The impact of a produce prescription programme on healthy food purchasing and diabetes-related health outcomes

Datos Bibliográficos

ID15095076
AutoresJulian Xie (0000-0002-6970-1361, Duke University, autor de correspondencia), Ashley Price (0000-0001-8697-5332, Duke University), Neal Curran (Partners In Care), Truls Østbye (0000-0002-0662-7440, Duke University)
Año2021
Volumen24
Número12
Páginas3945-3955
Fecha de publicación2021-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPublic Health Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1368-9800 • E-ISSN: 1475-2727
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980021001828
PMID33902771
OpenAlexW3159972562
IdiomaEN
Citas recibidas5
Referencias citadas23

Objective: To evaluate a Produce Prescription Programme’s utilisation and its effects on healthy food purchasing and diabetes control among participants with type 2 diabetes. Design: Prospective cohort study using participants’ electronic health records and food transaction data. Participants were categorised as ‘Frequent Spenders’ and ‘Sometimes Spenders’ based on utilisation frequency. Multivariate regressions assessed utilisation predictors and programme effects on fruit/vegetable purchasing (spending, expenditure share and variety) and on diabetes-related outcomes (HbA1c, BMI and blood pressure). Setting: Patients enrolled by clinics in Durham, North Carolina, USA. Participants received $40 monthly for fruits and vegetables at a grocery store chain. Participants: A total of 699 food-insecure participants (353 with diabetes). Results: Being female and older was associated with higher programme utilisation; hospitalisations were negatively associated with programme utilisation. Frequent Spender status was associated with $8·77 more in fruit/vegetable spending ( P P = 0·007) and variety increase of 2·52 fruits and vegetables ( P P P Conclusions: Programme utilisation was associated with healthier food purchasing, but the relatively short study period and modest intervention prevent making conclusions about health outcomes. Produce Prescription Programmes can increase healthy food purchasing among food-insecure people, which may improve chronic disease care

Business · Diabetes mellitus · Environmental health · Medical prescription · Purchasing · Type 2 diabetes · Food Security and Health in Diverse Populations · Medicine · Nursing · Obesity and Health Practices · Obesity, Physical Activity, Diet · Gerontology · Marketing