补贴社区的成本分析和成本效益为低收入家庭提供支持的农业干预
Jennifer A Garner1,2, Karla L Hanson3, Stephanie B Jilcott Pitts4
1School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, OH, USA.
概括
补贴的社区支持农业 (CSA) 计划改善了水果和蔬菜的摄入量和粮食安全. 这些干预措施代表了对公共卫生资源分配的潜在成本效益投资.
科学领域:
- 食品系统和公共卫生干预措施.
- 卫生计划的经济评估.
背景情况:
- 粮食系统对粮食安全和慢性疾病差异产生重大影响.
- 社区支持农业 (CSA) 计划被探索为改善饮食和健康的粮食系统方法.
- 了解受补贴的CSA干预措施的经济可行性对于公共卫生资源分配至关重要.
研究的目的:
- 估计受补贴的CSA干预的实施和参与成本.
- 根据饮食和粮食安全结果计算干预措施的成本效益.
主要方法:
- 利用了农场新鲜食品健康儿童 (F3HK) 随机对照试验 (n=305) 的数据.
- 从计划和社会角度估计的计划和参与者成本.
- 对水果和蔬菜摄入量,皮肤胡卜素和家庭粮食安全计算的增量成本效益比率 (ICER).
主要成果:
- F3HK计划每年每户家庭花费2439美元.
- 增加水果和蔬菜摄入量的ICER从每杯增加1507美元到2439美元不等.
- 改善粮食安全的ICER从每户2271美元到3137美元不等.
结论:
- 与受补贴的CSA干预相关的成本可能是一个合理的投资,考虑到公共卫生的好处.
- 这项研究对受补贴的CSA和食品系统干预措施的成本效益的文献做出了贡献.
- 调查结果支持基于证据的公共卫生资源分配,以改善饮食和粮食安全.
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