让拉美女性和社区合作伙伴参与试点测试和优化医疗支持性杂货
Patricia Rodriguez Espinosa1,2, Yessica Martinez Mulet2, Wei-Ting Chen2
1Department of Epidemiology and Population Health, Stanford School of Medicine, Stanford, CA, United States.
Current developments in nutrition
|June 12, 2025
概括
对面临粮食不安全和慢性疾病的拉美女性来说,医疗支持的杂货是可行的和可以接受的. 这种食品是药物 (FIM) 干预措施减少了粮食不安全,支持不同社区的FIM实践.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 粮食不安全和与饮食有关的慢性疾病不成比例地影响拉丁裔女性.
- 食品是药物 (FIM) 的干预措施显示出解决这些双重挑战的希望.
- 仅有有限的证据来指导FIM专门针对拉丁裔女性的做法.
研究的目的:
- 测试拉丁裔女性医疗支持性杂货的可接受性和可行性.
- 评估这项食品是药物干预措施的初步有效性.
- 让拉丁裔女性和社区合作伙伴参与干预开发.
主要方法:
- 25名面临慢性疾病风险的食物不安全的拉丁裔女性每周接受8次医疗支持性杂货的家庭送货.
- 半结构面试和调查用于基线和8周后续的数据收集.
- 采访和统计测试对粮食安全和饮食摄入量变化的感应性主题分析.
主要成果:
- 据报道,高可行性,100%的交付成功和文化接受度.
- 粮食不安全的显著减少,从基线的92%降至随访时的59% (P=0.016).
- 每日水果和蔬菜摄入量没有显著变化 (P=0.7).
结论:
- 对拉丁裔女性而言,医疗支持性杂货是"食品是药物"干预措施的可行和可接受组成部分.
- 这种方法可以支持在面临粮食不安全和慢性疾病的不同人群中进行全面的FIM干预.
- 调查结果突出了定制FIM战略的潜力,以解决健康差异.
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