We found PLHIV personal food preferences were influenced by organoleptic properties, medications, disease stage, and gender norms. Interviews were audio recorded, transcribed, translated from Kiswahili to English, coded, and organized into themes. We expanded on Turner’s food environment framework and drew on Giddens’ structuration theory to guide our data collection and analysis. We completed a qualitative analysis of data generated from 40 interviews (n = 20 PLHIV and n = 20 family members) aimed at exploring the dynamics of food choice for using a family perspective. The Diet, Environment, and Choices of positive living (DECIDE), a mixed-methods observational study conducted in peri-urban Dar es Salaam, Tanzania, explored food preferences as influenced by the personal, family, and external food domains. However, less is known about family-level strategies related to building a supportive food environment. In low resource settings, meeting the food preference needs of people living with the HIV (PLHIV) can be achieved with a supportive food environment when HIV status is disclosed.
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