Department of Public Health, East Carolina University, Greenville, NC 27834, USA.
Laupus Health Sciences Library, East Carolina University, Greenville, NC 27834, USA.
Nutrients. 2023 Aug 5;15(15):3464. doi: 10.3390/nu15153464.
Policy initiatives have provided funding for non-acute nutrition interventions to address food insecurity as a social determinant of health, but more research is needed to understand the outcomes of these initiatives in order to determine the areas of highest impact. Therefore, the purpose of this systematic review was to evaluate the outcomes that were assessed in three nutrition interventions (produce prescription programs, medically tailored meals, and community supported agriculture) that aim to address food insecurity as a social determinant of health, and this was undertaken in order to identify future areas of study that can heighten impact.
This systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) criteria. A list of search terms and keywords were compiled by the research team. A Boolean search was conducted from 1 January 2000 to 1 January 2023 in the PubMed advanced search database.
A total of 1015 articles were initially pulled from the PubMed database, and, after a screening process, 21 articles were included in our review. Nineteen of the articles focused on adult populations or families and two focused on children. The main outcomes assessed were changes in self-reported dietary intake, while a few of the articles addressed feasibility and cost-related outcomes.
More research is needed to assess whether nutritional interventions to address food insecurity as a social determinant of health are feasible and more cost effective in the long term. Additionally, more work should be conducted in pediatric populations, which could have a robust return on investment in terms of both healthcare utilization and healthcare expenditure.
政策举措为解决粮食不安全这一健康的社会决定因素，提供了非急性营养干预措施的资金，但需要开展更多研究，以了解这些举措的结果，从而确定影响最大的领域。因此，本系统评价的目的是评估旨在解决粮食不安全这一健康的社会决定因素的三项营养干预措施（处方食物计划、医疗定制膳食和社区支持农业）所评估的结果，并确定未来可以提高影响的研究领域。
本系统评价是按照系统评价和荟萃分析的首选报告项目（PRISMA）标准进行的。研究小组编制了一份搜索词和关键词列表。在 PubMed 高级搜索数据库中，从 2000 年 1 月 1 日至 2023 年 1 月 1 日进行了布尔搜索。
最初从 PubMed 数据库中提取了 1015 篇文章，经过筛选过程，有 21 篇文章被纳入本综述。其中 19 篇文章侧重于成年人群体或家庭，2 篇文章侧重于儿童。主要评估的结果是自我报告的饮食摄入变化，而少数文章涉及可行性和成本相关的结果。
需要开展更多研究，以评估解决粮食不安全这一健康的社会决定因素的营养干预措施在长期内是否可行和更具成本效益。此外，应在儿科人群中开展更多工作，这在医疗保健利用率和医疗支出方面都可能具有强大的投资回报。
