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Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need?
Bottino, Clement J; Rhodes, Erinn T; Kreatsoulas, Catherine; Cox, Joanne E; Fleegler, Eric W.
Afiliación
  • Bottino CJ; Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass. Electronic address: clement.bottino@childrens.harvard.edu.
  • Rhodes ET; Division of Endocrinology, Department of Medicine, Boston Children's Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass.
  • Kreatsoulas C; Harvard T.H. Chan School of Public Health, Department of Social and Behavioral Sciences, Boston, Mass.
  • Cox JE; Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass.
  • Fleegler EW; Division of Emergency Medicine, Department of Medicine, Boston Children's Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass.
Acad Pediatr ; 17(5): 497-503, 2017 07.
Article en En | MEDLINE | ID: mdl-28302365
OBJECTIVE: To describe a clinical approach for food insecurity screening incorporating a menu offering food-assistance referrals, and to examine relationships between food insecurity and referral selection. METHODS: Caregivers of 3- to 10-year-old children presenting for well-child care completed a self-administered questionnaire on a laptop computer. Items included the US Household Food Security Survey Module: 6-Item Short Form (food insecurity screen) and a referral menu offering assistance with: 1) finding a food pantry, 2) getting hot meals, 3) applying for Supplemental Nutrition Assistance Program (SNAP), and 4) applying for Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Referrals were offered independent of food insecurity status or eligibility. We examined associations between food insecurity and referral selection using multiple logistic regression while adjusting for covariates. RESULTS: A total of 340 caregivers participated; 106 (31.2%) reported food insecurity, and 107 (31.5%) selected one or more referrals. Forty-nine caregivers (14.4%) reported food insecurity but selected no referrals; 50 caregivers (14.7%) selected one or more referrals but did not report food insecurity; and 57 caregivers (16.8%) both reported food insecurity and selected one or more referrals. After adjustment, caregivers who selected one or more referrals had greater odds of food insecurity compared to caregivers who selected no referrals (adjusted odds ratio 4.0; 95% confidence interval 2.4-7.0). CONCLUSIONS: In this sample, there was incomplete overlap between food insecurity and referral selection. Offering referrals may be a helpful adjunct to standard screening for eliciting family preferences and identifying unmet social needs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Derivación y Consulta / Asistencia Alimentaria / Abastecimiento de Alimentos Tipo de estudio: Diagnostic_studies / Prognostic_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Acad Pediatr Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Derivación y Consulta / Asistencia Alimentaria / Abastecimiento de Alimentos Tipo de estudio: Diagnostic_studies / Prognostic_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Acad Pediatr Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos