Geospatial Determinants of Food Pantry Access in the Mid-Ohio Farmacy Program

Lowrey, John; Maestas, Danielle; Beaulieu, Thomas; Headings, Amy; Hyder, Ayaz

doi:10.5888/pcd20.230155

Prev. Chronic Dis.

2023

DOI: 10.5888/pcd20.230155

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Geospatial Determinants of Food Pantry Access in the Mid-Ohio Farmacy Program

John Lowrey,

Danielle Maestas,

Thomas Beaulieu

et al.

Abstract: PEER REVIEWEDFood pantry access of 3,500 food-insecure patients in the Mid-Ohio Farmacy program, according to the Area Deprivation Index (ADI). The ADI is a residence-census block group measure of the neighborhood environment estimated from 17 variables available from the American Community Survey 5-year estimates, with yearend 2016.

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2024

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Cited by 2 publications

References 14 publications

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Toward health promotion and prevention: Evidence from a food and health partnership model of care

Lowrey,

Chandrasekaran,

Headings

et al. 2024

J of Ops Management

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Health promotion and disease prevention requires health systems address the patients' social needs using new care delivery models. Yet, research in this area has stalled for several reasons. We study a partnership model of care that couples clinical care delivered by primary care providers and social services delivered by community‐based organizations, and its impact on patients' preventive health outcomes and behaviors. We use data from the Mid‐Ohio Farmacy, which is a collaboration across the Mid‐Ohio Food Collective (MOFC), a network of 650+ affiliated food pantries, and a large federally qualified health center (FQHC). The FQHC offers primary and preventative healthcare services across eight free clinics, which are co‐located with the MOFC‐affiliated food pantries. Patients were screened for food insecurity during their clinic visit and, if positive, were referred to the Farmacy. Compliers made at least one visit to the food pantry after referral, while noncompliers did not. Using difference‐in‐differences, we find that compliers had no discernible change in their body mass index (BMI, kg/m2), which we refer to as a BMI stabilization effect. Noncompliers' BMI increased after referral. High comorbid and high pantry use compliers experienced a significant reduction in their BMI and a marginally significant reduction in glycated hemoglobin (HbA1c, %). These patients had unique compliance behaviors, including greater search, frequency, and consistency of food pantry use. Travel costs suggests that high comorbid patients ascribed a greater value to the Farmacy program. In terms of primary care utilization, we find that compliers' clinic visit patterns after referral were consistent with the visit patterns observed in the food secure cohort, suggesting that the Farmacy program may have helped compliers address competing demands that are known to inhibit health behaviors.

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Toward health promotion and prevention: Evidence from a food and health partnership model of care

Lowrey,

Chandrasekaran,

Headings

et al. 2024

J of Ops Management

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Heterogeneous effects of Medicaid expansion on food security measures

Byrne,

Katare,

Lowrey

2024

American J Agri Economics

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The 2014 Affordable Care Act (ACA) included state‐level Medicaid expansion programs, which have been credited with gains in food security for low‐income, able‐bodied, childless adults without dependents (ABAWDs). Yet, ABAWDs represent a diverse cohort who experience disparities along racial and ethnic lines, which could be partly responsible for differences in health‐related outcomes. This study uses data from the Current Population Survey Food Security Supplement to estimate the heterogeneous effect of ACA Medicaid expansion on food security among ABAWDs by race, ethnicity, and income. We find that Medicaid expansion improved food security for households headed by White ABAWDs—particularly those with incomes above 50% of the federal poverty line—but we do not find similarly significant evidence of gains among some historically marginalized populations. We find weak evidence that suggests that households headed by Hispanic ABAWDs may have experienced gains. However, Black‐headed ABAWD households had significantly worse food insecurity relative to the pooled sample of all races and ethnicities. Our results suggest that the relationship between healthcare access and food security is complex and, although spillover effects from a change in healthcare policy can influence food security status, such effects may not be equitably distributed across race, ethnicity, or income.

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Geospatial Determinants of Food Pantry Access in the Mid-Ohio Farmacy Program

Cited by 2 publications

References 14 publications

Toward health promotion and prevention: Evidence from a food and health partnership model of care

Toward health promotion and prevention: Evidence from a food and health partnership model of care

Heterogeneous effects of Medicaid expansion on food security measures

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