Food security status and produce intake and behaviors of Special Supplemental Nutrition Program for Women, Infants, and Children and Farmers' Market Nutrition Program participants
Food security status and produce intake and behaviors of Special Supplemental Nutrition Program for Women, Infants, and Children and Farmers' Market Nutrition Program participants
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DOI：
10.1016/j.jada.2007.08.014
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发表时间：
2007-11-01
影响因子：
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通讯作者：
Anderson, Heidi
中科院分区：
文献类型：
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作者：
Kropf, Mary L.;Holben, David H.;Anderson, Heidi
目的本研究确定妇女、婴儿和儿童特别补充营养计划(WIC)和妇女、婴儿和儿童特别补充营养计划(WIC)/农贸市场营养计划参与家庭在家庭食品安全状况、水果和蔬菜摄入量和行为、感知饮食质量和教育水平方面的差异；并评估家庭食品安全状况与感知饮食质量和感知健康的关系。结果228名调查对象中，61人(26.8%)生活在粮食安全家庭，47人(20.6%)、75人(32.9%)和45人(19.7%)生活在粮食不安全边缘风险家庭、低粮食安全家庭和极低粮食安全家庭。在整个样本中，食物不安全与较差的饮食质量有关(r=-0.248，P<；0.001)。食物安全状况(x(2)=2.117，P=0.548)在不同组间没有差异。农贸市场营养计划报告受教育程度较高(P=0.027)。与水果摄入量不同(t检验，P=0.769)，农贸市场营养计划的蔬菜摄入量(2.2+/-1.2)显著高于农民市场营养计划(1.9+/-1.0)(t检验，P=0.040)。农民市场营养计划的感知收益(chi(2)=4.574，P=0.032)和感知饮食质量(chi(2)=7.219，P=0.027)均较高。结论农民市场营养计划参与者的健康饮食指标较多，但食品安全性不高。有关新鲜农产品摄入益处的营养教育有助于改善饮食质量，增加农贸市场营养计划的参与度。
Objective This study identified differences between women from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)- and WIC/Farmers' Market Nutrition Program-participating households regarding household food security status, fruit and vegetable intake and behaviors, perceived diet quality, and education level; and assessed the relationship between household food security status and perceived diet quality and perceived health.Design, subjects/setting Cross-sectional survey of women from Athens County, Ohio (WIC, n=829; Farmers' Market Nutrition Program, n=246) living in WIC households.Results Of 228 participants completing the food security portion of the survey, 61 (26.8%) were living in food secure households, while 47 (20.6%), 75 (32.9%), and 45 (19.7%) were living in households at risk for (marginal) food insecurity, with low food security, and with very low food security, respectively. For the entire sample, food insecurity was associated with poorer diet quality (r =-0.248, P < 0.001). Food security status (chi(2) =2.117, P = 0.548) did not differ between groups. Farmers' Market Nutrition Program reported higher education levels (P=0.027). Unlike fruit intake (t test, P=0.769), vegetable intake servings were greater among Farmers' Market Nutrition Program (2.2 +/- 1.2), compared to WIC (1.9 +/- 1.0) (t test, P=0.040). Both perceived benefit (chi(2) =4.574, P=0.032) and perceived diet quality (chi(2)=7.219, P=0.027) were greater for Farmers' Market Nutrition Program.Conclusions Farmers' Market Nutrition Program participants exhibit more indicators of a healthful diet, but appear not to be more food secure. Nutrition education regarding the benefits of fresh produce intake can help to improve diet quality and increase Farmers' Market Nutrition Program participation.