在社区连接中建立的儿科产品处方计划改善了夏威夷的水果摄入量
Monica K Esquivel1, Cherese Shelton1, Alicia Higa2
1Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resilience, University of Hawai'i at Mānoa, Honolulu, Hawaii.
AJPM focus
|July 30, 2025
概括
基基果产品处方计划增加了儿童和父母的水果摄入量. 这种以社区为基础的方法凸显了当地原住民夏威夷人和太平洋岛民人口获得当地食物的重要性.
科学领域:
- 基于社区的参与式研究.
- 公共卫生干预措施 公共卫生干预措施
- 营养科学 营养科学
背景情况:
- 粮食不安全影响了夏威夷50%的夏威夷原住民和太平洋岛民儿童.
- 这些人群的慢性健康状况可以通过获得健康食品来减轻.
- 皮利纳哈框架通过与自我,社区,时间和土地的联系来引导健康.
研究的目的:
- 评估Keiki Produce处方计划,这是一个社区设计的干预措施.
- 解决粮食不安全问题,促进夏威夷原住民和太平洋岛民儿童的健康饮食.
- 为整体健康与Pilinahā框架保持一致.
主要方法:
- 一项为期6个月的干预为儿科参与者提供了每月购买新鲜农产品的优惠券.
- 优惠券可以在当地农贸市场换,并补充营养教育套餐.
- 资格包括2至17岁的儿童,具有积极的粮食不安全或与营养有关的慢性疾病查.
主要成果:
- 儿童每天的水果消费量增加了1.0杯 (p=0.014).
- 父母每天的水果消费量增加了1.2杯 (p=0.0001).
- 没有观察到家庭粮食安全或整体水果和蔬菜消费的显著变化.
结论:
- 基基果产品处方计划成功改善了参与家庭的水果摄入量.
- 高的项目参与率和完成率强调了社区参与设计的价值.
- 未来的研究应该包括随机对照试验和加强营养教育.
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