Gonzalez Norma, Samad Ismail, Thomas Olivia, Rice Jenna, Valdez Rebecca, Burt Katherine
Corbin Hill Food Project, New York.
Boston Medical Center, Nourishing Our Community Program, Boston.
Curr Opin Pediatr. 2025 Feb 1;37(1):13-18. doi: 10.1097/MOP.0000000000001417. Epub 2024 Nov 21.
Food as Medicine (FAM) and supplemental nutrition programs like supplemental nutrition assistance program (SNAP), women, infants, and children (WIC), and school meals aim to combat rising diet-related chronic diseases and healthcare costs by addressing poor diet and food insecurity. However, their effectiveness is limited by a lack of community integration in planning, implementation, and evaluation. We introduce the Food Access, Justice, and Sovereignty (FAJS) framework, which expands FAM efforts to address acute food disparity through community-based strategies grounded in justice and sovereignty.
FAM interventions on adult populations have demonstrated a positive impact on food insecurity and its related chronic illness and shows promise for pediatric populations. However, community-driven solutions are essential for shifting power toward greater integration of the lived experiences of community, which can enhance positive behavioral changes needed for greater prevention and management of chronic illness.
Using community driven approaches through the lens of access, justice, and sovereignty address the effects of food insecurity and diet-related chronic diseases for adults and pediatric populations. Through the FAJS Framework, interventionalists can develop sustainable nutrition programs that engender community health, control, and lasting impact.
“食物即药物”(FAM)以及诸如补充营养援助计划(SNAP)、妇女、婴儿和儿童(WIC)项目及学校膳食等补充营养项目旨在通过解决不良饮食和粮食不安全问题,应对日益增多的与饮食相关的慢性病及医疗费用问题。然而,它们的有效性受到规划、实施和评估过程中缺乏社区整合的限制。我们引入了食物获取、正义与主权(FAJS)框架,该框架通过基于正义和主权的社区策略,扩大了FAM为解决严重食物差距所做的努力。
针对成年人群体的FAM干预措施已证明对粮食不安全及其相关慢性病有积极影响,并且对儿科人群也有前景。然而,社区驱动的解决方案对于将权力转向更多地整合社区的生活经验至关重要,这可以增强预防和管理慢性病所需的积极行为改变。
通过获取、正义和主权的视角采用社区驱动的方法,可解决成人和儿科人群粮食不安全及与饮食相关慢性病的影响。通过FAJS框架,干预者可以制定可持续的营养项目,促进社区健康、掌控和持久影响。