scholarly journals Outcomes of disease prevention and management interventions in food pantries and food banks: protocol for a scoping review

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e018022 ◽  
Author(s):  
Christopher R Long ◽  
Brett Rowland ◽  
Susan C Steelman ◽  
Pearl A McElfish

IntroductionFood insecurity is a difficulty faced in many households. During periods of food insecurity, households often seek food supplied by food pantries and food banks. Food insecurity has been associated with increased risk for several health conditions. For this reason, food pantries and food banks may have great promise as intervention sites, and health researchers have begun targeting food pantries and food banks as sites for disease prevention or management interventions. The aim of the scoping review is to examine disease prevention or management interventions implemented in food pantries and food banks.Methods and analysisRelevant electronic databases (eg, MEDLINE, Cumulative Index to Nursing and Allied Health Literature-CINAHL Complete, Science Citation Index, Cochrane Database of Systematic Reviews) will be searched for articles with a publication date of 1997 or later using Medical Subject Headings and key terms, including food aid, food banks, food pantries, food shelves, hunger, food insecurity and related concepts. For each de-duplicated study record identified by the search strategy, two reviewers will independently assess whether the study meets eligibility criteria (eg, related to intervention type, context). The reviewers will examine studies’ titles, abstracts and full text, comparing eligibility decisions to address any discrepancies. For each eligible study, data extraction will be executed by two reviewers independently, comparing extracted data to address any discrepancies. Extracted data will be synthesised and reported in a narrative review assessing the coverage and gaps in existing literature related to disease prevention and management interventions implemented in food pantries.Ethics and disseminationThe review’s results will be useful to healthcare practitioners who work with food-insecure populations, healthcare researchers and food pantry or food bank personnel. The results of this scoping review will be submitted for publication to a peer-reviewed journal, and the authors will share the findings with food pantry and food bank stakeholder groups with whom they work.

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029236 ◽  
Author(s):  
Christopher R Long ◽  
Brett Rowland ◽  
Susan C Steelman ◽  
Pearl A McElfish

ObjectiveFood insecurity affects millions of Americans and is associated with a range of adverse health outcomes. Food insecure individuals often obtain food from food pantries/banks, prompting health researchers to implement disease prevention/management interventions at these sites. This review examined the existing peer-reviewed research on disease prevention/management interventions implemented in food pantries/banks.DesignScoping review.Data sourcesDatabases searched included MEDLINE, Web of Science, CINAHL and Cochrane. Search strategies included Medical Subject Headings and key terms, including food pantry, food bank, food shelf, food aid and related concepts.Eligibility criteriaStudies were included if they described an intervention involving food pantries/banks where at least one biometric indicator was included as an outcome variable. Articles focused solely on the quality of foods distributed, the diet quality of food pantry/bank clients or government food aid programmes were excluded.Data extraction and synthesisExtracted data included publication details, intervention type, study design, participant characteristics, study outcomes, and barriers and facilitators of intervention implementation.ResultsA total of 3317 articles were assessed for eligibility. Six studies met the predefined inclusion criteria. The studies employed a range of intervention approaches to manage or prevent a number of chronic diseases, including obesity, type 2 diabetes and HIV. The studies examined a range of biometric outcomes, including body mass index, glycated haemoglobin and blood pressure. Information about the food pantries/banks where the interventions were conducted was lacking. The studies documented multiple barriers and facilitators related to costs, sustainability and organisational capacity.ConclusionsTo our knowledge, this is the first review to examine disease prevention and management interventions conducted in food pantries and food banks. Given the high number of households who obtain food from food pantries/banks and the chronic health conditions associated with food insecurity, this review highlights the need for more high-quality research in this setting.


Author(s):  
Brittney Cavaliere ◽  
Carson Drew ◽  
Katie Martin

The COVID-19 pandemic has created an unprece­dented surge in food insecurity and demand for free food. In response, Foodshare, the regional food bank serving Greater Hartford, Connecticut, created a drive-through distribution program to meet the immediate food needs of residents. Our team at Foodshare’s Institute for Hunger Research & Solutions conducted two surveys of people receiving food at the drive-through distribution to help inform Foodshare’s programming and response to the pandemic. Results show that 70% of households receiving food had never gone to a food pantry or other program to receive free food prior to COVID-19, and 67% said they come at least once a week. Additionally, 86% of guests are not going elsewhere to receive free food and only 37% know of other places to get free food. The majority of people receiving food at the drive-through distribution were people of color, who are those most affected by COVID-19 from both health and financial perspectives. From April to August 2020, Foodshare served an average of 1,500 households each day and more than 150,000 cars total at the drive-through distribution alone. Despite serving an immediate need for food, the drive-through model presents challenges, particu­larly during the New England winter with snow and freezing temperatures, and is an expensive endeavor. Foodshare and other food banks will need to pivot again from short-term pandemic assistance to longer-term approaches to create dignified, convenient, and sustainable access to healthy food for additional people struggling with food insecurity. Food banks can also leverage their extensive platforms of volunteers and donors to advocate for policy changes that will ensure eco­nomic stability and food security.


Author(s):  
Sarah L. McKee ◽  
Eminet Abebe Gurganus ◽  
Abiodun T. Atoloye ◽  
Ran Xu ◽  
Katie Martin ◽  
...  

Abstract Aim This study aimed to assess the impact of the Supporting Wellness at Pantries (SWAP) system on client food selections at a food pantry. Subject and methods In a pre–post comparison study design, a client-choice food pantry implemented SWAP by reorganizing its inventory to promote healthy options. Each product was ranked as “choose often” (green), “sometimes” (yellow), or “rarely” (red) based on saturated fat, sodium, and sugar. Signage was added to indicate each item’s SWAP rank and healthier foods were placed at eye level. Client food baskets were assessed at time 1 (n = 121) and time 2 (n = 101). The proportions of green and red foods selected were compared using regression analyses. Results The regression analyses showed that the proportion of green foods selected by clients increased by 11% (p < 0.001) and the proportion of red foods selected decreased by 7% (p < 0.001) after SWAP was implemented (n = 222). Conclusions SWAP has the potential to positively shift client choices among the items available in a food pantry setting. SWAP is one component of a suite of changes to the charitable food system that have the potential to alleviate food insecurity, improve diet quality, and assist clients in managing diet-related diseases.


2014 ◽  
Vol 116 (9) ◽  
pp. 1405-1417 ◽  
Author(s):  
Valerie Tarasuk ◽  
Naomi Dachner ◽  
Rachel Loopstra

Purpose – Similar to the recent emergence of food banks in other affluent nations, the genesis and ultimate entrenchment of food banks in Canada has been tightly intertwined with the dismantling of the welfare state. Through an examination of Canadian data, the authors elucidate the implications of entrenching voluntary, extra-governmental, charitable food assistance programs as an adjunct to publicly funded social assistance programs. The paper aims to discuss these issues. Design/methodology/approach – Publicly available food bank reports, population health survey data, and the results of a study of low-income families in Toronto are reviewed to examine the food security status of social assistance recipients and their use of food banks. Findings – In 2012, 70 percent of households in Canada who were reliant on social assistance were food insecure. Social assistance recipients comprise at least half of food bank clientele and have done so for as long as this information has been tracked, but the assistance provided by food banks appears insufficient to alter households’ food insecurity. Although food banks currently distribute over 200 million pounds of food annually, the scale of their operations pales in comparison to the food needs of those who seek their help. Originality/value – In the 30 years since food banks began in Canada, there has been considerable research into this response, as well as extensive population monitoring of food insecurity. Canada provides an informative case study of an affluent country's long-term dependency on charitable food assistance and the impact this has on the food insecurity of those reliant on social assistance programs.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A91-A92
Author(s):  
S Martinez ◽  
S Kalaydjian ◽  
L Ritchie ◽  
A Nazmi ◽  
A Prather

Abstract Introduction Food insecurity is an issue among students in higher education and has been linked to insufficient sleep, and poor mental and general health. College campuses have quickly responded by establishing campus food pantries. However, the extent to which campus food pantries are ameliorating the impacts of food insecurity is unknown. Methods Online survey data were collected from a cross-sectional sample of 1,855 students who were food pantry users in the 10-campus UC system. Students were asked to report their number of visits to a food pantry in the past month, and to rate their general health, depressive symptoms, and number of days of enough sleep (in a week) before and after food pantry access. Changes in days of enough sleep, depressive symptoms and general health were computed. Demographic characteristics were obtained from institutional data. Path analysis was used to examine direct and indirect pathways from food pantry use to depressive symptoms and general health through enough sleep days, controlling for workstudy receipt, Pell grant receipt and family income. Results Students on average were 21.7 years old (SD= 3.5), and had more days of adequate sleep (25%), and improved depressive symptoms (43%) and general health (31%) after obtaining services from a campus food pantry. An increase in monthly food pantry use was directly related to a decrease in depressive symptoms (β= 0.08, p&lt;0.001) and an increase in general health (β= 0.07, p=0.001). Additionally, an increase in food pantry use related to an increase in getting more days of enough sleep (β=0.07, p=0.001), which in turn positively related to a decrease in depressive symptoms (β=0.18, p&lt;0.001) and improved general health (β=0.24, p&lt;0.001). Conclusion Food pantry use had a positive relationship with student health outcomes, and enough sleep days played an important mediating role. Findings suggest that emergency food access may have a positive impact on student health outcomes. Support This study was funded by the UC Campus Basic Needs Committees.


2018 ◽  
Vol 47 (3) ◽  
pp. 437-457 ◽  
Author(s):  
RACHEL LOOPSTRA ◽  
JASMINE FLEDDERJOHANN ◽  
AARON REEVES ◽  
DAVID STUCKLER

AbstractSince 2009, the UK has witnessed marked increases in the rate of sanctions applied to unemployment insurance claimants, as part of a wider agenda of austerity and welfare reform. In 2013, over one million sanctions were applied, stopping benefit payments for a minimum of four weeks and potentially leaving people facing economic hardship and driving them to use food banks. Here we explore whether sanctioning is associated with food bank use by linking data from The Trussell Trust Foodbank Network with records on sanctioning rates across 259 local authorities in the UK. After accounting for local authority differences and time trends, the rate of adults fed by food banks rose by an additional 3.36 adults per 100,000 (95% CI: 1.71 to 5.01) as the rate of sanctioning increased by 10 per 100,000 adults. The availability of food distribution sites affected how tightly sanctioning and food bank usage were associated (p< 0.001); in areas with few distribution sites, rising sanctions led to smaller increases in food bank usage. In conclusion, sanctioning is closely linked with rising food bank usage, but the impact of sanctioning on household food insecurity is not fully reflected in available data.


2018 ◽  
Vol 21 (2) ◽  
pp. 181-200 ◽  
Author(s):  
Meike Rombach ◽  
Vera Bitsch

This study investigates forms of sector blending practiced by the Federal Association of German Food Banks and respective benefits and drawbacks emerging for the organization. The study builds on a prior sector blending categorization system. Twenty in-depth interviews with food bank members were recorded, transcribed, and analyzed using qualitative content analysis. In addition, webpage materials from German food retailers and press releases from the German Food Bank were analyzed. Imitation, interaction and industry creation were forms of sector blending found. The main drawback found was that the food bank fails to serve those outside the German social security system, such as the homeless. Benefits include a more professional image of the organization, and the enhancement of social capital. Overall, the additional generation of funds and resources were the most important aspects of sector blending efforts in the German food bank, as it helps food pantries adjust to an increasing number of people in need.


2015 ◽  
Vol 14 (3) ◽  
pp. 443-455 ◽  
Author(s):  
Rachel Loopstra ◽  
Valerie Tarasuk

This article reflects on the insights afforded by the regular measurement and monitoring of household food insecurity in Canada juxtaposed against information on food bank usage in the population. We show that the number and characteristics of people using food banks suggest that this population is a non-representative subset of the food insecure population. We also highlight how the number of people using food banks is insensitive to the level of household food insecurity in the population. Who goes to food banks is a function of the nature of food bank operations and the severity of food insecurity. Representative data on household food insecurity should be regularly collected and utilised to make policy recommendations for interventions to address the problem of insecure food access.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 773-773
Author(s):  
David Buys ◽  
Masey Smith ◽  
Erin King

Abstract Older adults in the deep south are living with high food insecurity rates; this is exacerbated by challenges with rural-living, like transportation limitations and no grocery stores. To address this, we must increase emergency food assistance offerings and adopt best practices for food pantries including choice food pantry approaches, which empowers clients with some autonomy in choosing the foods they receive as part of their pantry distribution. Coalitions in eight income-limited, aging, rural Mississippi Delta counties received support from a Centers for Disease Control and Prevention Grant to enhance the food-related infrastructure in their communities through technical assistance and economic investments. A detailed process evaluation was conducted on this effort. Each coalition adopted food pantry-related policies like adding new food pantries and adapting their existing food pantries with the choice model. Both aging volunteers and clients indicated positive outcomes from the process of adding pantries and adapting existing ones.


Author(s):  
Marla A. Parker ◽  
Laurie Mook ◽  
Chen-Yu Kao ◽  
Alex Murdock

Abstract Food pantries typically operate in a partnership structure where they are primarily supported by a larger food bank. However, the ability to execute that mission through cooperative arrangements greatly depends upon accountability, a key dynamic that ensures partners are fulfilling expectations and key roles. This exploratory study utilizes qualitative interview data (n = 61) from a large food bank network to understand the extent to which a lead agency (i.e., a large food bank) meets expectations of accountability among partners. The interview results demonstrate that the extent to which expectations are met relate to different types of relationships between the lead agency and partner members. Furthermore, the ways in which partners assess the strengths or weaknesses of the food bank’s accountability reveal different types of relationships within the network, namely that of supplier–customer, supporter–customer, and supporter–collaborator.


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