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健康膳食计划:针对城市居住的老年人的食品不安全筛查和转介计划。

The Healthy Meal Program: A food insecurity screening and referral program for urban dwelling older adults.

机构信息

Virginia Commonwealth University School of Nursing, Richmond, VA, USA.

Virginia Commonwealth University, Institute of Inclusion, Inquiry & Innovation, Richmond, VA, USA.

出版信息

Public Health Nurs. 2020 Sep;37(5):671-676. doi: 10.1111/phn.12778. Epub 2020 Aug 3.

Abstract

OBJECTIVE

To describe the Healthy Meal Program (HMP), a community-academic partnership that aims to address the food insecurity and social isolation in older adults living in an urban setting.

PROGRAM IMPLEMENTATION

Low-income older adults were screened for food insecurity and social isolation. A partnership with the food bank and a farm-based organization helped provide a weekly congregate or home-delivered meal, pilot a cooking class, and offer a mobile market selling fresh vegetables at discounted prices.

PROGRAM EVALUATION

Overall, 339 individuals agreed to participate in the screening process. Sixty-eight percent (n = 230) screened positive for food insecurity and 41% (n = 139) screened positive for social isolation. Among individuals who were food insecure, 159 were referred to a food commodity program, 31 to meals on wheels, 23 to Supplemental Nutrition Assistance Program benefits, and 28 to emergency food pantries. The mobile market served 75 participants weekly and 15 individuals took part in cooking classes.

CONCLUSIONS

Screening for food insecurity and social isolation in the HMP helped to assess the prevalence of these social determinants of health in low-income older adults. Weekly congregate meals, home visits, and group cooking classes were initiatives taken to decrease the impact of food insecurity and social isolation in this vulnerable population.

摘要

目的

描述健康膳食计划(HMP),这是一个社区学术合作项目,旨在解决城市老年人的粮食不安全和社会孤立问题。

项目实施

对低收入老年人进行粮食不安全和社会孤立情况筛查。与食品银行和一个以农场为基础的组织建立合作伙伴关系,有助于提供每周一次的集中或上门送餐服务、试点烹饪课,并提供一个以折扣价出售新鲜蔬菜的流动市场。

项目评估

总体而言,有 339 人同意参与筛查过程。68%(n=230)筛查出粮食不安全,41%(n=139)筛查出社会孤立。在粮食不安全的人群中,159 人被转介到食品商品计划,31 人被转介到送餐服务,23 人被转介到补充营养援助计划福利,28 人被转介到紧急食品救济处。流动市场每周为 75 名参与者提供服务,有 15 人参加烹饪课。

结论

在 HMP 中筛查粮食不安全和社会孤立情况有助于评估低收入老年人中这些健康决定因素的流行程度。每周集中用餐、上门探访和小组烹饪课是为减少这一脆弱人群中粮食不安全和社会孤立影响而采取的举措。

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