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Addressing Community Food Insecurity Through a Hospital-Based Trauma Recovery Center.

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Hospital food delivery to victims of crime effectively reaches food insecure communities. Over 70% of recipients screened positive for food insecurity, demonstrating the program

Keywords:
crime victimsfood assistancefood insecurityviolence

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Area of Science:

  • Public Health
  • Health Services Research
  • Food Security Studies

Background:

  • Victims of Crime Act (VOCA)-funded Trauma Recovery Centers (TRCs) offer support, including food delivery, to crime victims (VOC).
  • The reach of hospital-based food delivery to food insecure communities among violently injured patients is not well understood.

Purpose of the Study:

  • To assess if hospital-based direct-to-client food delivery reaches food insecure communities and patients.
  • To evaluate the association between food delivery locations and census tract-level food insecurity risk.

Main Methods:

  • Utilized social needs questionnaire data (2020-2024) from pediatric and adult outpatients at an urban safety-net hospital.
  • Compared patient-reported food insecurity (FI) rates across 836 regional census tracts, identifying high-risk tracts (above 50th percentile for FI).
  • Geolocated 347 direct-to-client food deliveries to census tracts and used chi-square and GIS mapping to analyze associations with FI risk.

Main Results:

  • Patient food insecurity prevalence (15.6%) exceeded the national average (12.8%).
  • Of 156 census tracts receiving deliveries, 122 (78.2%) were high-risk for food insecurity.
  • High-risk food insecure tracts received aid significantly more often than low-risk tracts (29.2% vs 8.1%; P < 0.001).
  • Over 70% of crime victims receiving food aid screened positive for food insecurity, irrespective of their census tract's risk level.

Conclusions:

  • Hospital-based food delivery programs effectively reach high-risk food insecure communities.
  • These services serve as a vital aid mechanism for communities facing the highest risk of food insecurity.
  • Food delivery programs benefit individuals with high food insecurity risk, regardless of their geographic area's overall risk profile.