Addressing Food Insecurity in Underserved Communities

解决服务不足社区的粮食不安全问题

• 批准号: 10781719
• 负责人: Katherine Chung-Bridges
• 金额: $ 112.5万
• 依托单位: HEALTH CHOICE NETWORK, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2028-09-19
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781719
• 关键词: Address; Area; Attention; Awareness; Black Populations; Blood Pressure; Body mass index; Caring; Clinic; Clinical Sciences; Collaborations; Communities; Community Health; Community Health Aides; Community Health Systems; Complex; Dedications; Disparity; Economics; Education; Eligibility Determination; Environment; Family health status; Federally Qualified Health Center; Florida; Food; Funding; Goals; Government Programs; Health; Health Disparities Research; Health Food; Health Policy; Hispanic Populations; Home; Household Heads; Institution; Intervention; Knowledge; Learning; Lipids; Location; Low income; Managed Care Programs; Measures; Medicaid; Mental Health; Modeling; Not Hispanic or Latino; Outcome; Participant; Patients; Persons; Phase; Pilot Projects; Policies; Policy Maker; Politics; Population; Preparation; Privatization; Process; Qualifying; Reduce health disparities; Reporting; Research; Resources; Series; Socioeconomic Status; Supermarket; System; Translational Research; Transportation; Underrepresented Minority; United States Health Resources and Services Administration; United States National Institutes of Health; Universities; community organizations; cost; ethnic minority; experience; feeding; food insecurity; glycemic control; health care service utilization; health equity; health plan; high risk population; improved; innovation; insight; patient navigation; patient oriented; physical conditioning; poor health outcome; programs; racial minority; safety net; scale up; screening; social; social determinants; social health determinants; therapy design; underserved community

ABSTRACT Addressing Food Insecurity in under-Represented Minorities (AFIRM) is a proposed collaboration including Health Choice Network (HCN), Jessie Trice Community Health System, Broward Community and Family Health Centers and other Florida Federally Qualified Health Centers (FQHCs), University of Miami’s Clinical and Translational Science Institute (CTSI), and Community Based Organizations including Feeding South Florida. We propose to catalyze, deploy, and evaluate community-led structural interventions leveraging multisectoral partnerships to address food insecurity and ultimately reduce health disparities at HCN FQHCs across Florida. The first two years will involve planning, capacity and partnership building to develop/pilot structural interventions to address food insecurity. Structural interventions will address the social, physical, economic, or political environments that result in food insecurity. The interventions include developing universal screening for food insecurity for FQHC patients using simple validated measures of food insecurity built into the EHR. We will then leverage existing and new relationships to develop structural interventions designed to help all persons who identify as having food insecurity. In years 3-8 we will implement community-led structural interventions addressing food insecurity and ultimately assess the impact of these interventions on health outcomes. Interventions include assisting eligbile patients in applying for state and Federal programs, linkages to food insecurity resources such as food banks/pantries located proximal to areas of greatest need (including within the FQHCs) and developing systems to address transportation barriers. More broadly there will be engagement of state and local policy-makers, leaders, and health plans in developing programs and policies and community programs to address food insecurity.

摘要 解决代表不足的少数群体的粮食不安全问题（AFIRM）是一项拟议的合作 包括健康选择网络（HCN）、杰西特里斯社区卫生系统、布劳沃德 社区和家庭健康中心以及其他佛罗里达联邦合格的健康中心 （CIMCs）、迈阿密大学临床和转化科学研究所（CTSI），以及 以社区为基础的组织，包括喂养南佛罗里达。我们建议催化， 利用多部门伙伴关系，部署和评估社区主导的结构性干预措施 以解决粮食不安全问题，并最终减少佛罗里达各地HCN社区卫生中心的健康差距。 头两年将涉及规划、能力和伙伴关系建设， 采取结构性干预措施，解决粮食不安全问题。结构性干预措施将解决社会、 导致粮食不安全的物理、经济或政治环境。的干预措施 包括利用简单方法，对艾滋病患者进行普遍的粮食不安全检查， 在EHR中纳入经验证的粮食不安全措施。然后，我们将利用现有的和新的 发展结构性干预措施，以帮助所有自认为是 粮食不安全。在第3-8年，我们将实施社区主导的结构性干预措施 解决粮食不安全问题，并最终评估这些干预措施对健康的影响 结果。干预措施包括协助符合条件的患者申请州和联邦的医疗保险。 方案，与粮食不安全资源的联系，如位于附近的粮食银行/食品储藏室 最需要的领域（包括在联合国难民事务高级专员办事处内）和发展系统， 交通障碍。更广泛地说，将有州和地方决策者的参与， 领导人和健康计划制定方案和政策以及社区方案， 解决粮食不安全问题。