Evidence map›Paper›PMID 40507118›Full record

ArticleNutrients2025

Fruit and Vegetable Consumption, Household Food Insecurity, and SNAP Participation Among Attendees of Free Produce Events at Safety-Net Health Center Sites.

Julia I Caldwell, Fatinah Darwish-Elsherbiny, Keisha Macon, Gloria Moon, Alejandra Casillas, Arleen F Brown, Dipa Shah, Tony Kuo

Abstract read
In one paragraph

Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Julia I CaldwellNutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA.ORCID 0000-0002-3565-9572
Fatinah Darwish-ElsherbinyNutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA.
Keisha MaconNutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA.
Gloria MoonDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA.ORCID 0009-0008-8300-5427
Alejandra CasillasDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA.ORCID 0000-0003-4229-7466
Arleen F BrownDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA.
Dipa ShahNutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA.
Tony KuoDepartment of Family Medicine, David Geffen School of Medicine at UCLA, Box 957087, Los Angeles, CA 90095, USA.ORCID 0000-0002-4120-8559

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Multi-ethnic Multi-level Strategies and Behavioral Economics to Eliminate Hypertension Disparities in LA County.UH3HL154302 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ALEJANDRA CASILLAS · 2023 to 2026
$4.2M
NCATS NIH HHS UL1 TR001881NHLBI NIH HHS UH3 HL154302NIH/NHLBI UH3HL154302
6 · The paper itself

Abstract

BACKGROUND/

objectivesSafety-net health centers are increasingly screening for food insecurity and providing patients with referrals to public assistance programs-e.g., the Supplemental Nutrition Assistance Program (SNAP). However, not all individuals actively participate in or are eligible for these programs. Onsite distributions of free produce at health center sites represent a promising complementary option for addressing this need. This study examines free produce events at these sites and their associations with attendees' food and vegetable consumption, household food insecurity, and SNAP participation (study outcomes).

methodsIn 2024, an intercept survey was conducted with 497 adults attending produce events at 16 safety-net health center sites in Los Angeles County, California, USA. Descriptive analyses profiled these food events, gathering information on attendee characteristics. Multivariable regressions examined associations between event attendance and study outcomes.

resultsOver 80% of attendees lived in food-insecure households. Among those who were patients of the event site, 68% and 28%, respectively, indicated they received information about Medicaid and SNAP from the clinic staff. Compared to first-time attendees, those who attended produce events frequently consumed, on average, one additional serving of fruit and vegetables a day (

conclusionsOffering free produce events at health center sites, where many attendees receive usual care, is a promising strategy for increasing healthy food access among safety-net populations. This underutilized approach is a viable intervention for improving access to healthy food, especially in circumstances where patients are not eligible for public assistance or nutrition incentive and/or food pharmacy programs are not readily available.

Indexed as

DietFood AssistanceFood InsecurityFood SupplyFruitSafety-net ProvidersVegetablesAdultFamily CharacteristicsFemaleHumansLos AngelesMaleMiddle AgedYoung Adultfree produce eventsfruit and vegetable consumptionhousehold food insecuritypublic assistanceSNAP participation

Identifiers

PMID40507118
PMCPMC12157926

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.