Abstract
Rates of food insecurity are high among medically underserved patients. We analyzed food pantry responsiveness to the needs of medically ill cancer patients in New York City with the intent ofidentifying barriers to available food resources. Our data, collected from 60 pantries, suggest that the emergency food system is currently unable to accommodate patient needs. Accessibility issues include restricted service hours and documentation requirements. Food services were limited in quantity of food provided and the number of nutritious, palatable options. Additional emergency food resources and long-term approaches that provide ongoing food support to patients throughout their treatment period are needed.
References
Food Security in the United States. US Department of Agriculture Economic Research Service 2010. http://www.ers.usda.gov/Briefing/FoodSecurity/. Accessed September 12, 2011.
Measuring Household Food Security. U.S. Department of Agriculture Economic Research Service. http://www.ers.usda.gov/Briefing/FoodSecurity/measurement.htm#and. Accessed September 13, 2011.
Borjas G. Food insecurity and public assistance. J Public Econ. 2004; 88: 1421–1443.
Kasper J, Gupta SK, Tran P, Cook JT, Meyers AF. Hunger in legal immigrants in California, Texas, and Illinois. Am J Public Health. 2000; 90(10): 1629.
How are immigrants faring after welfare reform? Preliminary Evidence from Los Angeles and New York City. The Urban Institute. http://www.urban.org/uploadedpdf/410426_final_report.pdf. Accessed on September 13, 2010.
Reid MB, Allard-Gould P. Malnutrition and the critically ill elderly patient. Criti Care Nurs Clin North Am. 2004; 16: 531–536.
Food Bank NYC. Food poverty in NYC. http://www.foodbanknyc.org/go/food-poverty-in-nyc. Accessed on September 13, 2011.
Food Bank NYC. NYC Hunger Safety Net 2007: a food poverty focus. http://www.foodbanknyc.org/files//Hunger_Safety_Net_2007.pdf. Accessed on September 13, 2011.
United States Department of Agriculture, Economic Research Service. U.S. household food security survey module: three stage design, with screeners. July 2008. Accessed December 2010 from: http://www.ers.usda.gov/briefing/foodsecurity/surveytools.htm#household
Bergkvist K, Wengstrom Y. Symptom experiences during chemotherapy treatment—with focus on nausea and vomiting. Eur J Oncol Nurs. 2006; 10(1): 21–29.
Guren MG, Tobiassen LB, Trygg KU, Drevon CA, Dueland S. Dietary intake and nutritional indicators are transiently compromised during radiotherapy for rectal cancer. Eur J Clin Nutr. 2006; 60(1): 113–119.
Caro MMM, Laviano A, Pichard C. Nutritional intervention and quality of life in adult oncology patients. Clin Nutr. 2007; 26(3): 289–301.
Food Bank for New York City. ACT now: protect emergency food and food stamps! https://secure3.convio.net/fbnyc/site/Advocacy?cmd=display&page=UserAction&id=177. Accessed August 26, 2011.
Mor V, Allen SM, Siegle K, Houts P. Determinants of need and unmet need among cancer patients residing at home. Health Serv Res. 1992; 27(3): 337–360.
Algert SJ, Reibel M, Renvall MJ. Barriers to participation in the food stamp program among food pantry clients in Los Angeles. Am J Public Health. 2006; 96(5): 807–809.
Akobundy UO, Cohen NL, Laus MJ, Schulte MJ, Soussloff MN. Vitamins A and C, calcium and dairy products are limited in food pantries. J Am Dietetic Assoc. 2004; 104(5): 811–813.
Irwin JD, Ng VK, Rush TJ, Nguyen C, He M. Can food banks sustain nutrient requirements? A case study in Southwestern Ontario. Can J Public Health. 2007; 98(1): 17–20.
Boston Medical Center. Preventive Food Pantry and Demonstration Kitchen. http://development.bmc.org/page.aspx?pid=395. Accessed on September 13, 2011.
Vital Bridges Center on Chronic Care. Services - Food. http://www.heartlandalliance.org/vital/services/services-food.html. Accessed on July 10, 2011.
HIV related benefits (HASA). http://www.sbls.org/index.php?s=file_download&id=28. Accessed on August 26, 2011.
NYC Human Resources Administration. HASA Services. Available at: http://www.nyc.gov/html/hra/html/directory/hasa_services.shtml. Accessed on September 13, 2011.
The Body. New York City’s division of AIDS services, public assistance, SSI, SSD, and you. http://www.thebody.com/content/art30255.html. Accessed on August 26, 2011.
GMHC Fact Sheet. Public assistance (PA) and HIV/AIDS services administration. http://www.gmhc.org/files/editor/file/FS_PA-HASA-0307.pdf. Accessed on September 1, 2011.
Middletown’s TOUCH food program provides proper nutrition for people living with HIV/AIDS. http://www.recordonline.com/apps/pbcs.dll/article?AID=/20100120/HEALTH/1200342/-1/SITEMAP. Accessed on September 13, 2011.
TOUCH. Food Program. http://www.touch-ny.org/subpage.cfm?tbl=8. Accessed on September 13, 2011.
Acknowledgments
We are grateful to Susan Hayes, Rebecca Litt, Amy Burth, Dianna Ng, Prabhjot Singh, Sarah Schaeffer, Luciana Vieira, and Harper Gany-Beitler for their assistance with data collection for this study.
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Gany, F., Bari, S., Crist, M. et al. Food Insecurity: Limitations of Emergency Food Resources for Our Patients. J Urban Health 90, 552–558 (2013). https://doi.org/10.1007/s11524-012-9750-2
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DOI: https://doi.org/10.1007/s11524-012-9750-2