Department of Pediatrics, Stanford School of Medicine, 453 Quarry Rd, Stanford, CA, 94304, USA.
University of Colorado School of Medicine, 13001 E. 17th Pl, Aurora, CO, 80045, USA.
J Community Health. 2022 Dec;47(6):902-913. doi: 10.1007/s10900-022-01125-0. Epub 2022 Aug 1.
Unreliable access to a sufficient quantity of affordable, nutritious food in the U.S. is a persistent public health threat significantly impacting households with children (15%) and older adults (20%). Well-established nutrition assistance programs serve children and seniors independently, yet few programs utilize an intergenerational meal program model. The aim of this mixed methods study is to examine the impact of an intergenerational meal program administered through a partnership between a local school district and a county Senior Nutrition Program. Participating older adults completed surveys to assess food security and program attendance, and examine their understanding and utilization of community-based food resources. Interviews with a subsample of participants explored perceptions of the intergenerational meal program and community-level food security. Older adults (n = 83) completed surveys in English (59%), Spanish (25%), and Mandarin (16%). They identified primarily as Asian (44%), Latinx (30%), White (21%), and multi-racial (5%). Forty-eight percent of participants indicated low or very low food security at some time in the last 12 months. The subsample of interview participants (n = 24; Spanish 46% and English 54%) revealed key insights: 1) perceived benefits of an intergenerational meal program; 2) community-level food insecurity and struggles of older adults to make ends meet; and 3) importance and challenge of obtaining nutritious foods for those with limited budgets and medical comorbidities. Implementation of this intergenerational meal program highlights the opportunity to support the nutritional needs of children and older adults while leveraging a new interdisciplinary partnership and existing organizational capacity.
在美国,无法稳定地获得充足数量的负担得起的营养食品是一个持续存在的公共卫生威胁,严重影响有儿童(15%)和老年人(20%)的家庭。成熟的营养援助计划独立为儿童和老年人服务,但很少有计划采用代际膳食计划模式。本混合方法研究旨在研究通过地方学区和县老年人营养计划之间的伙伴关系管理的代际膳食计划对老年人的影响。参与的老年人完成了调查,以评估他们的粮食安全和计划参与情况,并考察他们对社区粮食资源的理解和利用情况。对部分参与者进行的访谈探讨了对代际膳食计划和社区粮食安全的看法。有 83 名老年人(n=83)用英语(59%)、西班牙语(25%)和普通话(16%)完成了调查。他们主要被认定为亚洲人(44%)、拉丁裔(30%)、白人(21%)和多种族裔(5%)。48%的参与者表示在过去 12 个月的某个时候存在低或极低的粮食不安全状况。访谈参与者的子样本(n=24;西班牙语占 46%,英语占 54%)揭示了关键见解:1)代际膳食计划的好处;2)社区一级的粮食不安全和老年人难以维持生计的情况;3)对于预算有限和有医疗合并症的人来说,获得营养食品的重要性和挑战。实施这种代际膳食计划突显了在利用新的跨学科伙伴关系和现有组织能力的同时,为儿童和老年人提供营养支持的机会。