Highlights
- •Social determinants of health, including food insecurity, are important factors in diabetic management.
- •A pilot program to increase fruit and vegetable consumption at a farmers’ market may improve healthy dietary habits.
- •A voucher initiative for older clients with diabetes at a Federally Qualified Health Center was designed to improve diabetes control.
Abstract
This pilot study investigated reported fruit and vegetable consumption and diabetic
control for older patients with a diagnoses of diabetes and food insecurity at a rural
Midwestern Federally Qualified Health Center. Vouchers ($40 per month for 3 months)
were provided for fruits and vegetables at a local farmers’ market during a 12-week
program (June 2020-August 2020). Data revealed a statistically significant increase
in reported green vegetable consumption and farmers’ market visits postintervention.
There was not a significant change in hemoglobin A1c, body mass index, or other reported produce consumption.
Keywords
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References
- National Diabetes Statistics Report 2020: Estimates of Diabetes and Its Burden in the United States.(Accessed August 2, 2021)
- Healthy People 2030 Framework.(Accessed July 27, 2021)
- Food insecurity, food “deserts,” and glycemic control in patients with diabetes: a longitudinal analysis.Diabetes Care. 2018; 41: 1188-1195https://doi.org/10.2337/dc17-1981
- Social determinants of health and diabetes: a scientific review.Diabetes Care. 2020; 44: 258-279https://doi.org/10.2337/dci20-0053
- Food insecurity is associated with diabetes self-care behaviours and glycemic control.Diabet Med. 2016; 33: 844-850
- Influence of race, ethnicity and social determinants of health on diabetes outcomes.Am J Med Sci. 2016; 351: 366-373https://doi.org/10.1016/j.amjms.2016.01.008
- 1. Improving care and promoting health in populations: Standards of Medical Care in Diabetes—2021.Diabetes Care. 2021; 44: S7-S14https://doi.org/10.2337/dc21-S001
- Food insecurity and health outcomes.Health Aff (Millwood). 2015; 34: 1830-1839https://doi.org/10.1377/hlthaff
- Food insecurity and dietary quality in US adults and children: a systematic review.Am J Clin Nutr. 2014; 100: 684-692https://doi.org/10.3945/ajcn.114.084525
- Food insecurity is inversely associated with diet quality of lower-income adults.J Acad Nutr Diet. 2014; 114: 1943-1953https://doi.org/10.1016/j.jand.2014.06.353
- The relationship between food security status and fruit and vegetable intake during the COVID-19 pandemic.Nutrients. 2021; 13: 712https://doi.org/10.3390/nu13030712
- Food insecurity and health outcomes in young adults.J Adolesc Health. 2020; 66: S12-S13https://doi.org/10.1016/j.jadohealth.2019.11.026
- Participation in farmers’ market fruit and vegetable prescription program at a federally qualified health center improves AIC in low income uncontrolled diabetics.Prev Med Rep. 2017; 7: 176-179https://doi.org/10.1016/j.pmedr.2017.06.006
- Medically tailored meal delivery for diabetes patients with food insecurity: a randomized cross-over trial.J Gen Intern Med. 2018; 34: 396-404https://doi.org/10.1007/s11606-018-4716-z
- Veggie Rx: an outcome evaluation of a healthy food incentive programme.Public Health Nutr. 2017; 20: 2636-2641https://doi.org/10.1017/S1368980016002081
- Food Rx: A community-university partnership to prescribe healthy eating on the south side of Chicago.J Prev Interv Community. 2015; 43: 148-162https://doi.org/10.1080/10852352.2014.973251
- Comprehensive and medically appropriate food support is associated with improved HIV and diabetes health.J Urban Health. 2017; 94: 87-99https://doi.org/10.1007/s11524-016-0129-7
- Healthy People 2020. Diabetes and Health Centers. Objectives.(Accessed July 31, 2021)
- Using the new BRFSS models.(September 1, 2020. Accessed September 10, 2020)
- Readability Test Tool; 2020.(Accessed September 15, 2020) (2020)
Biography
Jacqulene Pick Harris, DNP, GNP-BC, is director, Department of Nursing at Benedictine College, Atchison, KS, and can be contacted at [email protected]
Biography
Carol Bett, PhD, RN, is an associate teaching professor at Wichita State, Wichita, KS.
Biography
Voncella McCleary-Jones, PhD, RN, CNE, is associate dean of Academics, Faculty, and Student Affairs at the College of Health Professions at Wichita State University, Wichita, KS.
Article info
Publication history
Published online: October 26, 2021
Footnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Funding: Funding for the vouchers was received from Live Well, Live Atchison, KS.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.