Use of Farmers Markets by Mothers of WIC Recipients, Miami-Dade County, Florida, 2011
Use of Farmers Markets by Mothers of WIC Recipients, Miami-Dade County, Florida, 2011
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DOI：
10.5888/pcd10.120178
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发表时间：
2013-06-01
影响因子：
5.5
通讯作者：
Sanders, Lee M.
中科院分区：
文献类型：
--
作者：
Grin, Benjamin M.;Gayle, Tamara L.;Sanders, Lee M.
农民市场干预措施，包括妇女、婴儿和儿童特殊补充营养计划（WIC）中的农贸市场营养计划，是改善低收入社区饮食行为的一种有前景的策略。然而，人们对经常光顾城市农贸市场的低收入父母的健康相关特征知之甚少。本研究的目的是检查家庭健康因素与妇女就业补助受助人的母亲使用农贸市场之间的关系。方法：我们于2011年在佛罗里达州迈阿密的一家大型城市公立医院的初级保健诊所招募了就诊的儿童母亲作为方便样本（n = 181）。诊所紧挨着医院里新建的农贸市场。每位母亲都完成了一项由访谈者管理的调查，其中包括自我报告的母婴健康、文化适应、饮食行为、粮食不安全以及农贸市场的使用情况。结果报告的农贸市场使用与母亲糖尿病史（优势比[6.9；95%可信区间[CI]， 1.3-38.3）和增加的母亲蔬菜（但不包括水果）消费（OR, 3.5; 95% CI, 1.5-8.1）独立相关。计划未来使用农贸市场与失业（OR, 2.4; 95% CI, 1.0-5.7）、增加母亲蔬菜消费（OR, 2.5; 95% CI, 1.1-5.7）和粮食不安全（OR, 3.6; 95% CI, 1.3-10.3）独立相关。结论：本研究提供了与城市低收入家庭中不同人群农贸市场消费相关因素的简要介绍，了解这些因素可以为公共卫生方法提供信息，以增加可预防慢性疾病高风险社区的新鲜水果和蔬菜消费。
IntroductionFarmers market-based interventions, including the Farmers' Market Nutrition Program of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), represent a promising strategy for improving dietary behaviors in low-income communities. Little is known, however, about the health-related characteristics of low-income parents who frequent farmers markets in urban settings. The objective of this study was to examine the relationship between family-health factors and the use of farmers markets by mothers of WIC recipients.MethodsWe recruited a convenience sample of mothers of children seeking care at a primary care clinic in a large urban public hospital in Miami, Florida, in 2011 (n = 181 total). The clinic was adjacent to a newly established farmers market at the hospital. Each mother completed an interviewer-administered survey that included self-reported measures of maternal and child health, acculturation, dietary behaviors, food insecurity, and use of farmers markets.ResultsReported use of farmers markets was independently associated with maternal history of diabetes (odds ratio [On 6.9; 95% confidence interval [CI], 1.3-38.3) and increased maternal vegetable (but not fruit) consumption (OR, 3.5; 95% CI, 1.5-8.1). Intended future use of farmers markets was independently associated with being unemployed (OR, 2.4; 95% CI, 1.0-5.7), increased maternal vegetable consumption (OR, 2.5; 95% CI, 1.1-5.7), and food insecurity (OR, 3.6; 95% CI, 1.3-10.3).ConclusionsThis study provides a snapshot of factors associated with farmers market use in a diverse population of urban low-income families Understanding these factors may inform public health approaches to increase fresh fruit and vegetable consumption in communities at high risk for preventable chronic conditions.