2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: Patient participation in healthcare system-sponsored
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efforts to address food insecurity varies widely. This mixed-methods
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study sought to understand the patient sociodemographic factors
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associated with and barriers and facilitators to the use of a monthly
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produce market held at Cambridge Health Alliance in partnership with The
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Greater Boston Food Bank.
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Methods: Baseline surveys (N=715) were conducted from February 2019 to
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March 2020 before market attendance, followed by 1-year follow-up
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surveys (n=514) and qualitative interviews (n=45). Robust Poisson
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regression estimated associations between sociodemographic
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characteristics and market attendance. Analyses were conducted from 2021
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to 2022.
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Results: A total of 37.1\% attended the market >= 1 time. Market
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attendance was associated with being aged 30-49 years (Risk Ratio
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(RR)=1.36, 95\% CI=1.00, 1.86), having a monthly household income
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<\$1,000 (RR=1.73, 95\% CI=1.29, 2.32), identifying as Asian (RR=2.48,
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95\% CI=1.58, 3.89), having a preferred language for medical care other
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than English (RR=1.35, 95\% CI=1.03, 1.76), being retired (RR=1.90, 95\%
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CI=1.17, 3.08), and living in the city of the market''s location
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(RR=1.36, 95\% CI=1.12, 1.63). Barriers included limited time (28\%),
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work conflict (23\%), forgetfulness (23\%), and not knowing market
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location/date (22\%). Interviews revealed that accessibility barriers
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(e.g., limited market hours, transportation issues, competing demands,
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medical conditions, long lines) were obstacles to attendance, whereas
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access to novel, healthy foods motivated attendance.
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Conclusions: Healthcare-based food distributions have the potential to
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reach patients with unmet food needs who cannot or would not access
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other forms of food assistance. Time constraints, physical limitations,
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and transportation challenges impact attendance; program modifications
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are necessary to improve accessibility. (C) 2022 Published by Elsevier
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Inc. on behalf of American Journal of Preventive Medicine.'
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affiliation: 'Zack, RM (Corresponding Author), Greater Boston Food Bank, 70 South
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Bay Ave, Boston, MA 02118 USA.
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Zack, Rachel M.; Nguyen, Tra; Weil, Rachel; Fiechtner, Lauren, Greater Boston Food
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Bank, 70 South Bay Ave, Boston, MA 02118 USA.
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Bronico, Jackie V. Rodriguez; Babbin, Molly; Granick, Jean, Cambridge Hlth Alliance,
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Community Hlth Improvement Dept, Cambridge, MA USA.
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Fiechtner, Lauren, Mass Gen Hosp Children, Div Gen Acad Pediat, Boston, MA USA.
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Fiechtner, Lauren, Mass Gen Hosp Children, Div Gastroenterol \& Nutr, Boston, MA
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USA.
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Mulugeta, Wudeneh, Cambridge Hlth Alliance, Revere, MA USA.
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Odayar, Varshini; Cortes, Dharma E., Cambridge Hlth Alliance, Hlth Equ Res Lab,
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Cambridge, MA USA.'
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author: Zack, Rachel M. and Bronico, Jackie V. Rodriguez and Babbin, Molly and Nguyen,
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Tra and Weil, Rachel and Granick, Jean and Fiechtner, Lauren and Mulugeta, Wudeneh
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and Odayar, Varshini and Cortes, Dharma E.
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author-email: rmzack@gmail.com
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author_list:
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- family: Zack
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given: Rachel M.
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- family: Bronico
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given: Jackie V. Rodriguez
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- family: Babbin
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given: Molly
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- family: Nguyen
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given: Tra
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- family: Weil
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given: Rachel
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- family: Granick
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given: Jean
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- family: Fiechtner
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given: Lauren
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- family: Mulugeta
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given: Wudeneh
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- family: Odayar
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given: Varshini
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- family: Cortes
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given: Dharma E.
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da: '2023-09-28'
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doi: 10.1016/j.amepre.2022.03.034
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earlyaccessdate: AUG 2022
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eissn: 1873-2607
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files: []
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issn: 0749-3797
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journal: AMERICAN JOURNAL OF PREVENTIVE MEDICINE
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keywords-plus: FOOD INSECURITY; PERCEPTIONS
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language: English
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month: SEP
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number: 3, 2
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number-of-cited-references: '43'
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orcid-numbers: 'Zack, Rachel/0000-0003-1048-8938
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Odayar, Varshini/0000-0002-0284-814X'
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pages: S131-S143
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papis_id: c44478efe25a774460e6ace92c0ef771
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ref: Zack2022facilitatorsbarriers
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researcherid-numbers: 'Cortés, Dharma E/JCE-0305-2023
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'
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times-cited: '1'
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title: Facilitators and Barriers to Patient Attendance at a Free Health Center Produce
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Market
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000873173600004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '63'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Medicine,
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General \&
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Internal'
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year: '2022'
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