PDF(Pubmed)
Abstract：
UNASSIGNED: In the United States, over one in every ten households experiences food insecurity. Food insecurity is associated with often co-occurring adverse health consequences, including risk for obesity, type 2 diabetes, and hypertension. Within the \"Food is Medicine\" intervention space, Produce Prescription Programs (PRx) seek to alleviate food insecurity and improve diet and health outcomes by leveraging access to produce through healthcare organizations. Though these programs are burgeoning across the United States, research surrounding their implementation and outreach is limited.
UNASSIGNED: This study evaluates the implementation, reach, engagement, and retention of a PRx program piloted in two regions of Georgia (US) from 2020 to 2022. The study included 170 people living with one or more cardiometabolic conditions recruited from clinical sites in metropolitan and rural areas. The program provided pre-packaged produce boxes and nutrition education over six months. We examine participants\' baseline demographics, food security status, dietary patterns, and loss to follow-up across contexts (metropolitan and rural). We employ regression analyses and model comparison approaches to identify the strongest predictors of loss to follow-up during the pilot period.
UNASSIGNED: In the pilot period of this program, 170 participants enrolled across rural and metropolitan sites. Of these, 100 individuals (59%) remained engaged for the six-month program. While many individuals met the target criteria of living with or at-risk of food insecurity, not all lived with low or very low food security. Metropolitan participants, males, and those with children in the household had significantly higher odds of loss to follow-up compared to rural participants, females, and those without children in the household. No other significant demographic or household differences were observed.
UNASSIGNED: This study demonstrates the potential of PRx programs to enhance food and nutrition security and cardiometabolic health in metropolitan and rural clinical settings. Future research should focus on addressing barriers to engagement and expanding the reach, impact, and sustainability of PRx programs across diverse contexts.
UNASSIGNED: This study evaluates the implementation, reach, engagement, and retention of a PRx program piloted in two regions of Georgia (US) from 2020 to 2022. The study included 170 people living with one or more cardiometabolic conditions recruited from clinical sites in metropolitan and rural areas. The program provided pre-packaged produce boxes and nutrition education over six months. We examine participants\' baseline demographics, food security status, dietary patterns, and loss to follow-up across contexts (metropolitan and rural). We employ regression analyses and model comparison approaches to identify the strongest predictors of loss to follow-up during the pilot period.
UNASSIGNED: In the pilot period of this program, 170 participants enrolled across rural and metropolitan sites. Of these, 100 individuals (59%) remained engaged for the six-month program. While many individuals met the target criteria of living with or at-risk of food insecurity, not all lived with low or very low food security. Metropolitan participants, males, and those with children in the household had significantly higher odds of loss to follow-up compared to rural participants, females, and those without children in the household. No other significant demographic or household differences were observed.
UNASSIGNED: This study demonstrates the potential of PRx programs to enhance food and nutrition security and cardiometabolic health in metropolitan and rural clinical settings. Future research should focus on addressing barriers to engagement and expanding the reach, impact, and sustainability of PRx programs across diverse contexts.
摘要：
■在美国，超过十分之一的家庭经历粮食不安全。粮食不安全与经常同时发生的不良健康后果有关，包括肥胖的风险，2型糖尿病,和高血压。在“食物就是药物”的干预空间内，生产处方计划（PRx）旨在通过利用医疗保健组织的农产品来缓解粮食不安全并改善饮食和健康结果。尽管这些项目在美国各地蓬勃发展，围绕其实施和推广的研究是有限的。
■这项研究评估了实施情况，reach,订婚,并保留从2020年到2022年在佐治亚州（美国）的两个地区试点的PRx计划。该研究包括从大都市和农村地区的临床地点招募的170名患有一种或多种心脏代谢疾病的人。该计划提供了预包装的产品盒和超过六个月的营养教育。我们检查参与者的基线人口统计，粮食安全状况,饮食模式，以及不同背景(大都市和农村)的后续行动损失。我们采用回归分析和模型比较方法来确定试验期间随访损失的最强预测因子。
■在该计划的试点期间，170名参与者在农村和大都市注册。其中,仍有100人（59％）参与了为期六个月的计划。虽然许多人达到了与粮食不安全共存或面临粮食不安全风险的目标标准，并非所有人都生活在低或非常低的粮食安全中。大都会参与者，男性,与农村参与者相比，家庭中有孩子的人失去随访的可能性明显更高，女性,以及家里没有孩子的人。没有观察到其他显著的人口统计学或家庭差异。
■这项研究证明了PRx计划在都市和农村临床环境中增强食品和营养安全以及心脏代谢健康的潜力。未来的研究应该集中在解决参与的障碍和扩大范围上，影响，以及PRx计划在不同背景下的可持续性。
■这项研究评估了实施情况，reach,订婚,并保留从2020年到2022年在佐治亚州（美国）的两个地区试点的PRx计划。该研究包括从大都市和农村地区的临床地点招募的170名患有一种或多种心脏代谢疾病的人。该计划提供了预包装的产品盒和超过六个月的营养教育。我们检查参与者的基线人口统计，粮食安全状况,饮食模式，以及不同背景(大都市和农村)的后续行动损失。我们采用回归分析和模型比较方法来确定试验期间随访损失的最强预测因子。
■在该计划的试点期间，170名参与者在农村和大都市注册。其中,仍有100人（59％）参与了为期六个月的计划。虽然许多人达到了与粮食不安全共存或面临粮食不安全风险的目标标准，并非所有人都生活在低或非常低的粮食安全中。大都会参与者，男性,与农村参与者相比，家庭中有孩子的人失去随访的可能性明显更高，女性,以及家里没有孩子的人。没有观察到其他显著的人口统计学或家庭差异。
■这项研究证明了PRx计划在都市和农村临床环境中增强食品和营养安全以及心脏代谢健康的潜力。未来的研究应该集中在解决参与的障碍和扩大范围上，影响，以及PRx计划在不同背景下的可持续性。
