ArticleAmerican journal of preventive medicine2022
Facilitators and Barriers to Patient Attendance at a Free Health Center Produce Market.
Article in American journal of preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Impact of Text Message Reminders on Attendance at a Health Center-Based Produce Market: A Quasi-Experimental Study.Journal of general internal medicine · 2026Article
- Identification of Social Risk-Related Referrals in Discrete Primary Care Electronic Health Record Data: Lessons Learned From a Novel Methodology.Health services research · 2025Article
- A community-engaged implementation mapping approach to increase SNAP participation in a diverse Latine community.Translational behavioral medicine · 2025Article
- Health-related social needs screening, reporting, and assistance in a large health system.Preventive medicine · 2025Article
- Article
- Factors Associated With Uptake of an Open Access Health Center-Based Mobile Produce Market: A Case for Expanded Eligibility.Journal of the Academy of Nutrition and Dietetics · 2024Article
- Food Pantry Referral and Utilization in a Pediatric Primary Care Clinic.American journal of preventive medicine · 2024Article
- The Impact of the COVID-19 Pandemic on Food Access: Insights from First-Person Accounts in a Safety-Net Health Care System.Journal of health care for the poor and underserved · 2024Article
- A Community Partnership to Reduce Food Insecurity and Improve Patient-Reported Depression.NEJM catalyst innovations in care delivery · 2023Article
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Authors and funding
10 authors.
Funding
Abstract
introductionPatient participation in healthcare system‒sponsored efforts to address food insecurity varies widely. This mixed-methods study sought to understand the patient sociodemographic factors associated with and barriers and facilitators to the use of a monthly produce market held at Cambridge Health Alliance in partnership with The Greater Boston Food Bank.
methodsBaseline surveys (N=715) were conducted from February 2019 to March 2020 before market attendance, followed by 1-year follow-up surveys (n=514) and qualitative interviews (n=45). Robust Poisson regression estimated associations between sociodemographic characteristics and market attendance. Analyses were conducted from 2021 to 2022.
resultsA total of 37.1% attended the market ≥1 time. Market attendance was associated with being aged 30-49 years (Risk Ratio (RR)=1.36, 95% CI=1.00, 1.86), having a monthly household income <$1,000 (RR=1.73, 95% CI=1.29, 2.32), identifying as Asian (RR=2.48, 95% CI=1.58, 3.89), having a preferred language for medical care other than English (RR=1.35, 95% CI=1.03, 1.76), being retired (RR=1.90, 95% CI=1.17, 3.08), and living in the city of the market's location (RR=1.36, 95% CI=1.12, 1.63). Barriers included limited time (28%), work conflict (23%), forgetfulness (23%), and not knowing market location/date (22%). Interviews revealed that accessibility barriers (e.g., limited market hours, transportation issues, competing demands, medical conditions, long lines) were obstacles to attendance, whereas access to novel, healthy foods motivated attendance.
conclusionsHealthcare-based food distributions have the potential to reach patients with unmet food needs who cannot or would not access other forms of food assistance. Time constraints, physical limitations, and transportation challenges impact attendance; program modifications are necessary to improve accessibility.
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