Author Affiliations: Department of Epidemiology and Biostatistics (Dr Hosler and Dr Chen), Department of Environmental Health Sciences (Ms Torres Arroyo and Drs Romeiko and Feingold), Department of Health Policy, Management and Behavior (Dr Bozlak), University at Albany, State University of New York, Rensselaer, New York; and Department of Environmental Health and Engineering (Dr Neff), Johns Hopkins University, Baltimore, Maryland.
J Public Health Manag Pract. 2024;30(4):550-557. doi: 10.1097/PHH.0000000000001946. Epub 2024 Jun 12.
To assess changes in food acquisition behavior, food insecurity, and dietary behavior and identify factors associated with fruit and vegetable (FV) consumption during the transitional period (before and after the initial vaccine rollout for all adults) of the COVID-19 pandemic.
Successive independent samples design. Online surveys were conducted from October 2020 to February 2021 (time 1, before the vaccine rollout) and from October 2021 to December 2021 (time 2, after the vaccine rollout). Descriptive analysis examined changes in food sources, food security, and daily FV consumption in cup equivalents (CEs) from time 1 to time 2. A multivariable logistic regression analysis examined factors associated with FV consumption.
The Capital Region of New York State.
1553 adults 18 years of age and older.
Meeting the 2020-2025 MyPlate daily FV consumption recommendations.
There were statistically significant (P < .05) increases in the use of supermarkets, eat-in restaurants, farmers' markets, and convenience stores from time 1 to time 2. Food insecurity (40.1% vs 39.4%) and FV consumption (2.6 CE vs 2.4 CE) slightly declined but not significantly. Home food procurement such as gardening and foraging (OR, 1.61; 95% CI, 1.08-2.37) and shopping at food co-op/health food stores (OR, 1.64; 95% CI, 1.07-2.49) were significantly associated with the FV outcome, and these relationships were not modified by food security status.
The present study highlights the importance of food sources in understanding adult dietary behavior during the transitional period of the pandemic. Continuing efforts to monitor access to food sources, food insecurity, and dietary behavior are warranted as various COVID-related emergency food assistance measures have expired.
评估 COVID-19 大流行过渡阶段（所有成年人初始疫苗接种前后）食物获取行为、食物不安全和饮食行为的变化，并确定与水果和蔬菜（FV）消费相关的因素。
连续独立样本设计。2020 年 10 月至 2021 年 2 月（疫苗接种前，时间 1）和 2021 年 10 月至 2021 年 12 月（疫苗接种后，时间 2）进行在线调查。描述性分析检查了从时间 1 到时间 2 食物来源、食物安全和每日 FV 消费（杯当量，CE）的变化。多变量逻辑回归分析检查了与 FV 消费相关的因素。
纽约州首府地区。
1553 名 18 岁及以上成年人。
符合 2020-2025 年 MyPlate 每日 FV 消费建议。
从时间 1 到时间 2，超市、堂食餐厅、农贸市场和便利店的使用率呈统计学显著增加（P<0.05）。食物不安全（40.1%对 39.4%）和 FV 消费（2.6 CE 对 2.4 CE）略有下降，但无统计学意义。家庭食品采购，如园艺和觅食（OR，1.61；95%CI，1.08-2.37）和在食品合作社/健康食品店购物（OR，1.64；95%CI，1.07-2.49）与 FV 结果显著相关，这些关系不受食物安全状况的影响。
本研究强调了在大流行过渡阶段了解成年人饮食行为时食物来源的重要性。随着各种与 COVID 相关的紧急食品援助措施的到期，继续努力监测食物来源、食物不安全和饮食行为是必要的。
