Hazzard Vivienne M, Kunin-Batson Alicia S, Trofholz Amanda C, Noser Amy E, de Brito Junia N, Pitera Rosabella T, Berge Jerica M
Division of Epidemiology & Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Department of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
J Nutr Sci. 2024 Nov 29;13:e86. doi: 10.1017/jns.2024.75. eCollection 2024.
The objective of this study was to explore barriers and facilitators to utilising a range of food assistance resources as reported by parents living with or at risk for food insecurity (FI), as well as parents' recommendations for improving utilisation of these resources. Qualitative data from semi-structured interviews about parents' perspectives on interventions to address FI were analysed using a hybrid deductive/inductive thematic approach. Parents were drawn from the larger longitudinal cohort study ( = 1,307), which was recruited from primary care clinics in Minnesota. Forty racially and ethnically diverse parents ( = 38.5 years; 97.5% mothers; 85% parents of colour) were recruited by food security level, with ten parents representing each level (i.e. high, marginal, low, very low). Six overarching qualitative themes were identified, which indicated the importance of (1) comfort level seeking assistance; (2) routine screening to assess need; (3) advertising, referrals, and outreach; (4) adequacy of policies and programmes to address need; (5) resource proximity and delivery; and (6) acceptability of foods/benefits provided. With some exceptions, these themes were generally represented from more than one angle (i.e. as barriers, facilitators, recommendations) and raised as relevant across different types of assistance (e.g. federal food assistance programmes, food pantries) and different settings (e.g. schools, healthcare). This study identified key factors influencing food assistance utilisation across multiple dimensions of access. These factors-which range from psychosocial to logistical in nature-should be considered in efforts to expand the reach of food assistance programmes and, in turn, improve food security among families.
本研究的目的是探讨粮食不安全（FI）的父母或有粮食不安全风险的父母报告的使用一系列粮食援助资源的障碍和促进因素，以及父母对改善这些资源利用的建议。使用混合演绎/归纳主题方法分析了关于父母对解决FI干预措施看法的半结构化访谈的定性数据。父母来自规模更大的纵向队列研究（n = 1307），该研究从明尼苏达州的初级保健诊所招募。根据粮食安全水平招募了40名种族和族裔不同的父母（平均年龄 = 38.5岁；97.5%为母亲；85%为有色人种父母），每个水平有10名父母（即高、边缘、低、极低）。确定了六个总体定性主题，这些主题表明了以下方面的重要性：（1）寻求援助的舒适度；（2）进行常规筛查以评估需求；（3）广告、转诊和外展；（4）政策和计划满足需求的充分性；（5）资源的接近程度和提供方式；（6）所提供食品/福利的可接受性。除了一些例外情况，这些主题通常从多个角度呈现（即作为障碍、促进因素、建议），并且在不同类型的援助（如联邦粮食援助计划、食品储藏室）和不同环境（如学校、医疗保健）中都被认为是相关的。本研究确定了影响粮食援助利用的多个获取维度的关键因素。这些因素——从心理社会到后勤方面——在扩大粮食援助计划覆盖范围并进而改善家庭粮食安全的努力中应予以考虑。
