{"title":"探究无房参与者对食物分配计划的认知接受程度和食物利用障碍","authors":"","doi":"10.1016/j.jneb.2024.05.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Community food assistance programs are vital to addressing food security (FS) among unhoused individuals, yet limited research on barriers to utilizing foods obtained from these programs exists for this population.</p></div><div><h3>Objective</h3><p>To explore the perceived acceptance of a food distribution program (FDP) and related food utilization barriers (FUB) for unhoused individuals in Felton, California.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A mixed-methods interview was conducted with individuals utilizing an FDP. The inclusion criteria were English-speaking adults over 18 years of age who met FDP eligibility and utilized the program. The interview guide contained five open-ended items on program acceptability and 14 validated quantitative items to assess FS and FUB. Probing questions prompted participants to elaborate upon FUB. Interviews were conducted until data saturation was met.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Interviews were audio recorded and transcribed verbatim. Descriptive data on demographics, FUB, and FS levels were analyzed using SPSS. FDP acceptability and probing questions about FUB were analyzed using inductive thematic analysis.</p></div><div><h3>Results</h3><p>Participants (N=10) mentioned high program acceptance and reported high FUB (n=7, 70%) and very low FS (n=8, 80%). Themes included: program appreciation and enhancement; FUB and enablers; external food-related factors; and community belonging. Participants appreciated the staff, yet offered suggestions for available food items. Common FUBs included the lack of refrigeration, cooking utensils, and large kitchen appliances. Participants commented on the increased cost of food and extreme weather as external barriers to their food supply; however, sharing food among community members and group cooking were mentioned as positive factors.</p></div><div><h3>Conclusions</h3><p>This research revealed how unhoused populations manage their food supply despite facing multiple adversities. Despite the high acceptance of the local FDP, participants experienced very low FS and high FUB levels. Further research should explore the impact of climate change and community belonging on FUB and FS levels. Policies and programs could focus on systemic changes to address the root causes of FUB and food insecurity for unhoused populations.</p></div><div><h3>Funding</h3><p>San Jose State University Circle of Friends Research Assistance Award</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring Unhoused Participants' Perceived Acceptance of a Food Distribution Program and Food Utilization Barriers\",\"authors\":\"\",\"doi\":\"10.1016/j.jneb.2024.05.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Community food assistance programs are vital to addressing food security (FS) among unhoused individuals, yet limited research on barriers to utilizing foods obtained from these programs exists for this population.</p></div><div><h3>Objective</h3><p>To explore the perceived acceptance of a food distribution program (FDP) and related food utilization barriers (FUB) for unhoused individuals in Felton, California.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A mixed-methods interview was conducted with individuals utilizing an FDP. The inclusion criteria were English-speaking adults over 18 years of age who met FDP eligibility and utilized the program. The interview guide contained five open-ended items on program acceptability and 14 validated quantitative items to assess FS and FUB. Probing questions prompted participants to elaborate upon FUB. Interviews were conducted until data saturation was met.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Interviews were audio recorded and transcribed verbatim. Descriptive data on demographics, FUB, and FS levels were analyzed using SPSS. FDP acceptability and probing questions about FUB were analyzed using inductive thematic analysis.</p></div><div><h3>Results</h3><p>Participants (N=10) mentioned high program acceptance and reported high FUB (n=7, 70%) and very low FS (n=8, 80%). Themes included: program appreciation and enhancement; FUB and enablers; external food-related factors; and community belonging. Participants appreciated the staff, yet offered suggestions for available food items. Common FUBs included the lack of refrigeration, cooking utensils, and large kitchen appliances. Participants commented on the increased cost of food and extreme weather as external barriers to their food supply; however, sharing food among community members and group cooking were mentioned as positive factors.</p></div><div><h3>Conclusions</h3><p>This research revealed how unhoused populations manage their food supply despite facing multiple adversities. Despite the high acceptance of the local FDP, participants experienced very low FS and high FUB levels. Further research should explore the impact of climate change and community belonging on FUB and FS levels. Policies and programs could focus on systemic changes to address the root causes of FUB and food insecurity for unhoused populations.</p></div><div><h3>Funding</h3><p>San Jose State University Circle of Friends Research Assistance Award</p></div>\",\"PeriodicalId\":50107,\"journal\":{\"name\":\"Journal of Nutrition Education and Behavior\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nutrition Education and Behavior\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S149940462400109X\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition Education and Behavior","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S149940462400109X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Exploring Unhoused Participants' Perceived Acceptance of a Food Distribution Program and Food Utilization Barriers
Background
Community food assistance programs are vital to addressing food security (FS) among unhoused individuals, yet limited research on barriers to utilizing foods obtained from these programs exists for this population.
Objective
To explore the perceived acceptance of a food distribution program (FDP) and related food utilization barriers (FUB) for unhoused individuals in Felton, California.
Study Design, Settings, Participants
A mixed-methods interview was conducted with individuals utilizing an FDP. The inclusion criteria were English-speaking adults over 18 years of age who met FDP eligibility and utilized the program. The interview guide contained five open-ended items on program acceptability and 14 validated quantitative items to assess FS and FUB. Probing questions prompted participants to elaborate upon FUB. Interviews were conducted until data saturation was met.
Measurable Outcome/Analysis
Interviews were audio recorded and transcribed verbatim. Descriptive data on demographics, FUB, and FS levels were analyzed using SPSS. FDP acceptability and probing questions about FUB were analyzed using inductive thematic analysis.
Results
Participants (N=10) mentioned high program acceptance and reported high FUB (n=7, 70%) and very low FS (n=8, 80%). Themes included: program appreciation and enhancement; FUB and enablers; external food-related factors; and community belonging. Participants appreciated the staff, yet offered suggestions for available food items. Common FUBs included the lack of refrigeration, cooking utensils, and large kitchen appliances. Participants commented on the increased cost of food and extreme weather as external barriers to their food supply; however, sharing food among community members and group cooking were mentioned as positive factors.
Conclusions
This research revealed how unhoused populations manage their food supply despite facing multiple adversities. Despite the high acceptance of the local FDP, participants experienced very low FS and high FUB levels. Further research should explore the impact of climate change and community belonging on FUB and FS levels. Policies and programs could focus on systemic changes to address the root causes of FUB and food insecurity for unhoused populations.
Funding
San Jose State University Circle of Friends Research Assistance Award
期刊介绍：
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
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