University of Saint Joseph, West Hartford.
Am J Prev Med. 2013 Nov;45(5):569-75. doi: 10.1016/j.amepre.2013.06.012.
The number of food pantries in the U.S. has grown dramatically over 3 decades, yet food insecurity remains a persistent public health problem.
The goal of the study was to examine the impact of a food pantry intervention called Freshplace, designed to promote food security.
Randomized parallel-group study with equal randomization.
SETTING/PARTICIPANTS: Data were collected from June 2010 to June 2012; a total of 228 adults were recruited over 1 year from traditional food pantries and randomized to the Freshplace intervention (n=113) or control group (n=115), with quarterly follow-ups for 12 months.
The Freshplace intervention included a client-choice pantry, monthly meetings with a project manager to receive motivational interviewing, and targeted referrals to community services. Control group participants went to traditional food pantries where they received bags of food.
Data analyses were conducted from July 2012 to January 2013. Outcomes were food security, self-sufficiency, and fruit and vegetable consumption. Multivariate regression models were used to predict the three outcomes, controlling for gender, age, household size, income, and presence of children in the household.
At baseline, half of the sample experienced very low food security. Over 1 year, Freshplace members were less than half as likely to experience very low food security, increased self-sufficiency by 4.1 points, and increased fruits and vegetables by one serving per day compared to the control group, all outcomes p<0.01.
Freshplace may serve as a model for other food pantries to promote food security rather than short-term assistance by addressing the underlying causes of poverty.
美国的食品发放处数量在过去 30 多年里大幅增长，但食品不安全仍然是一个持续存在的公共卫生问题。
本研究旨在考察一种名为 Freshplace 的食品发放处干预措施对促进食品安全的影响。
随机平行组研究，均等随机分组。
设置/参与者：数据收集于 2010 年 6 月至 2012 年 6 月；在 1 年的时间里，共有 228 名成年人从传统食品发放处招募并随机分配到 Freshplace 干预组（n=113）或对照组（n=115），随访 12 个月，每季度进行一次。
Freshplace 干预措施包括客户选择的食品发放处、每月与项目经理会面接受动机性访谈以及有针对性地向社区服务机构转介。对照组参与者前往传统食品发放处领取袋装食品。
数据分析于 2012 年 7 月至 2013 年 1 月进行。结果为食品保障、自给自足和水果和蔬菜摄入量。使用多元回归模型预测三种结果，控制性别、年龄、家庭规模、收入和家庭中儿童的存在。
在基线时，样本的一半经历了非常低的食品保障。在 1 年的时间里，与对照组相比，Freshplace 成员经历非常低的食品保障的可能性降低了一半，自给自足增加了 4.1 分，每天增加了一份水果和蔬菜，所有结果均 p<0.01。
Freshplace 可以作为其他食品发放处的模式，通过解决贫困的根本原因，而不是提供短期援助，来促进食品安全。
