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Qualitative Perceptions of an Anticipated Fresh Food Prescription Program
Sharon Thomson1, Judy Ugwuegbu1, Kimberly Montez1
1Sharon Thomson, Judy Ugwuegbu, and Sarah Langdon, Wake Forest School of Medicine, Winston-Salem, NC, United States. Kimberly Montez and Rachel Zimmer, Wake Forest School of Medicine and Wake Forest Baptist Medical Center, Winston-Salem, NC, United States. Scott Best, Help Our People Eat of Winston-Salem, NC, United States. Daniel Sostaita, Iglesia Cristiana Sin Fronteras, Winston-Salem, NC, United States. Michelle Franklin, Duke University, Durham, NC, United States.
Fresh food prescriptions (FFRx) can improve healthy eating for those facing food insecurity (FI). Community input revealed preferences for local produce and cooking classes, addressing barriers like cost and stigma in Latinx and African-American communities.
Area of Science:
- Public Health
- Nutrition Science
- Health Disparities
Background:
- Food insecurity (FI) is a significant public health issue.
- Produce prescriptions show promise in improving diet quality and reducing FI.
- Incorporating community perspectives into program design is crucial but understudied.
Purpose of the Study:
- To explore the perspectives of individuals at risk for FI.
- To understand the potential impact of a fresh food prescription (FFRx) program.
- To gather community voice for FFRx program implementation.
Main Methods:
- Qualitative descriptive study conducted by an academic medical center and community partners.
- Focus groups held with Latinx (N=16) and African-American (N=8) adults in community settings.
- Inductive thematic analysis used for data interpretation.
Main Results:
- Fresh food accessibility is influenced by cost, household size, and transportation, but improved by food pantries and education.
- Cooking behaviors are affected by time and unfamiliarity but supported by passion and tradition.
- Health barriers include unhealthy diets due to cultural norms, while weight loss and comorbidity awareness are motivators. Participants favored local produce and cooking classes, but noted stigma concerns.
Conclusions:
- There is community interest in FFRx programs and learning healthy food preparation.
- FFRx programs offering fresh produce and education can address identified gaps in vulnerable communities.
- Addressing barriers like cost, stigma, and incorporating cultural preferences is key for FFRx success.
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