Abstract

Food insecurity (FI) is the lack of consistent access to enough food for an active and healthy life. Community-based hunger relief programs often serve as emergency food sources for families with FI. However, these programs may not provide foods that diverse populations of people prefer. We sought to evaluate the dietary patterns and preferences of families living in food-insecure neighborhoods and utilizing a community-based hunger relief program, in order to improve the utilization of local nutritional programs. We examined the Help Our People Eat (HOPE) community-based mobile meal program. Free-listing interviews (n = 63) were conducted with English-(66%) and Spanish-speaking (34%) participants of the program. Participants were asked about FI risk, food preferences, and dietary behaviors at home. The majority of participants (90%) had children in the household. About 60% reported not being able to afford the type of food they enjoyed. Most participants reported using stoves for cooking (80%). Participants overwhelmingly cooked with chicken, beef, and pork. The most common side dishes included potatoes, rice, and salad. Most participants reported no interest in cooking differently or learning new recipes. A common theme throughout interviews was that families prefer similar meals, but may prepare them differently based on the language spoken. Food preferences consisted of a high intake of carbohydrate-rich meals, perhaps because these foods may be cheaper and easier to access. Notably, new recipes and cooking methods were not a priority for these families, possibly due to the time and effort needed to learn them.

Highlights

  • Food insecurity (FI) is the lack of consistent access to enough food for an active and healthy life

  • While FI has decreased over the past decade, it remains problematic in North Carolina, which has the 10th highest prevalence in the United States of America (USA) [1]

  • We conducted a qualitative study of adults who utilize the Help Our People Eat (HOPE) mobile meal program and assessed their dietary patterns, food preferences, and meal preparation methods

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Summary

Introduction

Food insecurity (FI) is the lack of consistent access to enough food for an active and healthy life. Community-based hunger relief programs often serve as emergency food sources for families with FI. These programs may not provide foods that diverse populations of people prefer. Winston-Salem, a medium-sized city located in Forsyth County in the Piedmont region of Northwest North Carolina, has an even higher FI rate: 16% for all households and 21% for households with children [4] In both children and adults, FI negatively affects mental and physical health; children are vulnerable due to its adverse effects on growth, behavior, and development [5,6,7,8]

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