Dan Ferris, Stephen Roll, Jin Huang, Katherine Mathews, Trina Ragain, Katie Simpson, Jason Jabbari, Kourtney Gilbert, Tyler Frank
{"title":"通过 FreshRx 改善产妇健康和分娩结果:食物即药物干预措施","authors":"Dan Ferris, Stephen Roll, Jin Huang, Katherine Mathews, Trina Ragain, Katie Simpson, Jason Jabbari, Kourtney Gilbert, Tyler Frank","doi":"10.1177/08901171241249278","DOIUrl":null,"url":null,"abstract":"PurposeFood insecurity has far-reaching consequences for health and well-being, especially during pregnancy and postpartum periods. This study examines a food-is-medicine approach that aimed to reduce food insecurity, maternal stress, depression, anxiety, preterm labor, and low birthweight.DesignPre-post interventional study of FreshRx: Nourishing Healthy Starts, a pregnancy focused food-is-medicine program led by a local hunger relief organization and obstetrics department.SettingSt. Louis, Missouri, a Midwestern U.S. city with higher-than-average infant mortality, low birthweight, and preterm birth rates.SampleParticipants (N = 125) recruited from a local obstetrics clinic had pregnancies earlier than 24 weeks gestation; spoke English; and were enrolled in Medicaid. At baseline, 67.0% reported very low food security and none reported high food security, while 34.7% indicated depressive symptoms.InterventionFreshRx included weekly deliveries of fresh food meal kits, nutrition counseling and education, care coordination, and supportive services.Measures18-Question U.S. Household Food Security Survey, Edinburgh Postnatal Depression Scale, birthweight, gestational age.AnalysisSingle arm pre-post analysis.ResultsAverage gestational age of 38.2 weeks (n = 84) and birthweight of 6.7 pounds (n = 81) were higher than rates for the general population in the area. For study participants who completed a sixty-day post-partum assessment, 13% (n = 45) indicated maternal depression ( P < .01).ConclusionFood-is-medicine interventions may be an efficient, effective, and equitable tool for improving birth and maternal health outcomes.","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving Maternal Health and Birth Outcomes Through FreshRx: A Food-Is-Medicine Intervention\",\"authors\":\"Dan Ferris, Stephen Roll, Jin Huang, Katherine Mathews, Trina Ragain, Katie Simpson, Jason Jabbari, Kourtney Gilbert, Tyler Frank\",\"doi\":\"10.1177/08901171241249278\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"PurposeFood insecurity has far-reaching consequences for health and well-being, especially during pregnancy and postpartum periods. This study examines a food-is-medicine approach that aimed to reduce food insecurity, maternal stress, depression, anxiety, preterm labor, and low birthweight.DesignPre-post interventional study of FreshRx: Nourishing Healthy Starts, a pregnancy focused food-is-medicine program led by a local hunger relief organization and obstetrics department.SettingSt. Louis, Missouri, a Midwestern U.S. city with higher-than-average infant mortality, low birthweight, and preterm birth rates.SampleParticipants (N = 125) recruited from a local obstetrics clinic had pregnancies earlier than 24 weeks gestation; spoke English; and were enrolled in Medicaid. At baseline, 67.0% reported very low food security and none reported high food security, while 34.7% indicated depressive symptoms.InterventionFreshRx included weekly deliveries of fresh food meal kits, nutrition counseling and education, care coordination, and supportive services.Measures18-Question U.S. Household Food Security Survey, Edinburgh Postnatal Depression Scale, birthweight, gestational age.AnalysisSingle arm pre-post analysis.ResultsAverage gestational age of 38.2 weeks (n = 84) and birthweight of 6.7 pounds (n = 81) were higher than rates for the general population in the area. For study participants who completed a sixty-day post-partum assessment, 13% (n = 45) indicated maternal depression ( P < .01).ConclusionFood-is-medicine interventions may be an efficient, effective, and equitable tool for improving birth and maternal health outcomes.\",\"PeriodicalId\":7481,\"journal\":{\"name\":\"American Journal of Health Promotion\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-04-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Health Promotion\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/08901171241249278\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Health Promotion","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08901171241249278","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Improving Maternal Health and Birth Outcomes Through FreshRx: A Food-Is-Medicine Intervention
PurposeFood insecurity has far-reaching consequences for health and well-being, especially during pregnancy and postpartum periods. This study examines a food-is-medicine approach that aimed to reduce food insecurity, maternal stress, depression, anxiety, preterm labor, and low birthweight.DesignPre-post interventional study of FreshRx: Nourishing Healthy Starts, a pregnancy focused food-is-medicine program led by a local hunger relief organization and obstetrics department.SettingSt. Louis, Missouri, a Midwestern U.S. city with higher-than-average infant mortality, low birthweight, and preterm birth rates.SampleParticipants (N = 125) recruited from a local obstetrics clinic had pregnancies earlier than 24 weeks gestation; spoke English; and were enrolled in Medicaid. At baseline, 67.0% reported very low food security and none reported high food security, while 34.7% indicated depressive symptoms.InterventionFreshRx included weekly deliveries of fresh food meal kits, nutrition counseling and education, care coordination, and supportive services.Measures18-Question U.S. Household Food Security Survey, Edinburgh Postnatal Depression Scale, birthweight, gestational age.AnalysisSingle arm pre-post analysis.ResultsAverage gestational age of 38.2 weeks (n = 84) and birthweight of 6.7 pounds (n = 81) were higher than rates for the general population in the area. For study participants who completed a sixty-day post-partum assessment, 13% (n = 45) indicated maternal depression ( P < .01).ConclusionFood-is-medicine interventions may be an efficient, effective, and equitable tool for improving birth and maternal health outcomes.
期刊介绍:
The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.