6567Children's Hospital of Philadelphia, Department of Pediatrics, Division of Rheumatology, Philadelphia, PA, USA.
21611Columbia University Irving Medical Center, Institute of Human Nutrition, New York, NY, USA.
Am J Health Promot. 2022 Jul;36(6):1014-1018. doi: 10.1177/08901171221076778. Epub 2022 Mar 24.
This study aimed to assess whether produce prescription redemption was associated with food insecurity (FI), sociodemographics, and nutrition-related health measures, and to identify factors affecting participation.
Retrospective, cross-sectional study. Patients, equally divided between groups who redeemed and did not redeem prescriptions, completed a follow-up survey.
Northern Manhattan, NY.
242 patients referred to Nutrition at an academic medical center between June and November 2019.
All patients referred to Nutrition received prescriptions for produce at local Greenmarkets (patients with FI received $20; other patients received $10).
We assessed patient satisfaction and factors impacting participation. Sociodemographics and nutrition-related health measures were extracted from medical records.
The χ2 test for categorical data and Student's t-test for continuous variables.
Prescription redeemers were significantly more likely to be very satisfied with the program ( < .001), have FI ( < .01), and have elevated hemoglobin A1C than non-redeemers (6.3 vs 5.5%, < .001). Distance, time constraints, and forgetting or losing the prescription were common barriers, while convenience and valuing healthy eating facilitated redemption.
Higher FI and worse hemoglobin A1c in patients who redeemed prescriptions suggests that our program reaches the target audience: patients needing food assistance and a healthier diet. Awareness of barriers offers areas for improvement. This provides a feasible model for hospital investment to increase access to produce to improve health and health equity.
本研究旨在评估农产品处方兑换是否与食品不安全（FI）、社会人口统计学以及与营养相关的健康指标有关，并确定影响参与度的因素。
回顾性、横断面研究。患者被平均分为两组，一组兑换处方，另一组未兑换处方，两组均完成随访调查。
纽约市曼哈顿北部。
2019 年 6 月至 11 月期间被推荐到学术医疗中心营养科就诊的 242 名患者。
所有被推荐到营养科的患者都收到了当地农贸市场的农产品处方（FI 患者收到 20 美元；其他患者收到 10 美元）。
评估患者满意度和影响参与度的因素。社会人口统计学和与营养相关的健康指标从病历中提取。
使用卡方检验分析分类数据，使用学生 t 检验分析连续变量。
与非兑换处方者相比，兑换处方者对项目的满意度显著更高（ <.001），更有可能患有 FI（ <.01）和糖化血红蛋白升高（6.3% vs 5.5%， <.001）。距离远、时间限制、忘记或丢失处方是常见的障碍，而便利性和重视健康饮食则促进了兑换。
兑换处方的患者 FI 更高，糖化血红蛋白更差，这表明我们的项目针对的是目标受众：需要食物援助和更健康饮食的患者。了解障碍为改进提供了方向。这为医院投资增加农产品的可及性以改善健康和健康公平提供了可行的模式。
