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在产前和儿科初级保健基础的肥胖预防计划中评估水果和蔬菜券计划
Carol Duh-Leong1, Mary Jo Messito1, Michelle W Katzow2
1Department of Pediatrics, NYU Grossman School of Medicine, New York, New York, USA.
Childhood obesity (Print)
|April 24, 2025
概括
整合到产前护理中的Health Bucks优惠券计划,增加了水果和蔬菜的摄入量,并减少了拉丁裔孕妇的压力. 早期分配和赎回进一步增强了这些积极的孕产妇健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 营养干预 营养干预
背景情况:
- 母亲的饮食显著影响儿童肥胖风险.
- 水果和蔬菜优惠券计划可以改善获得新鲜农产品的机会.
- 将干预措施整合到初级保健机构中可以提高覆盖范围.
研究的目的:
- 评估Health Bucks优惠券计划在产前护理中的整合.
- 评估Health Bucks对母亲的水果和蔬菜摄入量,压力和食物获取的影响.
- 探索优惠券赎回,时间和母亲的结果之间的关联.
主要方法:
- 一项涉及纽约176名孕妇拉丁裔参与者的队列研究的横截面分析.
- 收集关于母亲的结果 (水果/蔬菜摄入量,压力) 和食物获取的数据.
- 调整后的回归分析,以比较优惠券收件人和非收件人之间的结果.
主要成果:
- 获得健康保险金与增加水果和蔬菜摄入量 (IRR=1.3) 和减少压力 (B=-1.9) 有关.
- 凭证赎回与较高的水果和蔬菜摄入量相关 (IRR=1.3).
- 第一个三个月的优惠券分发与改善食物环境感知 (aOR=5.5) 和降低压力 (B=-3.8) 相关.
结论:
- 将Health Bucks整合到产前护理中显示出改善孕产妇健康结果的前景.
- 优惠券赎回和早期 (第一季度) 分发是最大化福利的关键因素.
- 这些发现支持在孕产妇健康倡议中针对水果和蔬菜券计划的有针对性的策略.
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