Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need?
Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need?
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DOI：
10.1016/j.acap.2016.10.006
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发表时间：
2017-07-01
影响因子：
3.1
通讯作者：
Fleegler, Eric W.
中科院分区：
文献类型：
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作者：
Bottino, Clement J.;Rhodes, Erinn T.;Fleegler, Eric W.
目的：描述一种临床方法，食品不安全筛查纳入菜单提供食品援助转介，并检查食品不安全和转介selection.METHODS：照顾者的3- 10岁的儿童提出良好的儿童护理完成了一个自我管理的问卷在笔记本电脑上。项目包括美国家庭食品安全调查模块：6项简表（食品不安全屏幕）和一个推荐菜单，提供以下帮助：1）寻找食品储藏室，2）获得热餐，3）申请补充营养援助计划（SNAP），以及4）申请妇女，婴儿和儿童特别补充营养计划（WIC）。转诊的提供与粮食不安全状况或资格无关。我们研究了食品不安全和转诊选择之间的关联，采用多元Logistic回归，同时调整协变量。结果：共340名护理人员参加; 106（31.2%）报告食品不安全，107（31.5%）选择了一个或多个转介。49名照顾者（14.4%）报告粮食不安全，但选择没有转介; 50名照顾者（14.7%）选择了一个或多个转介，但没有报告粮食不安全;和57名照顾者（16.8%）都报告粮食不安全，并选择了一个或多个转介。调整后，照顾者选择一个或多个转介有更大的几率食品不安全的照顾者谁选择没有转介（调整后的比值比4.0; 95%置信区间2.4-7.0）。结论：在这个样本中，有不完全重叠的食品不安全和转介选择。提供转介可能是一个有益的辅助标准筛选，以引出家庭的喜好和确定未满足的社会需求。
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.