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Updated: May 29, 2025

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake
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Lack of Follow-Up in a Food-Insecure Population.

Emma E Domangue1, Emily Dubuisson1, Greggory Davis2,3

  • 1Louisiana State University Health Sciences Center, New Orleans, LA, USA.

American Journal of Lifestyle Medicine
|February 3, 2025
PubMed
Summary

Many eligible individuals do not enroll in community health programs due to lack of awareness, embarrassment, and transportation issues. Addressing these barriers is key to improving participation and health outcomes for food-insecure populations.

Keywords:
barrierscommunity healthfood insecurityhealth outcomesinterviewqualitative

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Area of Science:

  • Community Health
  • Public Health Interventions
  • Health Disparities

Background:

  • Literature on participation in elective health programs, such as the Geaux Get Healthy Clinical Program, is limited.
  • Food insecurity remains a significant public health challenge, necessitating effective community-based interventions.
  • Understanding enrollment barriers is crucial for optimizing program reach and impact.

Purpose of the Study:

  • To investigate the reasons for non-enrollment among food-insecure individuals eligible for the Geaux Get Healthy Clinical Program.
  • To identify key barriers preventing participation in a clinic-based community health program.
  • To inform strategies for improving access and enrollment in programs addressing food insecurity.

Main Methods:

  • A prospective qualitative study design was employed.
  • Semi-structured phone interviews were conducted with 19 food-insecure individuals who did not enroll in the program.
  • Thematic analysis was used for interview transcripts, supplemented by statistical analysis of demographic data.

Main Results:

  • Lack of awareness was the primary cited reason for non-enrollment.
  • Other significant barriers included embarrassment, transportation difficulties, and competing life priorities.
  • Participants were predominantly African-American females.

Conclusions:

  • Enhancing program awareness and addressing practical obstacles are essential for increasing enrollment in community health initiatives.
  • Mitigating barriers can improve resource utilization and positively influence health outcomes for food-insecure populations.
  • Targeted outreach and support are needed to overcome participation challenges in public health programs.