Farmers' Market Use among African-American Women Participating in the Special Supplemental Nutrition Program for Women, Infants, and Children

Farmers' Market Use among African-American Women Participating in the Special Supplemental Nutrition Program for Women, Infants, and Children
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DOI:
10.1016/j.jada.2009.11.019
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发表时间:
2010-03-01
影响因子:
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通讯作者:
Laditka, Sarah B.
Laditka, Sarah B.
中科院分区:
其他
文献类型:
--
作者:
Racine, Elizabeth F.;Vaughn, Ashley Smith;Laditka, Sarah B.

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这项准实验性的试点研究探讨了妇女、婴儿和儿童特殊补充营养计划(WIC)参与者对农贸市场的使用情况,以及以前参与农贸市场营养计划对农贸市场使用的影响。在华盛顿特区(n=71)和北卡罗来纳州夏洛特(n=108)注册WIC的非裔美国孕妇参加了这项研究。调查于2007年5月和6月完成,测量了农贸市场的使用情况、农贸市场使用的障碍、以往农贸市场营养计划的参与情况、以往农贸市场营养计划券的兑换情况以及膳食消费情况。华盛顿特区的妇女以前可能参加过农贸市场营养计划,而夏洛特的妇女以前没有参加过农贸市场营养计划。分析包括描述性统计、chi(2)统计、方差分析、未调整和多元逻辑回归。参与者的平均年龄为24岁,平均受教育程度为12.2年,平均每日水果/蔬菜消费量为7.5份。在夏洛特和华盛顿特区,没有参加过农贸市场营养计划的参与者有相似的农贸市场使用率(分别为32.4%和40%);那些以前的农民。华盛顿特区市场营养计划参与者的农贸市场使用率较高(61%)(P=0.006)。以前参加过农贸市场营养计划(比值比[OR]: 3.30; 95%可信区间[CI]: 1.57至6.93)、以前兑换过农贸市场营养计划券(比值比:4.96;置信区间:2.15至11.45)和较高的水果/蔬菜消费量(比值比:2.59;置信区间:1.31至5.12)与农贸市场的使用有关。控制城市因素,以前兑换过农贸市场营养计划代金券的妇女更有可能使用农贸市场(OR: 6.90; CI: 1.54至31.00)。通常报告的障碍是缺乏离家近的农贸市场和缺乏前往农贸市场的交通工具。收到并兑换农贸市场营养计划代金券的妇女更有可能在农贸市场购买水果/蔬菜。未来的研究将探索城市和农村环境中WIC参与者使用农贸市场的障碍和激励因素。[J] .中华医学会杂志,2010;11:441-446。
This quasi-experimental pilot study explored farmers' market use among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants and the effects of previous Farmers' Market Nutrition Program participation on farmers' market use. African-American women who were pregnant and enrolling in WIC in Washington, DC (n=71), and Charlotte, NC (n=108), participated in the study. Surveys were completed in May and June 2007 measuring farmers' market use, barriers to farmers' market use, previous Farmers' Market Nutrition Program participation, previous redemption of Farmers' Market Nutrition Program vouchers, and dietary consumption. Women in Washington, DC, might have previously participated in the Farmers' Market Nutrition Program, while women in Charlotte had no previous Farmers' Market Nutrition Program participation. Analyses included descriptive, chi(2) statistic, analysis of variance, and unadjusted and multiple logistic regression. Participants' average age was 24 years, average education was 12.2 years, and average daily fruit/vegetable consumption was 7.5 servings. Participants in Charlotte and Washington, DC, without previous Farmers' Market Nutrition Program participation had similar farmers' market use rates (32.4% and 40%, respectively); those with previous Farmers'. Market Nutrition Program participation in Washington, DC, had higher farmers' market use rates (61%) (P=0.006). Previous participation in the Farmers' Market Nutrition Program (odds ratio [OR]: 3.30; 95% confidence interval [CI]: 1.57 to 6.93), previous redemption of Farmers' Market Nutrition Program vouchers (OR: 4.96; CI: 2.15 to 11.45), and higher fruit/vegetable consumption (OR: 2.59; CI: 1.31 to 5.12) were associated with farmers' market use. Controlling for city, women who previously redeemed Farmers' Market Nutrition Program vouchers were more likely to use a farmers' market (OR: 6.90; CI: 1.54 to 31.00). Commonly reported barriers were lack of farmers' markets close to home and lack of transportation to farmers' markets. Women who received and redeemed Farmers' Market Nutrition Program vouchers were much more likely to purchase fruits/vegetables at farmers' markets. Future research to explore barriers and incentives for farmers' market use among WIC participants in urban and rural settings is warranted. J Am Diet Assoc. 2010;110:441-446.