants reported challenges accessing healthy food and eating fruits and vegetables. Living with HIV/AIDS also influenced their food options, which in turn affected physical activity and body image. This study demonstrated a need for interventions improving access to healthy food within this population predicated on the complex associations between aging, HIV, and access to healthy lifestyle choices for older PLWHA and considering the epidemiological landscape of the epidemic.