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This program provides $15 fresh fruit and vegetable prescriptions to all prenatal patients during office visits, redeemable at a local farmers market and mobile market\/food hub. The current study assessed changes in diet and food security throughout pregnancy among patients exposed to the prenatal FVPP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This non-controlled longitudinal trial included prenatal patients at two low-income urban clinics presenting before 16 weeks\u2019 gestation. Participants completed surveys to assess diet (one automated 24-hour dietary recall) and food security (US Household Food Security Module: Six Item Short Form - National Center for Health Statistics), with follow-up surveys at mid-pregnancy and postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 118 pregnant women (mean age 26.32\u2009\u00b1\u20095.04 years, range 18\u201339 years) enrolled in the current study. Most identified as Black\/African American (54.2%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200964), received Medicaid (66.9%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200979), and participated in The Special Supplemental Nutrition Program for Women, Infants, and Children or WIC (62.4% at midpoint). Participants received an average of 8.81\u2009\u00b1\u20092.30 fruit and vegetable prescriptions, with two-thirds redeeming at least one (66.9%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200979). Household food security worsened from baseline to midpoint (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.076) but improved from midpoint to postpartum (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Participants reported notable changes in dietary behaviors at critical points during their pregnancy. Primarily, significant improvements in mean daily consumption of fruits and vegetables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027); total vegetables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015); and vegetables excluding potatoes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030) were observed from early pregnancy to midpoint. Alternatively, mean daily intake of fruits and vegetables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007) and total vegetables (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029) decreased between midpoint in pregnancy and the early postpartum period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study reveals the influence of a prenatal FVPP on diet and food security among prenatal patients living in one low-income, urban community. Results signal an urgent need for coordinated and comprehensive maternal supports that better address food and nutrition security during pregnancy and the early postpartum period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10995-025-04212-5","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T17:21:55Z","timestamp":1766078515000},"page":"153-161","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Influence of a Prenatal Fruit and Vegetable Prescription Program on Diet and Household Food Security in a Low-Income, Urban Community"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0273-8311","authenticated-orcid":false,"given":"Amy","family":"Saxe-Custack","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"LaChance","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayle","family":"Shipp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Haggerty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"issue":"13","key":"4212_CR4","doi-asserted-by":"publisher","first-page":"2497","DOI":"10.1017\/s1368980018000964","volume":"21","author":"A Saxe-Custack","year":"2018","unstructured":"Saxe-Custack, A., Lofton, H.C., Hanna-Attisha, M., Victor, C., Reyes, G., Ceja, T., & LaChance, J. 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