背景:基于医疗保健的食品援助计划显示出希望,但未得到充分利用。严格的资格要求和计划安排可能会削弱范围和结果。
目的:探索与基于卫生中心的移动农产品市场的吸收相关的因素,该市场没有资格要求,进入壁垒很少。
方法:对病历进行横断面分析,社会人口统计学,环境,并使用了市场出勤数据。
方法:研究样本包括3,071名成年人(18岁以上),他们是马萨诸塞州东部城市健康中心的患者,在2016年8月至2020年2月的研究期间注册了移动市场。
方法:主要结果指标是研究期间每月的市场出勤率。
方法:使用T检验和卡方检验来比较市场用户和从未用户。使用多元逻辑回归分析每月与市场出勤率相关的变量。
结果:在多变量分析中,SNAP登记与每月市场使用频率略低相关(OR=0.98995%CI=0.984,0.994)。Day-of,与非市场日的自行注册相比,现场市场注册与更频繁的每月使用相关(OR1.08,95%CI1.07~1.08).与没有这些诊断的注册者相比,患有精神病或物质使用障碍的诊断与较低的市场出勤率有关(分别为OR0.99,95%CI0.98至0.99和OR0.96,95%CI0.95-0.97)。
结论:个人,社区层面,组织因素与自由移动农产品市场的吸收有关,并且在设计程序时应该考虑。
BACKGROUND: Health care-based food assistance programs show promise but are underutilized. Strict eligibility requirements and program scheduling may dampen reach and outcomes.
OBJECTIVE: To explore factors associated with uptake of a health center-based mobile produce market with no eligibility requirements and few barriers to entry.
METHODS: A cross-sectional analysis of medical record, sociodemographic, environmental, and market attendance data was used.
METHODS: The study sample consisted of 3071 adults (18+ years) who were patients of an urban health center in eastern Massachusetts and registered for the mobile market during the study period of August 2016 to February 2020.
METHODS: The main outcome measure was monthly market attendance over the study period.
METHODS: T-tests and χ2 tests were used to compare market users and never-users. Multiple logistic regression was used to analyze variables associated with market attendance each month.
RESULTS: In multiple variable analyses, Supplemental Nutrition Assistance Program enrollment was associated with slightly less frequent monthly market use (odds ratio [OR], 0.989; 95% CI, 0.984-0.994). Day-of, on-site market registration was associated with more frequent monthly use than self-registration on nonmarket days (OR, 1.08; 95% CI, 1.07-1.08). Having a psychiatric or substance use disorder diagnosis was associated with slightly less frequent market attendance (OR, 0.99; 95% CI, 0.98-0.99; and OR, 0.96; 95% CI, 0.95-0.97, respectively) compared with registrants without these diagnoses.
CONCLUSIONS: Individual, community-level, and organizational factors are associated with uptake of a free mobile produce market and should be considered when designing programs.