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2019 年至 2021 年移动食品市场客户结果的差异。

Differences in mobile food market customer outcomes between 2019 and 2021.

机构信息

School of Nursing, University of Minnesota, Minneapolis, Minnesota.

The Food Group Board of Directors, New Hope, Minnesota.

出版信息

Public Health Nurs. 2023 Sep-Oct;40(5):603-611. doi: 10.1111/phn.13202. Epub 2023 May 11.

Abstract

OBJECTIVES

To evaluate the outcomes of increasing mobile market service from mostly biweekly in 2019 to weekly in 2021.

DESIGN

Repeated, cross-sectional customer intercept surveys.

SAMPLE

Mobile market customers in Summers 2019 (N = 302) and 2021 (N = 72).

INTERVENTION

Mobile food markets bring affordable, high-quality foods to communities that lack such access.

MEASURES/ANALYSIS: Outcomes included food security, fruit/vegetable intake, and food-related characteristics and behaviors. General linear and logistic regression models were used to assess associations between outcomes and survey year and length of mobile market shopping. Models were adjusted for economic assistance use, race, and ethnicity.

RESULTS

No outcomes were significantly different between 2019 (with mostly biweekly service) and 2021 (with weekly service). Length of mobile market shopping (e.g., >2 years, 1-2 years, etc.) was positively associated with affordable, quality food access (β = 0.20, SE = 0.10, p = .03) and fruit/vegetable intake (β = 0.28, SE = 0.08, p < .001) as well as lower odds of food insecurity in the last 12 months (aOR = 0.79, 95% CI = 0.64, 0.99).

CONCLUSIONS

Despite COVID-19 interrupting scheduled market service, the length of time that a survey respondent identified as a full-service mobile market customer was associated with higher food access and fruit/vegetable intake and reduced food insecurity odds. These findings suggest promise and encourage further evaluation.

摘要

目的

评估 2019 年将移动市场服务从大部分每两周增加到每周,以及 2021 年将服务从每周增加到每天的结果。

设计

重复的、横截面的客户拦截调查。

样本

2019 年萨默斯夏季的移动市场客户(N=302)和 2021 年萨默斯夏季的移动市场客户(N=72)。

干预措施

移动食品市场为缺乏这种渠道的社区提供负担得起的、高质量的食品。

措施/分析:结果包括食品安全、水果/蔬菜摄入量以及与食物相关的特征和行为。使用一般线性和逻辑回归模型评估结果与调查年份以及移动市场购物时间长度之间的关联。模型调整了经济援助的使用、种族和民族。

结果

在 2019 年(服务大多为每两周一次)和 2021 年(服务为每周一次)之间,没有任何结果存在显著差异。移动市场购物时间长度(例如,>2 年、1-2 年等)与负担得起的高质量食品获取(β=0.20,SE=0.10,p=0.03)和水果/蔬菜摄入量(β=0.28,SE=0.08,p<0.001)呈正相关,以及过去 12 个月食物不安全的可能性降低(aOR=0.79,95%CI=0.64,0.99)。

结论

尽管 COVID-19 中断了预定的市场服务,但调查受访者确定为全服务移动市场客户的时间长度与更高的食物获取、水果/蔬菜摄入量和降低食物不安全的可能性相关。这些发现表明了希望,并鼓励进一步评估。

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本文引用的文献

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Food insecurity requires nursing action.粮食不安全问题需要护理行动。
Public Health Nurs. 2023 Mar;40(2):219-221. doi: 10.1111/phn.13169.
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Food Security and 10-Year Cardiovascular Disease Risk Among U.S. Adults.美国成年人的食品安全与 10 年心血管疾病风险。
Am J Prev Med. 2019 May;56(5):689-697. doi: 10.1016/j.amepre.2018.11.016. Epub 2019 Mar 16.

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