P32 Evaluation of Multilevel Nutrition Interventions among Urban Clients on Charitable Food Assistance


      Decreased accessibility to farmland and food insecurity in urban areas have expanded the need for emergency food assistance. The culture of food banks is evolving from a system that supplied non-perishable foods for immediate needs to more sustainable initiatives that emphasize access to healthier foods and nutrition education due to the rise of obesity and chronic diseases. Furthermore, minimal evaluation on produce consumption behaviors of underserved clients using resources from local and federal programs has been conducted.


      Evaluate the relationship between usage of federal nutrition programs, local resources, and fresh produce consumption among clients on charitable food assistance.

      Study Design, Setting, Participants

      A cross-sectional design during Summer 2018 was implemented with 91 respondents (87% African American and 13% other) who met inclusion criteria for socioeconomic status at 5 faith-based and healthcare food pantries and clinics in Washington DC. Subjects completed informed consent, demographics, and the Eating at America's Table survey of fruit and vegetable consumption patterns.

      Measurable Outcome/Analysis

      R software version 3.5.3 was used for data analysis. Analysis of variance (ANOVA) Fisher Test measured the relationship between number of federal programs used and mean intakes of fresh produce as well as number of local nutrition resources used and mean intakes of fresh produce. ANOVA findings were confirmed via Tukey, Scheffe, and least square difference testing.


      Subjects who reported participation in 1 or more federal programs reported higher intakes of fruit, potatoes, non-starchy vegetables, and beans than those who did not (P < .05). Subjects who used 1 or more local nutritional resources reported higher intakes of fruit, potatoes, and non-starchy vegetables than those who did not (P < .05).


      To improve food security and sustainability, urban communities, especially underserved areas, may benefit from multiple subsystems, including local food production and nutrition support from federal and decentralized community resources.
      Funding: USDA.

      Appendix. Supplementary data