{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:14:47Z","timestamp":1788430487771,"version":"build-2803163510"},"reference-count":35,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"University of California, Los Angeles, RCMAR Center for Health Innovation and Maximizing Eldercare (CHIME), National Institutes of Health (NIH)\/National Institute on Aging","doi-asserted-by":"publisher","award":["P30-AG021684"],"award-info":[{"award-number":["P30-AG021684"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"award":["P30-AG021684"],"award-info":[{"award-number":["P30-AG021684"]}],"id":[{"id":"https:\/\/ror.org\/046rm7j60","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016206","name":"UCLA Clinical and Translational Science Institute","doi-asserted-by":"publisher","award":["UL1TR001881"],"award-info":[{"award-number":["UL1TR001881"]}],"id":[{"id":"10.13039\/100016206","id-type":"DOI","asserted-by":"publisher"}]},{"award":["UL1TR001881"],"award-info":[{"award-number":["UL1TR001881"]}],"id":[{"id":"https:\/\/ror.org\/04kpwcf85","id-type":"ROR","asserted-by":"publisher"}]},{"name":"National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health","award":["UH3HL154302"],"award-info":[{"award-number":["UH3HL154302"]}]},{"award":["UH3HL154302"],"award-info":[{"award-number":["UH3HL154302"]}],"id":[{"id":"https:\/\/ror.org\/012pb6c26","id-type":"ROR","asserted-by":"publisher"}]},{"name":"California Department of Public Health to the Los Angeles County Department of Public Health","award":["#19-10328"],"award-info":[{"award-number":["#19-10328"]}]},{"award":["#19-10328"],"award-info":[{"award-number":["#19-10328"]}],"id":[{"id":"https:\/\/ror.org\/017dm4063","id-type":"ROR","asserted-by":"publisher"}]},{"name":"United States Department of Agriculture\u2019s Supplemental Nutrition Assistance Program Education"},{"id":[{"id":"https:\/\/ror.org\/01na82s61","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Free produce distributions at safety-net health center sites represent a promising strategy for mitigating food insecurity. Understanding how these services connect to participant outcomes is essential for optimizing food delivery to the community. Objectives: In this secondary analysis of Los Angeles County FoodRx Clinic\u2019s Produce Distribution Program (PDP), we evaluated the association between attendance frequency and the proportion of produce consumed (\u201call\u201d versus \u201cless than all\u201d) among returning participants, adjusting for socio-demographic, household, and program characteristics. Additionally, we sought to identify factors contributing to incomplete produce consumption. Methods: Data were collected using intercept surveys at 16 healthcare sites hosting produce distributions from July to October 2024. Among 451 surveyed participants, 368 were repeat attendees who had visited the distribution events more than once in the last 12 months. Results: Among repeat attendees, 64% reported their household consumed all produce received, while 36% consumed only a portion. Higher attendance frequency (4+ times vs. 2\u20133 times) was associated with significantly higher odds of all produce consumed (adjusted odds ratio: 2.38, confidence interval: 1.43\u20133.95). Conclusions: These findings provide critical insights for refining PDP operations and minimizing incomplete produce consumption among repeat attendees of this program.<\/jats:p>","DOI":"10.3390\/nu18172884","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:20:43Z","timestamp":1788427243000},"page":"2884","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety-Net FoodRx: Repeat Attendance and Produce Consumption Patterns in a Produce Distribution Program"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3770-6954","authenticated-orcid":false,"given":"Frederick","family":"Ferguson","sequence":"first","affiliation":[{"name":"Department of Family Medicine, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 50-074 CHS, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"}]},{"given":"Michael","family":"Baham","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 50-074 CHS, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8296-7765","authenticated-orcid":false,"given":"William J.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, 650 Charles E. Young Dr. South, Suite 31-269 CHS, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"}]},{"given":"Arleen F.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4229-7466","authenticated-orcid":false,"given":"Alejandra","family":"Casillas","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Stefanie","family":"Vassar","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8300-5427","authenticated-orcid":false,"given":"Gloria","family":"Moon","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, 200 Medical Plaza, Suite 420, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3565-9572","authenticated-orcid":false,"given":"Julia I.","family":"Caldwell","sequence":"additional","affiliation":[{"name":"Nutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., Suite 800, Los Angeles, CA 90010, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4701-8555","authenticated-orcid":false,"given":"Fatinah","family":"Darwish-Elsherbiny","sequence":"additional","affiliation":[{"name":"Nutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., Suite 800, Los Angeles, CA 90010, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"}]},{"given":"Dipa","family":"Shah","sequence":"additional","affiliation":[{"name":"Nutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., Suite 800, Los Angeles, CA 90010, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4120-8559","authenticated-orcid":false,"given":"Tony","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, 50-074 CHS, Los Angeles, CA 90095, USA"},{"name":"Department of Epidemiology, UCLA Fielding School of Public Health, Box 951772, Los Angeles, CA 90095, USA"},{"name":"Population Health Program, UCLA Clinical and Translational Science Institute, 10833 Le Conte Ave., BE-144 CHS, Los Angeles, CA 90095, USA"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.amepre.2006.01.009","article-title":"Disparities in Access to Fresh Produce in Low-Income Neighborhoods in Los Angeles","volume":"30","author":"Algert","year":"2006","journal-title":"Am. J. Prev. Med."},{"key":"ref_2","first-page":"41","article-title":"Food Deserts and Food Insecurity: A Case Study in Jacksonville, Florida","volume":"5","author":"Lewis","year":"2018","journal-title":"J. Behav. Soc. Sci."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Caldwell, J.I., Darwish-Elsherbiny, F., Macon, K., Moon, G., Casillas, A., Brown, A.F., Shah, D., and Kuo, T. (2025). Fruit and Vegetable Consumption, Household Food Insecurity, and Snap Participation among Attendees of Free Produce Events at Safety-Net Health Center Sites. Nutrients, 17.","DOI":"10.20944\/preprints202504.1540.v1"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s10900-016-0229-z","article-title":"Screening for Food Insecurity in Pediatric Clinical Settings: Opportunities and Barriers","volume":"42","author":"Barnidge","year":"2017","journal-title":"J. Community Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1377\/hlthaff.2017.0999","article-title":"Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare and Medicaid Beneficiaries","volume":"37","author":"Berkowitz","year":"2018","journal-title":"Health Aff."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1001\/jamainternmed.2019.0198","article-title":"Association between Receipt of a Medically Tailored Meal Program and Health Care Use","volume":"179","author":"Berkowitz","year":"2019","journal-title":"JAMA Intern Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"240","DOI":"10.3122\/jabfm.2022.220175R2","article-title":"Food Insecurity Screening in Safety-Net Clinics in Los Angeles County: Lessons for Post-Pandemic Planning","volume":"36","author":"Caldwell","year":"2023","journal-title":"J. Am. Board Fam. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.cell.2022.11.001","article-title":"Hallmarks of Aging: An Expanding Universe","volume":"186","author":"Blasco","year":"2023","journal-title":"Cell"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e2025134","DOI":"10.1001\/jamanetworkopen.2020.25134","article-title":"Trends in Poor Health Indicators among Black and Hispanic Middle-Aged and Older Adults in the United States, 1999-2018","volume":"3","author":"Odlum","year":"2020","journal-title":"JAMA Netw. Open"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1016\/j.ajcnut.2023.12.019","article-title":"Food Insecurity, Neighborhood Food Environment, and Health Disparities: State of the Science, Research Gaps and Opportunities","volume":"119","author":"Brown","year":"2024","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"102397","DOI":"10.1016\/j.foodpol.2022.102397","article-title":"Understanding Snap: An Overview of Recent Research","volume":"114","author":"Schanzenbach","year":"2023","journal-title":"Food Policy"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/hpja.207","article-title":"New Frontiers in Community Initiatives to Increase Vegetable Consumption","volume":"30","author":"Noy","year":"2019","journal-title":"Health Promot. J. Aust."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e009520","DOI":"10.1161\/CIRCOUTCOMES.122.009520","article-title":"Impact of Produce Prescriptions on Diet, Food Security, and Cardiometabolic Health Outcomes: A Multisite Evaluation of 9 Produce Prescription Programs in the United States","volume":"16","author":"Hager","year":"2023","journal-title":"Circ. Cardiovasc Qual. 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Metab., 1\u201310.","DOI":"10.1111\/dom.71185"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"m2482","DOI":"10.1136\/bmj.m2482","article-title":"Food Is Medicine: Actions to Integrate Food and Nutrition into Healthcare","volume":"369","author":"Downer","year":"2020","journal-title":"BMJ"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.foodpol.2014.09.010","article-title":"Does Snap Improve Your Health?","volume":"50","author":"Gregory","year":"2014","journal-title":"Food Policy"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Landry, M.J., Burgermaster, M., van den Berg, A.E., Asigbee, F.M., Vandyousefi, S., Ghaddar, R., Jeans, M.R., Yau, A., and Davis, J.N. (2020). Barriers to Preparing and Cooking Vegetables Are Associated with Decreased Home Availability of Vegetables in Low-Income Households. Nutrients, 12.","DOI":"10.3390\/nu12061823"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/jhn.12615","article-title":"Food Insecurity and Food Preparation Equipment in Us Households: Exploratory Results from a Cross-Sectional Questionnaire","volume":"32","author":"Oakley","year":"2019","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.pmedr.2019.01.023","article-title":"Barriers to Healthy Food Access: Associations with Household Income and Cooking Behavior","volume":"13","author":"Wolfson","year":"2019","journal-title":"Prev. Med. Rep."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.appet.2017.05.030","article-title":"Relationships between Food Neophobia and Food Intake and Preferences: Findings from a Sample of New Zealand Adults","volume":"116","author":"Jaeger","year":"2017","journal-title":"Appetite"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Jezewska-Zychowicz, M., Plichta, M., Drywie\u0144, M.E., and Hamulka, J. (2021). Food Neophobia among Adults: Differences in Dietary Patterns, Food Choice Motives, and Food Labels Reading in Poles. Nutrients, 13.","DOI":"10.3390\/nu13051590"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1080\/09603123.2025.2465883","article-title":"Food Neophobia and Its Relationship with Dietary Quality and Diversity in Turkish Young Adults: A Cross-Sectional Study","volume":"35","author":"Icer","year":"2025","journal-title":"Int. J. Environ. Health Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s41043-025-00735-3","article-title":"The Relationships among Food Neophobia, Mediterranean Diet Adherence, and Eating Disorder Risk among University Students: A Cross-Sectional Study","volume":"44","author":"Ozkan","year":"2025","journal-title":"J. Health Popul Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Bia\u0142ek-Dratwa, A., Sta\u015bkiewicz-Bartecka, W., Kiciak, A., Wardyniec, A., Grajek, M., Akta\u00e7, \u015e., \u00c7elik, Z.M., Sabuncular, G., \u0130slamo\u011flu, A.H., and Kowalski, O. (2024). Food Neophobia and Avoidant\/Restrictive Food Intake among Adults and Related Factors. Nutrients, 16.","DOI":"10.3390\/nu16172952"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Yodogawa, T., Nerome, Y., Tokunaga, J., Hatano, H., and Marutani, M. (2022). Effects of Food Neophobia and Oral Health on the Nutritional Status of Community-Dwelling Older Adults. BMC Geriatr., 22.","DOI":"10.1186\/s12877-022-03013-7"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"105941","DOI":"10.1016\/j.appet.2022.105941","article-title":"Food Neophobia across the Life Course: Pooling Data from Five National Cross-Sectional Surveys in Ireland","volume":"171","author":"Hazley","year":"2022","journal-title":"Appetite"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1057\/s41271-026-00628-7","article-title":"Beyond the Charitable Feeding System: Non-Traditional Community-Based Access Points to Distribute Healthy Food in an Urban\u2013Rural County in the United States","volume":"47","author":"Caldwell","year":"2026","journal-title":"J. Public Health Policy"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"264","DOI":"10.3390\/obesities2030021","article-title":"Food Security, Fruit and Vegetable Intake, and Chronic Conditions among Supplemental Nutrition Assistance Program Education Participants Attending Free Food and Produce Events","volume":"2","author":"Saxena","year":"2022","journal-title":"Obesities"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1093\/ajcn\/nqy143","article-title":"Repeated Exposure and Conditioning Strategies for Increasing Vegetable Liking and Intake: Systematic Review and Meta-Analyses of the Published Literature","volume":"108","author":"Appleton","year":"2018","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1017\/S0007114522003713","article-title":"A Narrative Review on Food Neophobia Throughout the Lifespan: Relationships with Dietary Behaviours and Interventions to Reduce It","volume":"130","year":"2023","journal-title":"Br. J. Nutr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"100421","DOI":"10.1016\/j.advnut.2025.100421","article-title":"Advances in Food-as-Medicine Interventions and Their Impact on Future Food Production, Processing, and Supply Chains","volume":"16","author":"Defraeye","year":"2025","journal-title":"Adv. Nutr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.jacc.2023.12.023","article-title":"\u201cFood Is Medicine\u201d Strategies For nutrition Security and Cardiometabolic Health Equity: Jacc State-of-the-Art Review","volume":"83","author":"Mozaffarian","year":"2024","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Meiselman, H.L. (2019). Food Neophobia and Diet Quality. Handbook of Eating and Drinking: Interdisciplinary Perspectives, Springer Nature.","DOI":"10.1007\/978-3-319-75388-1"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Katre, A., and Raddatz, B. (2023). Low-Income Families\u2019 Direct Participation in Food-Systems Innovation to Promote Healthy Food Behaviors. Nutrients, 15.","DOI":"10.3390\/nu15051271"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/j.nutres.2014.08.016","article-title":"Income and Race\/Ethnicity Influence Dietary Fiber Intake and Vegetable Consumption","volume":"34","author":"Storey","year":"2014","journal-title":"Nutr. Res."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2884\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:24:50Z","timestamp":1788427490000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":35,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nu18172884"],"URL":"https:\/\/doi.org\/10.3390\/nu18172884","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]}}}