补充营养援助计划COVID-19期间的教育削减可能加剧了健康不平等
Gail Woodward-Lopez1, Erin E Esaryk1, Sridharshi C Hewawitharana1
1University of California, Nutrition Policy Institute, Division of Agriculture and Natural Resources, 1111 Franklin Street, 11th Floor, Oakland, CA, 94607, USA.
在COVID-19限制的第一年,补充营养援助计划教育 (SNAP-Ed) 干预措施的范围和强度下降. 弱势社区的减少更大,可能会加剧健康差距.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 健康差距 研究 研究 研究 研究
- 预防肥胖 预防肥胖
背景情况:
- 随着COVID-19的流行,公共卫生计划的快速交付变化成为必要.
- 了解这些转变对SNAP-Ed等营养援助计划的影响对于公共卫生公平至关重要.
研究的目的:
- 描述和评估加利福尼亚地方卫生部门 (LHDs) 在疫情前一年 (FFY19) 和COVID-19限制的第一年 (FFY20) 之间对SNAP-Ed干预措施的变化差异.
主要方法:
- 一项观察性研究比较了FFY19和FFY20之间LHD SNAP-Ed干预的范围,强度和剂量.
- 学生t测试和线性回归分析检查了变化及其与人口普查区级特征的关联.
主要成果:
- 从19年到20年,直接教育 (DE) 计划,政策,系统和环境 (PSE) 变革地点,接触到的人,干预强度和剂量从FFY19到FFY20显著下降.
- 减少DE计划,PSE地点,PSE覆盖范围和DE剂量在贫困程度较高,黑人和拉丁裔人口较大,邻里条件较不健康的人口普查区域中不成比例地大.
结论:
- 疫情期间SNAP-Ed干预措施的减少减少了获得重要的营养教育和健康饮食支持的机会,特别是在弱势群体.
- 这些发现突出了健康差距恶化的潜力,并强调了在公共卫生紧急情况期间优先维护此类计划的必要性.
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