Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, 1200 Pressler Street, Houston, TX 77030, USA.
Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health in Austin, 1616 Guadalupe Street, Austin, TX 78701, USA.
J Nutr Sci. 2023 May 2;12:e54. doi: 10.1017/jns.2023.36. eCollection 2023.
The objective of the present study was to examine associations between variables of COVID-19-related concerns and changes in fruit and vegetable (FV) consumption among a sample of participants from the Brighter Bites program at risk for food insecurity. Cross-sectional data were collected during April-June 2020 using a rapid-response survey to understand social needs, COVID-19-related concerns and diet-related behaviours among families with children participating in Brighter Bites ( 1777) in the 2019-2020 school year at risk for food insecurity, within the surrounding Houston, Dallas, Austin, Texas area; Southwest Florida; Washington, D.C., United States. Of the 1777 respondents, 92 % of households reported being at risk for food insecurity. Among those from food insecure households, the majority were of Hispanic/Mexican-American/Latino (84⋅1 %) ethnic background, predominantly from Houston, Texas (71⋅4 %). During the pandemic, among individuals from food insecure households, 41 % ( 672) reported a decrease in FV intake, 32 % ( 527) reported an increase in FV intake, and 27 % ( 439) reported no change in FV intake. Those who reported concerns about financial stability had a 40 % greater risk of decreased FV intake compared to those not concerned about financial stability (RR 1⋅4; 95 % CI 1⋅0, 2⋅0; = 0⋅03). The present study adds to this current body of sparse literature on how the initial phase of the pandemic impacted FV consumption behaviours among food insecure households with children. Effective interventions are needed to diminish the negative impact of COVID-19 on the population's health.
本研究的目的是调查与 COVID-19 相关的担忧变量与面临食物不安全风险的 Brighter Bites 项目参与者样本中水果和蔬菜（FV）消费变化之间的关联。2019-2020 学年，在德克萨斯州休斯顿、达拉斯、奥斯汀地区；佛罗里达州西南部；美国华盛顿特区，对参与 Brighter Bites（1777 名）的家庭进行了一项快速反应调查，以了解这些家庭的社会需求、与 COVID-19 相关的担忧以及与饮食相关的行为。1777 名受访者中，92%的家庭报告面临食物不安全风险。在这些面临食物不安全的家庭中，大多数是西班牙裔/墨西哥裔/拉丁裔（84.1%），主要来自德克萨斯州休斯顿（71.4%）。在疫情期间，在面临食物不安全的家庭中，41%（672 人）报告 FV 摄入量减少，32%（527 人）报告 FV 摄入量增加，27%（439 人）报告 FV 摄入量无变化。与那些不担心财务稳定的人相比，那些担心财务稳定的人 FV 摄入量减少的风险增加了 40%（RR 1.4；95%CI 1.0，2.0；=0.03）。本研究增加了当前关于疫情初期如何影响面临食物不安全的有孩子的家庭的 FV 消费行为的这一稀缺文献的内容。需要有效的干预措施来减轻 COVID-19 对人口健康的负面影响。
