"It's Really About Those Social Determinants of Health that Drive It": Addressing Food Insecurity in Rural Veterans.

Community health equity research & policy Pub Date : 2024-10-15 DOI:10.1177/2752535X241292108

Jacquelyn N Heuer, Sarah E Bradley, Bridget Hahm, Kristin Pettey, Karen Besterman-Dahan

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Abstract

Background: The Department of Veterans Affairs (VA) employs numerous strategies to address food insecurity among rural veterans. This manuscript discusses findings from a quality improvement project examining factors impacting food insecurity among rural veterans.

Methods: Qualitative interviews were conducted with VA expert informants (n = 30) who worked in national program offices addressing veteran food insecurity, site visit participants (n = 57) at three VA Medical Centers (VAMCs), and rural veterans who screened positive for food insecurity at the VAMC sites (n = 10). Interviews were analyzed with analysis matrices.

Results: Current VA programming includes a national food insecurity screening initiative and connecting veterans with local community resources. Veteran participants provided suggestions for addressing veteran food insecurity, including outreach and education. In addition, these interviews demonstrate that rural veteran food insecurity is intrinsically interwoven with other social determinants of health.

Conclusions: Addressing rural veteran food insecurity must include strategies for understanding and supporting interconnected veteran needs.

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"真正的驱动因素是健康的社会决定因素"：解决农村退伍军人的粮食不安全问题。

背景：退伍军人事务部（VA）采取了许多策略来解决农村退伍军人的食品不安全问题。本手稿讨论了一个质量改进项目的研究结果，该项目研究了影响农村退伍军人食品不安全的因素：对退伍军人事务部的专家信息提供者（n = 30）、三个退伍军人事务部医疗中心（VAMCs）的实地考察参与者（n = 57）以及在退伍军人事务部医疗中心进行食物不安全筛查的农村退伍军人（n = 10）进行了定性访谈。访谈内容通过分析矩阵进行分析：退伍军人事务部目前的计划包括一项全国性的粮食不安全筛查倡议以及将退伍军人与当地社区资源联系起来。退伍军人参与者提出了解决退伍军人食物不安全问题的建议，包括外联和教育。此外，这些访谈表明，农村退伍军人的粮食不安全问题与其他健康的社会决定因素有着内在的交织：解决农村退伍军人食品不安全问题必须包括了解和支持相互关联的退伍军人需求的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community health equity research & policy

CiteScore

2.70

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0.00%

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