J Obstet Gynecol Neonatal Nurs. 2023 Sep;52(5):374-383. doi: 10.1016/j.jogn.2023.06.004. Epub 2023 Jul 28.
To describe the experience of food insecurity and food access among women in northern New England during the perinatal period.
Qualitative descriptive.
Hospital system in northern New England.
Twelve pregnant women and two women who gave birth.
We interviewed participants during pregnancy and the postpartum period about their experiences of food insecurity, including screening, their willingness and ability to access food programs, and the extent to which their food needs were met through referrals. We analyzed interview transcripts to identify themes related to participants' experiences of food insecurity; food support, including screening and referral; and opportunities for improvement in current food support interventions.
Most participants accepted being screened for food insecurity and were satisfied with the food distributed in their perinatal care settings. Food insecurity consistently occurred alongside general financial strain, housing insecurity, and transportation needs, which affirmed the interconnectedness of social determinants of health. Other co-occurring risks included intimate partner violence, substance use, and mental health challenges. Food receipt was facilitated by care team members who were knowledgeable about food distribution programs. Barriers to food receipt included challenges with enrolling in public assistance programs, poor awareness among participants of available resources, the persistence and unpredictability of food insecurity, and stigma. We identified three distinct themes that described participants' experiences with food insecurity during pregnancy and the postpartum period: Experience of Being Screened for Food Insecurity, Intersecting Social Needs, and Experience of Accessing Resources.
These findings can be used to inform comprehensive food support programs that reflect the needs and values of women during the perinatal period. Interventions to screen and intervene for food insecurity during and after pregnancy align with the quality standards of The Joint Commission and should be integrated into nursing practice.
描述新英格兰北部孕期妇女的食物不安全和获取食物的经历。
定性描述。
新英格兰北部的医院系统。
12 名孕妇和 2 名分娩后妇女。
我们在孕期和产后期间采访了参与者，了解她们的食物不安全经历，包括筛查、获取食物计划的意愿和能力，以及通过转介满足食物需求的程度。我们分析了访谈记录，以确定与参与者食物不安全经历、食物支持（包括筛查和转介）相关的主题，以及当前食物支持干预措施的改进机会。
大多数参与者接受了食物不安全筛查，对其在围产期保健环境中获得的食物感到满意。食物不安全始终伴随着一般经济压力、住房不安全和交通需求，这证实了健康社会决定因素的相互关联性。其他同时存在的风险包括亲密伴侣暴力、药物使用和心理健康挑战。了解食物分配计划的护理团队成员促进了食物的获取。获取食物的障碍包括参加公共援助计划的挑战、参与者对现有资源的认识不足、食物不安全的持续存在和不可预测性以及耻辱感。我们确定了三个描述参与者在孕期和产后期间食物不安全经历的主题：食物不安全筛查体验、社会需求交叉和资源获取体验。
这些发现可用于为围产期妇女提供全面的食物支持计划，反映她们的需求和价值观。在孕期和产后期间筛查和干预食物不安全的干预措施符合联合委员会的质量标准，应纳入护理实践。
