A Promising Opportunity to Address Food Insecurity and Promote Equity: The Crucial Role of Federally Qualified Health Centers.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: A Promising Opportunity to Address Food Insecurity and Promote Equity: The Crucial Role of Federally Qualified Health Centers.
Συγγραφείς: Freeman KD; Author Affiliations:School of Public Health, University of Illinois at Chicago, Chicago, Illinois (Dr Freeman); Division of Community Health Sciences, University of Illinois at Chicago, Chicago, Illinois (Dr Peters); and Ohio Association of Community Health Centers, Columbus, Ohio (Dr Vallangeon)., Peters K, Vallangeon D
Πηγή: Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2026 Jul-Aug 01; Vol. 32 (4), pp. 594-601. Date of Electronic Publication: 2026 May 05.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract Subsets: MEDLINE
Imprint Name(s): Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Frederick, MD : Aspen Publishers, c1995-
Ιατρικοί όροι (MeSH): Health Equity*/standards , Safety-net Providers*/statistics & numerical data , Safety-net Providers*/organization & administration , Safety-net Providers*/trends , Food Insecurity*, Humans ; Ohio ; Surveys and Questionnaires ; Qualitative Research ; Food Supply
Περίληψη: Objective: To explore how Federally Qualified Health Centers (FQHCs) are addressing food insecurity by understanding their existing and needed services, policies, and community partnerships using a social determinants of health perspective to promote health equity.
Design: A mixed-methods, exploratory case study research design consisting of two phases was conducted in 2023. Phase I involved a survey of FQHC leaders in Ohio. From these data, eight FQHC cases were identified for Phase II qualitative interviews of staff and patients.
Setting: Ohio Federally Qualified Health Centers.
Participants: Executives, Frontline Staff and Patient Board Members of Federally Qualified Health Centers.
Main Outcome Measures: Policies, services, and community partnerships used by FQHCs to address food insecurity; FQHC screening staff and tools; resources to support food security; facilitators and barriers; FQHC methods to address health equity.
Results: The majority of survey respondents (54%) stated that nutrition counseling was the most popular FQHC service provided, followed by the National Diabetes Prevention Program, and National Hypertension Control Initiative each at 24%. Policies related to federal food programs were listed by most respondents (N = 18) for addressing food insecurity, followed by food assistance programs including food pantries and food banks (N = 14). Farmers markets (40.54%) and local health departments (21.62%) were listed most frequently as community partners for FQHCs. Equity-related responses included screening all patients for food insecurity and having the screening tool available in multiple languages.
Conclusions: FQHCs provide services to underserved and at-risk patients. The top three diet-related chronic diseases addressed by FQHCs were diabetes, hypertension, and obesity. The most common social determinants of health concerns were food insecurity and transportation. Federally Qualified Health Centers staff and patient board members indicated that there should be an increased focus on equity.
(Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved.)
Competing Interests: The authors have no conflicts of interest related to this research.
References: USDA ERS—Key Statistics & Graphics. 2022. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/key-statistics-graphics/ . Accessed July 8, 2022.
What is Food Insecurity? Feeding America; 2022. https://www.feedingamerica.org/hunger-in-america/food-insecurity . Accessed July 22, 2022.
Leading Health Indicators—Healthy People 2030. Health.gov. https://health.gov/healthypeople/objectives-and-data/leading-health-indicators . Accessed July 28, 2022.
Equitably Addressing Social Determinants of Health and Chronic Diseases. CDC. 2022. https://www.cdc.gov/chronicdisease/healthequity/social-determinants-of-health-and-chronic-disease.html . Accessed April 23, 2023.
AHIP. Access to Healthy Foods: Social Determinants of Health [PDF]; 2018. HealthyFoods_IssueBrief_4.18_FINAL.pdf(ahip.org) .
Shaibi GQ, Kullo IJ, Singh DP, et al. Returning genomic results in a Federally Qualified Health Center: the intersection of precision medicine and social determinants of health. Genet Med. 2020;22(9):1552-1559. doi: 10.1038/s41436-020-0806-5 . (PMID: 10.1038/s41436-020-0806-5)
2021 Health Value Dashboard™. Health Policy Institute of Ohio. 2022. https://www.healthpolicyohio.org/2021-health-value-dashboard/ . Accessed July 29, 2022.
Health Center Program Look-Alikes. HRSA. https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc-look-alikes . Accessed December 23, 2023.
About OACHC. Ohio Association of Community Health Centers. 2022. https://www.ohiochc.org/page/178 . Accessed September 21, 2022.
Load the Analysis ToolPak in Excel—Microsoft Support. https://support.microsoft.com/en-us/office/load-the-analysis-toolpak-in-excel-6a63e598-cd6d-42e3-9317-6b40ba1a66b4.
Qualitative Analysis Software | Powerful and Easy-to-Use. MAXQDA. https://www.maxqda.com/qualitative-data-analysis-software.
Chapter 20: Board Composition | Bureau of Primary Health Care. https://bphc.hrsa.gov/compliance/compliance-manual/chapter20.
Health Center Program. Uniform Data System (UDS) Data Overview. https://data.hrsa.gov/tools/data-reporting/program-data?type=AWARDEE&state=OH . Accessed July 29, 2022.
Ely EK, Gruss SM, Luman ET, et al. A national effort to prevent type 2 diabetes: Participant-Level evaluation of CDC's National Diabetes Prevention Program. Diabetes Care. 2017;40(10):1331-1341. doi: 10.2337/dc16-2099 . (PMID: 10.2337/dc16-2099)
Smith AP, Overton K, Rakotz M, et al. Target: BPTM: a national initiative to improve blood pressure control. Hypertension. 2023;80(12):2523-2532. doi: 10.1161/HYPERTENSIONAHA.123.20389 . (PMID: 10.1161/HYPERTENSIONAHA.123.20389)
Chang AR, Bailey-Davis L. Food is medicine, but are produce prescriptions? Diabetes Care. 2023;46(6):1140-1142. doi: 10.2337/dci23-0020 . (PMID: 10.2337/dci23-0020)
Where the Need is Great, a Fresh Prescription for Diabetes. Reuters. https://www.reuters.com/investigates/special-report/usa-diabetes-foodpharma/ . Accessed December 22, 2021.
Abrams SA, Avalos A, Gray M, et al. High level of food insecurity among families with children seeking routine care at federally qualified health centers during the coronavirus disease 2019 pandemic. J Pediatr X. 2020;4:100044. doi: 10.1016/j.ympdx.2020.100044 . (PMID: 10.1016/j.ympdx.2020.100044)
Hartline-Grafton H, Hassink SG. Food insecurity and health: practices and policies to address food insecurity among children. Acad Pediatr. 2021;21(2):205-210. doi: 10.1016/j.acap.2020.07.006 . (PMID: 10.1016/j.acap.2020.07.006)
Safe Environment for Every Kid (SEEK). https://sdh-tools-review.kpwashingtonresearch.org/screening-tools/SEEK . Accessed August 1, 2023.
Scher K, Sohaki A, Tang A, et al. A community partnership to evaluate the feasibility of addressing food insecurity among adult patients in an urban healthcare system. Pilot Feasibility Stud. 2022;8(1):59. doi: 10.1186/s40814-022-01013-3 . (PMID: 10.1186/s40814-022-01013-3)
What is PRAPARE. PRAPARE. https://prapare.org/what-is-prapare/ . Accessed August 2, 2023.
Cutts D, Cook J. Screening for food insecurity: short-term alleviation and long-term prevention. Am J Public Health. 2017;107(11):1699-1700. doi: 10.2105/AJPH.2017.304082.
Food Insecurity and Mortality in American Adults: Results from the NHANES-Linked Mortality Study. doi: 10.1177/1524839920945927.
Health Center Program Uniform Data System (UDS) Data Overview. 2022. https://data.hrsa.gov/tools/data-reporting/program-data?type=AWARDEE&state=OH . Accessed July 29, 2022.
Contributed Indexing: Keywords: federally qualified health centers; food insecurity; health equity; social determinants of health
Entry Date(s): Date Created: 20260505 Date Completed: 20260716 Latest Revision: 20260716
Update Code: 20260716
DOI: 10.1097/PHH.0000000000002359
PMID: 42085677
Βάση Δεδομένων: MEDLINE